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Celiac Disease in the Military—Don’t Ask Don’t Tell? 03/04/2016 - For anyone who hasn't seen it, the website has an article titled "Why Doesn't the Military Accept Those With Celiac Disease?"

CC--Tomi KnuutilaThe article highlights the story of a smart, capable, American who was motivated to serve in the military, but who was medically disqualified by military policy, and all had failed in all attempts to secure an admission waiver. The man was further frustrated by the fact that he had very minimal symptoms, and felt that he had the ability to serve effectively.

The article also highlights the military's uneven treatment of personnel with celiac disease.

Medical fitness for the military is governed mainly by the Department of Defense Medical Examination Review Board (DoDMERB), which schedules, evaluates, and certifies all applicants as "medically qualified," or as "medically does not meet the medical accession standards" for the US Service Academies, ROTC Scholarship Programs, Direct Commission Programs, and the Uniformed Services University of the Health Sciences.

Basically, current military policy is to reject potential recruits with known celiac disease, provide some accommodation for some troops already in the service, and to provide medical discharges other troops, as needed.

The military doesn't reject you if they don't know you have celiac disease, and wouldn't likely test you for celiac disease unless you pressed the issue.

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But if there's no official diagnosis, or no debilitating symptoms, and the recruit says nothing, then celiac disease is not a barrier to military service. And, once in the military, if the disease is kept under wraps, then it's likely it will never come up, and thus pose no problem.

Going back to GlutenDude's article, here's part of a quote from the soldier who was rejected due to celiac disease:

"Two years ago I was diagnosed with celiac disease, and the military does not accept people with this disease. I was medically disqualified by DODMERB, and all waiver attempts have been denied. Years of hard work, a 3.9 GPA, a 32 MCAT, and a desire to spend my entire career in the service have been for naught. The most frustrating aspect of this situation is that I have almost no physical symptoms, am not on medications, and the few symptoms I have are completely controlled by diet. Yet even though my disease would not affect my ability to serve, my dreams have come to a screeching halt."

The man also points out that: "Militaries in other countries accept celiac patients like Israel. Even in our military there are celiac patients that are accommodated for, albeit ones that have already been accepted and are diagnosed after being in for some time. The fact that one percent of the population, nearly 3 million people, have no chance to give their service to their country is a disgrace."

What do you think? Is the current military policy of rejecting people with celiac disease only if it becomes known a bit like Don't Ask Don't Tell? Are potentially good recruits being turned away unnecessarily? Are existing soldiers being asked to cover up a treatable medical condition for fear of being discharged?

Should people with celiac disease or gluten-intolerance be able to serve in the military? welcomes your comments below (registration is NOT required).

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16 Responses:

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said this on
07 Mar 2016 6:14:36 AM PDT
The situation is that celiac is a malnutrition disease. Gluten prevents the body from absorbing nutrients. Finally, the body wears down and other diseases and maladies occur. I suspect stress will accelerate the process.

A Baker
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said this on
07 Mar 2016 9:00:36 AM PDT
As someone who has personally dealt with celiac for over 17 years, and as a military spouse of 27 years I feel confident that people with celiac sprue should NOT be in the military at this time. Even with symptoms under control, if a soldier were deployed they have no guarantee over the control of their food sources. In the middle of the desert, a war, a foxhole, or 3rd world country there are no guarantees that a soldier could secure gluten free meals. Not only does that put the soldier at risk, it puts the soldiers around them at risk who need to be able to move quickly and respond rapidly to anything that comes their way. Imagine your squadron gets attacked and the soldier next to you is suffering from a gluten reaction.

There are those who may say that you simply don't deploy soldiers with celiac. The problem with that mentality is you are now increasing the responsibility for the soldiers who can eat anything, anywhere, anytime, and who don't have restrictive medical conditions. It would be unfair to have a medical condition that would allow a soldier to stay home with their family while others are constantly deployed. The military already faces a multitude of other limiting medical conditions (diagnosed after entering the service) that are now putting the military in a position where the the same people must deploy over and over again. It poses an unfair situation to those soldiers who have no limitations. If the medical conditions are severe enough, soldiers are medically boarded and can be discharged due to medical reasons.

While some celiacs may not experience symptoms on a daily basis (and that's great), when celiacs are not in control of what they eat it's a concern for their well-being. Our military has shrunk considerably over the last few decades. It is estimated that approximately 1 percent of the population now serve in the US military. They must be deployable without restrictions. Some deployments last for a year and even longer.

Before Celiacs take this as a personal slam, consider the long list of other medical conditions that keep people out of the service.

Perhaps at some point in the future, once the pill treatment for gluten exposure is perfected, it would be possible. Until then, I commend anyone who wants to serve our country (and for those who already serve) . I am grateful for their desire to defend and protect. I appreciate your frustration and also your patriotism.

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said this on
07 Mar 2016 10:55:50 AM PDT
@ABaker - Regarding your comment that a symptomatic soldier with diagnosed celiac disease causing increased risk to fellow soldiers during combat situations we must consider the increased risk currently being posed by undiagnosed symptomatic soldiers with celiac disease who are serving in combat situations. Based on your comments the best way to safeguard our soldiers from having to depend on gluten symptomatic undiagnosed celiac disease positive soldiers is to test all soldiers for celiac disease. Probably would be a good outcome for all soldiers. And it would be fair. Yes, I know it would cost some money but aren't the lives of our soldiers worth it?

A Baker
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said this on
07 Mar 2016 2:58:20 PM PDT
As we know, it is possible to test positive genetically without symptoms. This does not guarantee someone would ever develop the disorder. I could see screening based on symptoms but I'm not sure screening all prior to entry makes sense. The initial article referred to someone who already knew they had celiac. That is much different than screening people for a disorder that may never manifest itself. It would be similar to screening for the breast cancer gene and determining someone is at risk who never develop cancer.

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said this on
07 Mar 2016 11:47:00 AM PDT
While I do have sympathy for GlutenDude's situation, as a retired military member (diagnosed with diabieties while in the uniform) and both husband and father to Celiacs, I must strongly support the Military position, and strongly recommend GlutenDude to pursue other courses to support the Military outside of the uniform itself.
After I was diagnosed with Diabeties, I was deemed "not-combat-deployable" and restricted to desk jobs until my retirement
only a few years later. GlutenDude made a critical statement: "controlled by diet". This is a CRITICAL issue. Diet is one thing that absolutely CANNOT be guaranteed outside of civilian establishments. If a Celiac only had access to gluten based or contaminated food in the field they become a liability to their unit. As a diabetic, my medications were supplementary, my condition
primarily controlled through diet ... same problem ... not deployable.
This is not a denial of rights/privileges. This is for the protection of the REST OF THE UNIT.
Yes, I was disappointed. But it is necessary.
As for the other militaries cited, good on them. But remember, they are primarily local defense forces where all hands are needed. The US Military has global operations.
GlutenDude can join organizations like SPAWAR, DoE, DoT, or any one of the myriad of Defense Contractors.
I wore glasses before I enlisted and have always been denied pilot or flight officer duty. I became non-deployable at the end of my career. I understand being denied. Find another way to serve, but don't threaten the safety and operational capabilities of your potential unit.
Find an alternative way to serve, you motivation is welcomed!
Best of luck.

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said this on
07 Mar 2016 12:11:41 PM PDT
@derrik: I realize a medical condition is different than that of race or sex, however, the military used to make exactly the same arguments about blacks and women being in combat units in the military--keeping them out was "for the protection of the REST OF THE UNIT." I think it is time that the military find a way to make it work for celiacs.

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said this on
07 Mar 2016 3:50:19 PM PDT
I wanted nothing more than to be a fighter pilot for the Air Force or Navy, but I have been wearing glasses since Junior High. I was automatically disqualified no matter how close I could get to 20/20. But, if I passed the initial flight physical and made it through training and then had a reduction in vision then they'd make due and I could keep on flying. Sound familiar? This is life and some people have been dealt a bad hand. But my vision restriction DID NOT keep me away from flying, in fact it is my career. And now my Airline will not provide me any special meals and there are ZERO safe options in our terminals, so again I am trying my best to make due with what I have.

The same holds true with this topic, I am extremely surprised at the tone and suggestion that someone join the military with celiac disease. It is down right irresponsible, because when you join someone may really want to be a pilot, but the only opening for your tested skill set is carrying a gun on the front lines.... see there are zero guarantees when you join, and to even suggest one shouldn't be honest about celiac is extremely troubling.

How about we try and focus our attention towards issues we can really have an impact on, like safe food options while away from the safety of our home kitchen!!

Leigh Anne
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said this on
08 Mar 2016 3:50:52 AM PDT
My son is in high school and has always had aspirations to go to college at one of the academies. He was diagnosed with celiac disease in 9th grade, and we later found out that this will disqualify him from being accepted.

Although we are disappointed, we totally understand this position. It's not about whether or not the military could provide gluten free food at the base or on the ship. It's about whether they would be able to provide it during combat. And there is no way to guarantee that gluten free food would be available in that situation. It puts the soldier in the position of having to choose between not eating, or eating food that he or she knows will make them sick. I believe that the military has made the right decision on this issue, and I support it.

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said this on
08 Mar 2016 4:46:06 AM PDT
Being a woman or of a different race is NOT a medical condition regardless of ignorance of yesteryear. As a group we'd all be better off focusing our attention to issues that truly matter, like being able to dine out safely without the risk of getting sick. Everyday young men and women are denied by our Armed Services, this is NOTHING new and most definitely not an attack on those with our disease. But then again we have a new generation coming up that doesn't know the meaning of NO with everyone leaving the field with a shiny trophy, so I guess this is the fallout.

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said this on
08 Mar 2016 6:59:12 AM PDT
No Mary, the military does not have to make exceptions for celiacs. The same reason you can't serve if you have peanut allergies. The military cooks for the masses, not the individual. It is not personal. I was in the Navy. There is no was they can have have a gluten free kitchen on a ship where they cook 4 meals a day for 5000 people. I was lucky as I didn't find out I have celiac until 2 years ago. They currently do not test for celiac before entering the service, but if they did, and I was disqualified because of it, I WOULD HAVE FOUND OTHER EMPLOYMENT. The military is also an employer. They don't HAVE to take someone, just like you can't walk into a place and demand they hire you. They disqualify people all the time. And as for women in combat? Since you brought that up, BOTH situations are for the best interest of the unit. The military will never bend on certain medical issues, period. BUMED will list medical conditions of disqualification. I was lucky. I also understand that having celiac means I have a very different life now. I don't walk into restaurants and demand a gluten free meal, if they don't offer one. The man in the article from GlutenDude's website needs to find another career.

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said this on
15 Mar 2016 6:42:03 AM PDT
It's so refreshing to read so many comments with so much basic common sense behind them. Ever since Cruz's comments were manipulated to sound like he was being discriminatory it seems too many have forgotten the military's purpose - to protect and defend. Someone with celiac disease has no business being in the military. Too many people seem to think the world is meant to revolve around them. Putting people's lives at risk by removing screening criteria would be irresponsible.

( Author)
said this on
16 Mar 2016 9:47:27 AM PDT
This article only dealt with celiacs in you recommend banning all celiacs from the military completely? This would be totally unnecessary. Many celiacs have served this country in the military, including in combat. supports the right for celiacs to serve in the military in all positions.

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said this on
14 Dec 2016 4:52:25 PM PDT
Does anyone know how to get in touch with the military personnel with celiac? I'd be happy to get connected send gluten-free care packages. Seems like whenever I see info about sending gifts to military (usually around the holidays) they are general lists that can be distributed to anyone.

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said this on
04 Jan 2017 7:32:07 AM PDT
I think that the military should accept people that are gluten free/ celiac. There are many non-combat roles where you don't need to be on the front line that are just as important. For example, just because someone is in the Air Force dosen't mean that they are a pilot. It is stupid that some political figures (the ones who WANT to expand the military) are denying 3 million people access. It just dosen't make sense. I don't know what the new president's position is on this is, but a I hope he and his defense secretary can change something.

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said this on
26 Mar 2017 5:45:50 PM PDT
I'm in the navy and I have celiac and I even I don't believe people with it should join even if its they have very minor side affects. people like me who got lucky and got to a good command where I can cook for myself is rare and its really hard to watch what you eat in another country.

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said this on
27 Mar 2017 2:17:56 AM PDT
It's ridiculous some people think the military should accommodate people with this disease. The military doesn't accommodate, that's why they screen people before accepting them. It doesn't matter that there are 3 million people in the United States with this disease, that's 3 million people who will almost certainly never be allowed to join the military. The military isn't a civilian employer who has to accommodate you. The military requires you to be able to perform certain jobs at all times, and if have a disease that could prevent that, it would be negligent of them to accept you. Controlling this disease by diet is not an option when you are deployed, there is no guarantee you will have a say in the food you are given. You would be putting yourself and other soldiers in danger if you became ill because you couldn't control your symptoms. As for those who say not all soldiers need to deploy, why would the military accept anyone who could not deploy? A 3.9 GPA and a 32 MCAT are great but there are other people who are just as qualified, and don't need special accommodations. As someone who's been medically cleared and is going into the Air Force, I find it completely ridiculous that anyone could think they could join the military and not have to deploy because of a medical condition. Deploying is a huge part of being in the military, especially during war time. In my opinion it's a bit arrogant to think some people should be excused from deploying, while there are those who are literally risking their lives. I have no problem deploying, because I want to serve my country in any way I can, but also because it would be incredibly ignorant of me to think that I can join the military and not ever face the possibility of deploying. If I had the same job as another officer, the same rank, the same age, everything exactly the same, and I was deployed and they weren't, even though it wouldn't be intentional it would still be giving them preferential treatment. But besides that, if I was deployed and someone in my unit had a disease that made it so that, they couldn't 100% perform their job 100% of the time, it would put my life in danger. I feel bad for the guy, but his feelings and his wants do not compare to the need to keep the military safe and efficient.

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I believe the talk around this forum is that cheerios are not gluten free enough for people with celiac at this time. I don't know if anything has changed on that and when their lawyer calls me I'll quickly delete this. haha

Could be we generally say get off of dairy for a few months when going gluten free. The part of the intestines that produce the enzymes, and help break down dairy are associated with the tips of the villi, which are the most damaged if not gone in celiacs. THIS is why most of us end up with a lactose intolerance early on. And most can introduce it later after healing. As to her symptoms with it there was a bunch of research about dairy permeated the gut and causing neurological issues in a autism study I was looking at years ago. And there have been other studies about damaged intestines and how the hormones in milk can easier effect ones body. Personally I also have a huge grudge against dairy on a personal level as it is not natural to suck on a cows tits and drink the stuff, nor your dogs, nor a rabbits......I mean come on even Human Breast milk you would find odd to drink as an adult right? Back in the past dairy was a great way to get calories and fats when there was famine, etc around I mean it is meant to make a calf grow into a 500+lb cow. But on a genetic and hormonal level it is not really for human consumption and now days the whole corporate BS propaganda push and dairy farms shove that oh its healthy stuff down your throat. There are plenty of dairy free options for everything feel free to message me if you need help finding anything I have been dairy free for over a decade.

The full celiac panel checks TTG IGA and IGG, DGP IGA and IGG, IGA, EMA as Jmg stated above. Your test included TTG IGA and IGA. If your IGA was low, a low on TTG IGA would be inconclusive. But your IGA is fine. A high on any one test is a positive for celiac and should lead to an endoscopy for confirmation. So I'd get tested for TTG IGG, DGP IGA and IGG and EMA since there are symptoms. Warning I'm not a doc.

I did a gluten challenge for my endoscopy and requested a second blood test after my follow up with the consultant. I never did see those results but my GP said no celiac was indicated: Which left me gluten free for life, that wasn't an option after the challenge, but with a less satisfactory diagnosis, one by omission rather than the definitive 'you're celiac' one I was expecting. Yes! I have been 'properly' glutened on a couple of occasions but on several more I've detected a change or a reaction based on what could only have been trace amounts. NCGS is as yet poorly understood but patients tend to have more neuro symptoms than digestive. That's definitely been my experience, although it was only after going gluten free that I realised quite how many digestive symptoms I had just been living with as 'normal'. Close friends and family get the full explanation. 'I have an auto immune disease similar to 'coeliac etc.' If they stay awake long enough I'll tell them about the less than perfect testing process I went through or the Columbia Med research and the possibility of a blood test soon. They can see the difference between me on gluten and off it so they understand its not all in my head* If I'm ordering food in a restauarant or asking questions about food prep etc I will often just self declare as coeliac - people are aware of that and understand those requests are medical rather than fad diet based. I don't have any problem doing this, I'm not going to claim that and then cheat on dessert for instance and to be honest I expect once the research is complete the two conditions may wind up alongside others as different faces of the same coin. In the meantime I safeguard my health and avoid getting into a detailed conversation about genuine gluten sensitivity versus faux hipster posturing! *apart from the bits which are in my head

I originally had it on my face and scalp. (22 years ago) First biopsy with dermatologist came back as folliculitis. Then when I had a new outbreak on my upper back, she was able to remove a nice clean blister and we got the diagnosis of DH. She started me on Dapsone (100mg/day) and gluten free diet. Now I take 25-50 mg/day. My understanding at the time was that DH was the skin version of Celiac. Did a lot of research on my own. I met Dr. Peter Green at a Gluten free Vendors Fair and he said that a diagnosis of DH IS a diagnosis of Celiac, even if no other symptoms. So I stay gluten-free