Gluten allergy

Q:  Is “gluten allergy” the correct term to use in regards to having celiac disease? Thank you. Celiac disease (CD) is not an allergy but an autoimmune disease. People with CD have an autoimmune reaction involving IgA antibodies when gluten is ingested. An allergy is different and involves a different branch of the immune system, so the term gluten allergy …

Non-celiac gluten sensitivity (NCGS) or non-celiac wheat sensitivity (NCWS)

Q: Can you address non celiac gluten sensitivity (NCGS)? How is it diagnosed? What are the symptoms of NCGS?  What are possible complications with NCGS vs celiac disease? What is the treatment? Non-celiac gluten sensitivity, also called non-celiac wheat sensitivity (NCWS) is a much-debated, poorly understood, and intensely researched condition in the celiac scientific community. The term NCWS also includes …

Can a chef with CD taste food he cooks with gluten?

Q: Hi! My partner is a chef with celiac disease. Is it ok if he follows a gluten-free diet but still tastes the food? (very small amount of food containing gluten) I just want to know how risky it is. Following a strict gluten-free diet free of cross-contact is the only way to stay safe and healthy when you have …

Support for a low FODMAP diet

Q: I have celiac disease and follow the gluten-free diet. I also have irritable bowel syndrome (IBS). Where can I find online support for following the Low FODMAP diet? First, a very brief review of the Low FODMAP Diet:  Irritable bowel syndrome (IBS) can be a co-existing disorder found in patients with celiac disease and other diseases where the motility …

Dietary supplements to help with hair loss

Q: Are there dietary supplements to help with hair loss? I have been gluten-free for decades, but in the last 3 years or so am experiencing significant scalp hair loss. Hair loss can be due to multiple causes, below are the most common ones: I would recommend that you see your doctor to evaluate your hair loss and have appropriate …

Interpreting a high IgG and negative IgA test result.

Q: If someone [with celiac disease] has a positive (high) IGG result and a negative IGA result what does that mean? In short, not much. To answer this question, let’s assume that the question is referring to the IgG antigliadin antibody (IgG-AGA) and the IgA antigliadin antibody (IgA-AGA) tests.  These two anti-gliadin antibody tests were the first tests developed for …

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 …

Is celiac disease curable by medicine?

Q: Is celiac disease curable by medicine? There is currently no medication available to cure celiac disease. The only treatment available to manage celiac disease is a strict gluten-free diet. However, there are several medications that are being studied for celiac disease that may become available in the future: ImmusanT is working on a vaccine called Nexvax2 that aims to …

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 …