Follow Up Care

Q: I have a confirmed diagnosis of celiac disease (CD). Do I need to see a gastroenterologist (GI doctor) for ongoing follow-up or can I just see my primary care provider regularly? It is not clear from the research who should monitor the follow-up of patients with CD and how often.1  Various studies have remarked on follow-ups with primary care …

Silent Celiac Disease

Q: What is silent celiac disease? In 2013 a multidisciplinary task force of 16 physicians from seven countries published an article evaluating the numerous celiac disease (CD) related terms that exist in the literature.  The team determined that “silent CD” is equivalent to “asymptomatic CD.”  Use of the term silent CD is now discouraged.1 So, let’s take a look at …

Following GF diet but feeling unwell

Q: What should I do if I have confirmed celiac disease and follow a strict gluten-free diet but am still unwell? There are several reasons why a person with celiac disease might have symptoms despite following a gluten-free diet. The first one is the most common – either accidental or intentional gluten exposure.1 Gluten exposure accounts for about 7-30%2 of …

Appointments with a registered dietitian

Q: How frequently should I see a registered dietitian? And why? If you are diagnosed with celiac disease, both the Academy of Nutrition and Dietetics and the National Institute of Health recommend consults with a registered dietitian nutritionist (RDN) skilled in celiac disease.1,2 The NIH recommends continuous long-term follow-up by a multidisciplinary team, including an RDN1  but does not offer …

Quinoa

Do you have any patients reacting to quinoa? Is quinoa consumption totally safe for celiac and for non-celiac gluten sensitivity patients? How would you approach a case where a patient is complaining about quinoa?

Arsenic in brown rice

I have read that there is arsenic in brown rice. What about brown rice flour? As a celiac, brown rice and/or brown rice flour are consumed daily. Advice or any recommendations?