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      Frequently Asked Questions About Celiac Disease   04/07/2018

      This Celiac.com FAQ on celiac disease will guide you to all of the basic information you will need to know about the disease, its diagnosis, testing methods, a gluten-free diet, etc.   Subscribe to Celiac.com's FREE weekly eNewsletter   What are the major symptoms of celiac disease? Celiac Disease Symptoms What testing is available for celiac disease?  Celiac Disease Screening Interpretation of Celiac Disease Blood Test Results Can I be tested even though I am eating gluten free? How long must gluten be taken for the serological tests to be meaningful? The Gluten-Free Diet 101 - A Beginner's Guide to Going Gluten-Free Is celiac inherited? Should my children be tested? Ten Facts About Celiac Disease Genetic Testing Is there a link between celiac and other autoimmune diseases? Celiac Disease Research: Associated Diseases and Disorders Is there a list of gluten foods to avoid? Unsafe Gluten-Free Food List (Unsafe Ingredients) Is there a list of gluten free foods? Safe Gluten-Free Food List (Safe Ingredients) Gluten-Free Alcoholic Beverages Distilled Spirits (Grain Alcohols) and Vinegar: Are they Gluten-Free? Where does gluten hide? Additional Things to Beware of to Maintain a 100% Gluten-Free Diet What if my doctor won't listen to me? An Open Letter to Skeptical Health Care Practitioners Gluten-Free recipes: Gluten-Free Recipes

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Cool, Sora! :)

My hubs (a lifelong cat lover and "adopted Dad" of several kitties) has said:

"I think, if they could figure out how to open the cans of food, they would never need us at all. They own us. And I feel honored to be included."

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My kitty loves his bath, he sits in the bath tub and will meow until I go in and start to fill it for him. It has to be the right temperature, and I make it so it's only about 5cm deep and he doesn't like me to walk away while he's playing in the water, I get in big trouble for that. I'm bringing another one home from the shelter in a few weeks, she just has to be fixed up first and watched for a week after to make sure there are no complications. I'm certain there will be some punishment for bringing another one into the home, but they will get along ok in time. He does not like the car. At all. Yet we travel a lot. Last weekend we went just for one night and he went to a pet sitter, my 9 year old said it was the best trip we've had all year, she could read her book and hear her own words in her head! I hope the new kitty is better in the car than he is.

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"Show me a man who likes cats and he is my friend forever, with no further introduction." ~~~Mark Twain

To IRISH HEART: I apologize for my behavior on that rant page ~ my brain must be diseased as well. peace

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"Show me a man who likes cats and he is my friend forever, with no further introduction." ~~~Mark Twain

To IRISH HEART: I apologize for my behavior on that rant page ~ my brain must be diseased as well. peace

No worries, hon--it's in the past. Happy to see you feeling better.

and the Twain quote--is PURRfect. Best wishes to you!

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One week update:

She fits right in. Hub, who doesn't care for cats, lets her snuggle on hs lap!

She enjoys going on the screened proch but hasn't tried to get out. We are working on keeping her off the kitchen counters and table.

M was gone all weekend camping and doing the state snake count (our state likes to count various animals). He got home and showered and went to the basement to watch cartoons and nap. Gracie was on the porch and came running to snuggle with him.

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aw, that's so sweet, K. She's "home" and she owns all of you now.

I count birds here for Cornell Lab of Ornithology, so I get the "counting" thing. That's good of M to help.

J. trained all the cats to stay off the counters/table by gently "misting" them with a squirt bottle. Does not take long. They do not like it.

We do let them on the furniture, so they are probably thinking "what the heck is the difference between the counter and the couch, you crazy humans? "

Maybe this will work for you?

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Gracie is very happy to have found her family - she will learn to stay off counters - out of the blue our little princess started counter cruising, didn't take long to train her that it was not allowed -- we finally figured out she was looking for water that was more convenient &/or more fresh than her water bowl - Shelby is fascinated with water - she plays in the larger water bowl we have in one room - she is not afraid of it at all, not sure she knows she is a cat ;)

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We found a kitten at a foster carer through the RSPCA, beautiful little thing that came up on my FB newsfeed. I went to meet her, there were 28 cats in total from little kittens through to adults in this big room like a motel, all waiting for their furever homes, but this particular one really had me. She has beautiful, absolutely stunning, she is affectionate but she holds her own really well, she has attitude and I love that. After we left from visiting with her and the other fosters, I got the itchy eyes, so went back last week to visit her alone, she was allowed inside the house so she felt pretty special about that, she was amazing. Climbed all over me like old mates, but wandered off to explore like she had no fear. I came up in welts and my face swelled up. Luckily there was a chemist nearby so I could walk in there and get Ventolin because I couldn't breathe properly and some antihistimines for the swelling. It's so upsetting to find the perfect companion, one who will fit into the family in a house full of kids with existing furbabies, then be allergic to that extreme :(

So glad your furry one fits in really well, they all deserve a loving, comfortable, warm and cosy home to spend their lives being doted on.

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We found a kitten at a foster carer through the RSPCA, beautiful little thing that came up on my FB newsfeed. I went to meet her, there were 28 cats in total from little kittens through to adults in this big room like a motel, all waiting for their furever homes, but this particular one really had me. She has beautiful, absolutely stunning, she is affectionate but she holds her own really well, she has attitude and I love that. After we left from visiting with her and the other fosters, I got the itchy eyes, so went back last week to visit her alone, she was allowed inside the house so she felt pretty special about that, she was amazing. Climbed all over me like old mates, but wandered off to explore like she had no fear. I came up in welts and my face swelled up. Luckily there was a chemist nearby so I could walk in there and get Ventolin because I couldn't breathe properly and some antihistimines for the swelling. It's so upsetting to find the perfect companion, one who will fit into the family in a house full of kids with existing furbabies, then be allergic to that extreme :(

So glad your furry one fits in really well, they all deserve a loving, comfortable, warm and cosy home to spend their lives being doted on.

I feel your pain. I would DEARLY love to have cats, but am dangerously allergic. Le sigh... Will be getting a hypo-allergenic dog in the relatively near future though, so I'm really looking forward to that.

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Gracie update:

The "owner" talked to my friend that had been feeding Gracie. Gave her the cat's shot records last night. A bit late! She claimed to love her and be glad she had a new home (next door neighbor told her about me). But the house has been empty for 2 weeks and she wasn't too worried about the cat. She still owns the house because of some finacial mess of her husband's and his ex's owing the goverment money or something.

Anyway. Her skin problems seem to have resolved without additional medications.

Here's one question: She seems to need to use the computer alot. Do cats have thier own version of Facebook? Catbook? :D

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Oh i miss my kitty cat. My mom had her before i was born and the cat claimed me as her own (long story short, she abandoned her babies and wanted nothing to do with them (when my mom took her in she was already expecting)). So yep, i could do anything (and i mean anything) to her and she wouldn't hurt me at all. If someone else were to try it, lets just say they'd loose something important to them. I think i have a picture somewhere of me dragging her around with by her tail (i was like two when that occured), or when i would dress her up in baby clothes....

Poor thing was crosseyed though. She'd take a running jump at the cat tree we had for her and half the time youd hear a thump from where she would hit the wall.

She loved baths and you had to keep the door shut if you didn't want company. She'd sit on the edge and bat at the water, then slink in.

She walked on a lesh like a dog and was often the spectacul at road stops. She also enjoyed car rides.

She was 19 (almost twenty) when we had to put her down. I miss her so much.

I can't have cats anymore though, both me and my mom are allergic. We think it was because we used to give her so many baths, that she never bothered us.

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Gracie update:

The "owner" talked to my friend that had been feeding Gracie. Gave her the cat's shot records last night. A bit late! She claimed to love her and be glad she had a new home (next door neighbor told her about me). But the house has been empty for 2 weeks and she wasn't too worried about the cat. She still owns the house because of some finacial mess of her husband's and his ex's owing the goverment money or something.

Anyway. Her skin problems seem to have resolved without additional medications.

Here's one question: She seems to need to use the computer alot. Do cats have thier own version of Facebook? Catbook? :D

Cats want ON anything you pay attention to: books, newspapers, computer. It's their way of asking you to reassure them they are the most important thing in your world??

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Here's one question: She seems to need to use the computer alot. Do cats have thier own version of Facebook? Catbook? :D

Could be using CDate...looking for the purrfect dude?

You did the right thing by Gracie and she is home now. Maybe her skin issues resolved because you gave her good healthy food with omegas. Lucky kitty --finding Karen. ;)

And, that's a very nice fish, K. Clever girl. :)

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Karen, a while back you asked about kitty treats. We tried Nutro Natural Choice Indoor Active Health recently, and Tyler loves it.

Got it at Pets Plus as a trial size for $1.99 :)

So happy to hear Gracie is doing well!

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Congrats on your new addition Karen:)

The kneading is a definite sign f affection and of course kitty is telling you that younare now owned lol

We have a 3 year old tabby who owns us and two 18 month old orphans we took in and bottle fed when they were just an hour old. Those two not only own us, but rule the roost with our yorkie poo who thinks she is their mother , therefore the three of them n turn call all the shots lol

Soooooo... Welcome to the world of cats..it's an amazing one and not boo many dull moments....and bless your heart for taking in your new four legged friend:)

Jody

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The sweetest Kitty is having a Kitty Freak-out! M, my 16 yr old, just put a very thin collar with a little tag on her. She is racing around trying to outrun the collar.

She tries to slip out the front door. We are wise to her and she hasn't gone anywhere yet, but we thought we should put our phone number on her.

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Karen

We have a rescue cat that we got who was already.de clawed so he's an indoor cat

he would sneak out rarely but we got 2 little tiny bells to put on his collar that also helps to know where is in the house and easier to find if he ever got out.

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K, make sure it's a breakaway collar so if she's stuck she won't strangle herself.

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K, make sure it's a breakaway collar so if she's stuck she won't strangle herself.

Lost more collars that way. Finally gave up because her fur got all matted around the collar anyway, fuzzball that she is. If she gets out and gets lost, she is on her own :ph34r: Perhaps I could get her microchipped?? :unsure:

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The sweetest Kitty is having a Kitty Freak-out! M, my 16 yr old, just put a very thin collar with a little tag on her. She is racing around trying to outrun the collar.

She tries to slip out the front door. We are wise to her and she hasn't gone anywhere yet, but we thought we should put our phone number on her.

I'd run to if I saw that huge mouth coming at me open! LOL

Seriously though, there is a company called Pet Tags that makes collars with your pets name and your phone number. We have had them for all our pets. Came in real handy one day years ago when I let my old Westie out. I had a phone call a few minutes later from a neighbor saying that my dog was in their yard playing with their kids. He'd only been out for 5 minutes! He had doggie Alzheimers and never would have found his way home if not for that collar. They do make break-away ones for kitties also. Microchips are also a good idea but can be pricey. Talk to your vet about them.

http://www.pettags.com/

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I'd run to if I saw that huge mouth coming at me open! LOL

Seriously though, there is a company called Pet Tags that makes collars with your pets name and your phone number. We have had them for all our pets. Came in real handy one day years ago when I let my old Westie out. I had a phone call a few minutes later from a neighbor saying that my dog was in their yard playing with their kids. He'd only been out for 5 minutes! He had doggie Alzheimers and never would have found his way home if not for that collar. They do make break-away ones for kitties also. Microchips are also a good idea but can be pricey. Talk to your vet about them.

http://www.pettags.com/

Thanks for that link. I think I will order one. She really hates the tag and somehow manages to chew on it.

We took her to the vet and our main worry was that she would be sick. I completely forgot about the microchip. I'm worried a previous owner might have a chip in her with thier info. Some of the shelters here microchip all the animals. I want an obvious phone number so someone could say "Is that Gracie? What is she doing out?" and know its Gracie.

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An update: First time I have seen them both on Cooper's bed. Its a prime sunshine spot. Sorry its a little small.

post-33934-0-58383500-1352234746_thumb.j

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    Connie Sarros
    Celiac.com 04/21/2018 - Dear Friends and Readers,
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    Due to personal health reasons and restrictions, I find that I need to retire. My husband and I can no longer travel the country speaking at conferences and to support groups (which we dearly loved to do) nor can I commit to writing more books, articles, or menus. Consequently, I will no longer be contributing articles to the Journal of Gluten Sensitivity. 
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    Jefferson Adams
    Celiac.com 04/18/2018 - To the relief of many bewildered passengers and crew, no more comfort turkeys, geese, possums or other questionable pets will be flying on Delta or United without meeting the airlines' strict new requirements for service animals.
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    cnbc.com

    admin
    WHAT IS CELIAC DISEASE?
    Celiac disease is an autoimmune condition that affects around 1% of the population. People with celiac disease suffer an autoimmune reaction when they consume wheat, rye or barley. The immune reaction is triggered by certain proteins in the wheat, rye, or barley, and, left untreated, causes damage to the small, finger-like structures, called villi, that line the gut. The damage occurs as shortening and villous flattening in the lamina propria and crypt regions of the intestines. The damage to these villi then leads to numerous other issues that commonly plague people with untreated celiac disease, including poor nutritional uptake, fatigue, and myriad other problems.
    Celiac disease mostly affects people of Northern European descent, but recent studies show that it also affects large numbers of people in Italy, China, Iran, India, and numerous other places thought to have few or no cases.
    Celiac disease is most often uncovered because people experience symptoms that lead them to get tests for antibodies to gluten. If these tests are positive, then the people usually get biopsy confirmation of their celiac disease. Once they adopt a gluten-free diet, they usually see gut healing, and major improvements in their symptoms. 
    CLASSIC CELIAC DISEASE SYMPTOMS
    Symptoms of celiac disease can range from the classic features, such as diarrhea, upset stomach, bloating, gas, weight loss, and malnutrition, among others.
    LESS OBVIOUS SYMPTOMS
    Celiac disease can often less obvious symptoms, such fatigue, vitamin and nutrient deficiencies, anemia, to name a few. Often, these symptoms are regarded as less obvious because they are not gastrointestinal in nature. You got that right, it is not uncommon for people with celiac disease to have few or no gastrointestinal symptoms. That makes spotting and connecting these seemingly unrelated and unclear celiac symptoms so important.
    NO SYMPTOMS
    Currently, most people diagnosed with celiac disease do not show symptoms, but are diagnosed on the basis of referral for elevated risk factors. 

    CELIAC DISEASE VS. GLUTEN INTOLERANCE
    Gluten intolerance is a generic term for people who have some sort of sensitivity to gluten. These people may or may not have celiac disease. Researchers generally agree that there is a condition called non-celiac gluten sensitivity. That term has largely replaced the term gluten-intolerance. What’s the difference between celiac disease and non-celiac gluten-sensitivity? 
    CELIAC DISEASE VS. NON-CELIAC GLUTEN SENSITIVITY (NCGS)
    Gluten triggers symptoms and immune reactions in people with celiac disease. Gluten can also trigger symptoms in some people with NCGS, but the similarities largely end there.

    There are four main differences between celiac disease and non-celiac gluten sensitivity:
    No Hereditary Link in NCGS
    Researchers know for certain that genetic heredity plays a major role in celiac disease. If a first-degree relative has celiac disease, then you have a statistically higher risk of carrying genetic markers DQ2 and/or DQ8, and of developing celiac disease yourself. NCGS is not known to be hereditary. Some research has shown certain genetic associations, such as some NCGS patients, but there is no proof that NCGS is hereditary. No Connection with Celiac-related Disorders
    Unlike celiac disease, NCGS is so far not associated with malabsorption, nutritional deficiencies, or a higher risk of autoimmune disorders or intestinal malignancies. No Immunological or Serological Markers
    People with celiac disease nearly always test positive for antibodies to gluten proteins. Researchers have, as yet, identified no such antobodies or serologic markers for NCGS. That means that, unlike with celiac disease, there are no telltale screening tests that can point to NCGS. Absence of Celiac Disease or Wheat Allergy
    Doctors diagnose NCGS only by excluding both celiac disease, an IgE-mediated allergy to wheat, and by the noting ongoing adverse symptoms associated with gluten consumption. WHAT ABOUT IRRITABLE BOWEL SYNDROME (IBS) AND IRRITABLE BOWEL DISEASE (IBD)?
    IBS and IBD are usually diagnosed in part by ruling out celiac disease. Many patients with irritable bowel syndrome are sensitive to gluten. Many experience celiac disease-like symptoms in reaction to wheat. However, patients with IBS generally show no gut damage, and do not test positive for antibodies to gliadin and other proteins as do people with celiac disease. Some IBS patients also suffer from NCGS.

    To add more confusion, many cases of IBS are, in fact, celiac disease in disguise.

    That said, people with IBS generally react to more than just wheat. People with NCGS generally react to wheat and not to other things, but that’s not always the case. Doctors generally try to rule out celiac disease before making a diagnosis of IBS or NCGS. 
    Crohn’s Disease and celiac disease share many common symptoms, though causes are different.  In Crohn’s disease, the immune system can cause disruption anywhere along the gastrointestinal tract, and a diagnosis of Crohn’s disease typically requires more diagnostic testing than does a celiac diagnosis.  
    Crohn’s treatment consists of changes to diet and possible surgery.  Up to 10% of Crohn's patients can have both of conditions, which suggests a genetic connection, and researchers continue to examine that connection.
    Is There a Connection Between Celiac Disease, Non-Celiac Gluten Sensitivity and Irritable Bowel Syndrome? Large Number of Irritable Bowel Syndrome Patients Sensitive To Gluten Some IBD Patients also Suffer from Non-Celiac Gluten Sensitivity Many Cases of IBS and Fibromyalgia Actually Celiac Disease in Disguise CELIAC DISEASE DIAGNOSIS
    Diagnosis of celiac disease can be difficult. 

    Perhaps because celiac disease presents clinically in such a variety of ways, proper diagnosis often takes years. A positive serological test for antibodies against tissue transglutaminase is considered a very strong diagnostic indicator, and a duodenal biopsy revealing villous atrophy is still considered by many to be the diagnostic gold standard. 
    But this idea is being questioned; some think the biopsy is unnecessary in the face of clear serological tests and obvious symptoms. Also, researchers are developing accurate and reliable ways to test for celiac disease even when patients are already avoiding wheat. In the past, patients needed to be consuming wheat to get an accurate test result. 
    Celiac disease can have numerous vague, or confusing symptoms that can make diagnosis difficult.  Celiac disease is commonly misdiagnosed by doctors. Read a Personal Story About Celiac Disease Diagnosis from the Founder of Celiac.com Currently, testing and biopsy still form the cornerstone of celiac diagnosis.
    TESTING
    There are several serologic (blood) tests available that screen for celiac disease antibodies, but the most commonly used is called a tTG-IgA test. If blood test results suggest celiac disease, your physician will recommend a biopsy of your small intestine to confirm the diagnosis.
    Testing is fairly simple and involves screening the patients blood for antigliadin (AGA) and endomysium antibodies (EmA), and/or doing a biopsy on the areas of the intestines mentioned above, which is still the standard for a formal diagnosis. Also, it is now possible to test people for celiac disease without making them concume wheat products.

    BIOPSY
    Until recently, biopsy confirmation of a positive gluten antibody test was the gold standard for celiac diagnosis. It still is, but things are changing fairly quickly. Children can now be accurately diagnosed for celiac disease without biopsy. Diagnosis based on level of TGA-IgA 10-fold or more the ULN, a positive result from the EMA tests in a second blood sample, and the presence of at least 1 symptom could avoid risks and costs of endoscopy for more than half the children with celiac disease worldwide.

    WHY A GLUTEN-FREE DIET?
    Currently the only effective, medically approved treatment for celiac disease is a strict gluten-free diet. Following a gluten-free diet relieves symptoms, promotes gut healing, and prevents nearly all celiac-related complications. 
    A gluten-free diet means avoiding all products that contain wheat, rye and barley, or any of their derivatives. This is a difficult task as there are many hidden sources of gluten found in the ingredients of many processed foods. Still, with effort, most people with celiac disease manage to make the transition. The vast majority of celiac disease patients who follow a gluten-free diet see symptom relief and experience gut healing within two years.
    For these reasons, a gluten-free diet remains the only effective, medically proven treatment for celiac disease.
    WHAT ABOUT ENZYMES, VACCINES, ETC.?
    There is currently no enzyme or vaccine that can replace a gluten-free diet for people with celiac disease.
    There are enzyme supplements currently available, such as AN-PEP, Latiglutetenase, GluteGuard, and KumaMax, which may help to mitigate accidental gluten ingestion by celiacs. KumaMax, has been shown to survive the stomach, and to break down gluten in the small intestine. Latiglutenase, formerly known as ALV003, is an enzyme therapy designed to be taken with meals. GluteGuard has been shown to significantly protect celiac patients from the serious symptoms they would normally experience after gluten ingestion. There are other enzymes, including those based on papaya enzymes.

    Additionally, there are many celiac disease drugs, enzymes, and therapies in various stages of development by pharmaceutical companies, including at least one vaccine that has received financial backing. At some point in the not too distant future there will likely be new treatments available for those who seek an alternative to a lifelong gluten-free diet. 

    For now though, there are no products on the market that can take the place of a gluten-free diet. Any enzyme or other treatment for celiac disease is intended to be used in conjunction with a gluten-free diet, not as a replacement.

    ASSOCIATED DISEASES
    The most common disorders associated with celiac disease are thyroid disease and Type 1 Diabetes, however, celiac disease is associated with many other conditions, including but not limited to the following autoimmune conditions:
    Type 1 Diabetes Mellitus: 2.4-16.4% Multiple Sclerosis (MS): 11% Hashimoto’s thyroiditis: 4-6% Autoimmune hepatitis: 6-15% Addison disease: 6% Arthritis: 1.5-7.5% Sjögren’s syndrome: 2-15% Idiopathic dilated cardiomyopathy: 5.7% IgA Nephropathy (Berger’s Disease): 3.6% Other celiac co-morditities include:
    Crohn’s Disease; Inflammatory Bowel Disease Chronic Pancreatitis Down Syndrome Irritable Bowel Syndrome (IBS) Lupus Multiple Sclerosis Primary Biliary Cirrhosis Primary Sclerosing Cholangitis Psoriasis Rheumatoid Arthritis Scleroderma Turner Syndrome Ulcerative Colitis; Inflammatory Bowel Disease Williams Syndrome Cancers:
    Non-Hodgkin lymphoma (intestinal and extra-intestinal, T- and B-cell types) Small intestinal adenocarcinoma Esophageal carcinoma Papillary thyroid cancer Melanoma CELIAC DISEASE REFERENCES:
    Celiac Disease Center, Columbia University
    Gluten Intolerance Group
    National Institutes of Health
    U.S. National Library of Medicine
    Mayo Clinic
    University of Chicago Celiac Disease Center