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    Celiac Disease and the Catholic Church's Position Regarding Communion


    Scott Adams


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    Ernesto Guifaldes, M.D. of the Pontificia Unicersidad Catolica de Chile has sent me much information, is particularly knowledgeable in this area. If you have any questions about this subject, please contact Ernesto at: eguirald@lascar.puc.cl

    The following is a letter dated March 10, 1996, and was sent to the Presidents of the Episcopal Conferences from the Vatican. It represents the official position of the Catholic Church with regard to gluten and the Eucharist.

    Your Eminence/Excellency:

    In recent years, this Dicastery has followed closely the development of the question of the use of low-gluten altar breads and mustum as matter for the celebration of the Eucharist.

    After careful study, conducted in collaboration with a number of concerned Episcopal Conferences, this Congregation in its ordinary session of June 22, 1994 has approved the following norms, which I am pleased to communicate:

    • I. Concerning permission to use low-gluten altar breads:
      • A. This may be granted by Ordinaries to priests and lay persons affected by celiac disease, after presentation of a medical certificate.
      • Conditions for the validity of the matter:
        • 1) Special hosts quibus glutinum ablatum est are invalid matter for the celebration of the Eucharist;
        • 2) Low-gluten hosts are valid matter, provided that they contain the amount of gluten sufficient to obtain the confection of bread, that there is no addition of foreign materials, and that the procedure for making such hosts is not such as to alter the nature of the substance of the bread.
    • II. Concerning permission to use mustum:
      • A. The preferred solution continues to be Communion per intinctionem, or in concelebration under the species of bread alone.
      • B. Nevertheless, the permission to use mustum can be granted by Ordinaries to priests affected by alcoholism or other conditions which prevent the ingestion of even the smallest quantity of alcohol, after the presentation of a medical certificate.
      • C. By mustum is understood fresh juice from grapes, or juice preserved by suspending its fermentation (by means of freezing of other methods which do not alter its nature).
      • D. In general, those who have received permission to use the mustum are prohibited from presiding at concelebrated Masses. There may be some exceptions however: in the case of a Bishop or Superior General; or, with prior approval of the Ordinary, at the celebration of the anniversary of priestly ordination or other similar occasions. In these cases, the one who presides is to communicate under both the species of bread and that of the mustum, while for the other concelebrants a chalice shall be provided in which normal wine is to be consecrated.
      • E. In the very rare instances of lay persons requesting this permission, recourse must be made to the Holy See.
    • III. Common Norms:
      • A. The Ordinary must ascertain that the matter used conforms to the above requirements.
      • B. Permissions are to be given only for as long as the situation continues which motivated the request.
      • C. Scandal is to be avoided.
      • D. Given the centrality of the celebration of the Eucharist in the life of the priest, candidates for the priesthood who are affected by celiac disease of suffer from alcoholism of similar conditions may not be admitted to Holy Orders.
      • E. Since the doctrinal questions in this area have now been decided, disciplinary competence is entrusted to the Congregation for Divine Worship and the Discipline of the Sacraments.
      • F. Concerned Episcopal Conferences shall report to the Congregation for Divine Worship and the Discipline of the Sacraments every two years regarding the application of these norms.

    With warm regards and best wishes, I am Sincerely yours in Christ.

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    The leader of the fight for Celiacs in the Catholic Church has recently died. Archbishop Derek Worlock of Liverpool was diagnosed in the 1980s with celiac disease and presented a strong case in Rome for celiac sufferers to be allowed to receive special hosts at Communion, which was reluctantly granted. He died of lung cancer on February 8, 1996.

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    Guest ian ball

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    Maybe I'm a little slow, but the solution to this problem seems so simple to me, receive communion from the cup instead...

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    Maybe I'm a little slow, but the solution to this problem seems so simple to me, receive communion from the cup instead...

    I receive only the Precious Blood at communion, easy.

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    I was taught that the bread and wine actually changed into the body (flesh) and blood of Jesus and that this was an article of faith. To be a member of the Catholic Church you must believe this. Confusing though.

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    Surely, as the host is converted to the actual substance of the body of Our Lord, it will no longer contain gluten and be entirely safe. Your correspondents must be in error.

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    2. Tani T, Sakai Y. Stuttering after right cerebellar infarction: a case study. J Fluency Disord. 2010 Jun;35(2):141-5. Epub 2010 Mar 15.
    3. Lundgren K, Helm-Estabrooks N, Klein R. Stuttering Following Acquired Brain Damage: A Review of the Literature. J Neurolinguistics. 2010 Sep 1;23(5):447-454.
    4. Jäncke L, Hänggi J, Steinmetz H. Morphological brain differences between adult stutterers and non-stutterers. BMC Neurol. 2004 Dec 10;4(1):23.
    5. Kell CA, Neumann K, von Kriegstein K, Posenenske C, von Gudenberg AW, Euler H, Giraud AL. How the brain repairs stuttering. Brain. 2009 Oct;132(Pt 10):2747-60. Epub 2009 Aug 26.
    6. Galantucci S, Tartaglia MC, Wilson SM, Henry ML, Filippi M, Agosta F, Dronkers NF, Henry RG, Ogar JM, Miller BL, Gorno-Tempini ML. White matter damage in primary progressive aphasias: a diffusion tensor tractography study. Brain. 2011 Jun 11.
    7. Lundgren K, Helm-Estabrooks N, Klein R. Stuttering Following Acquired Brain Damage: A Review of the Literature. J Neurolinguistics. 2010 Sep 1;23(5):447-454.
    8. [No authors listed] Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 43-1988. A 52-year-old man with persistent watery diarrhea and aphasia. N Engl J Med. 1988 Oct 27;319(17):1139-48
    9. Molteni N, Bardella MT, Baldassarri AR, Bianchi PA. Celiac disease associated with epilepsy and intracranial calcifications: report of two patients. Am J Gastroenterol. 1988 Sep;83(9):992-4.
    10. http://ezinearticles.com/?Food-Allergy-and-Stuttering-Link&id=1235725 
    11. http://www.craig.copperleife.com/health/stuttering_allergies.htm 
    12. https://www.celiac.com/forums/topic/73362-any-help-is-appreciated/
    13. Ford RP. The gluten syndrome: a neurological disease. Med Hypotheses. 2009 Sep;73(3):438-40. Epub 2009 Apr 29.
    14. Hadjivassiliou M, Gibson A, Davies-Jones GA, Lobo AJ, Stephenson TJ, Milford-Ward A. Does cryptic gluten sensitivity play a part in neurological illness? Lancet. 1996 Feb 10;347(8998):369-71.

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