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Gluten Challenge For A Child


StephanieL

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StephanieL Enthusiast

My DD is 3 and has been gluten-free nearly all her life. With her entering preschool, we are trying to determine if she needs to be gluten-free. She is currently on the same diet as her older brother (he is dx with Celiac) which is gluten as well as egg, dairy, peanut, tree nut and a few other things free.

I would like (for easy of school) to trial her on wheat and see if she reacts and/or get blood work done. Our GI said after a month we can test her which I am not so sure about but any way...

I am wondering if the safest way to include gluten while minimizing risks to our older child would be to add vital wheat gluten to something she'll easily eat s as not to crumb up the place? We are not a totally gluten-free home but do have separate prep and cooking vessels.


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mushroom Proficient

You could give her cream of wheat cereal (no crumbs) made in a stainless steel pot or in a bowl in the microwave if there is an instant kind.

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    • par18
      Thanks for the reply. 
    • Scott Adams
      What you’re describing is actually very common, and unfortunately the timing of the biopsy likely explains the confusion. Yes, it is absolutely possible for the small intestine to heal enough in three months on a strict gluten-free diet to produce a normal or near-normal biopsy, especially when damage was mild to begin with. In contrast, celiac antibodies can stay elevated for many months or even years after gluten removal, so persistently high antibody levels alongside the celiac genes and clear nutrient deficiencies strongly point to celiac disease, even if you don’t feel symptoms. Many people with celiac are asymptomatic but still develop iron and vitamin deficiencies and silent intestinal damage. The lack of immediate symptoms makes it harder emotionally, but it doesn’t mean gluten isn’t harming you. Most specialists would consider this a case of celiac disease with a false-negative biopsy due to early healing rather than “something else,” and staying consistently gluten-free is what protects you long-term—even when your body doesn’t protest right away.
    • Scott Adams
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