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Non-celiac gluten sensitivity (NCGS), or gluten intolerance, [1] is a syndrome in which people develop a variety of intestinal and/or extraintestinal symptoms that improve when gluten is removed from the diet, [32] after coeliac disease and wheat allergy are excluded. [33]
This condition is known as refractory coeliac disease (RCD), defined as malabsorption due to gluten-related enteropathy (villous atrophy or elevated intraepitheal lymphocytes) after initial or subsequent failure of a strict gluten-free diet (usually 1 year) and after exclusion of any disorder mimicking coeliac disease. [106] [107]
NCGS is the most common syndrome of gluten-related disorders [4] [26] with prevalence rates between 0.5–13% in the general population. [13] As no biomarker for diagnosing this condition is available, its diagnosis is made by exclusion of other gluten-related disorders such as celiac disease and wheat allergy.
Refractory coeliac disease should not be confused with the persistence of symptoms despite gluten withdrawal [114] caused by transient conditions derived from the intestinal damage, [111] [112] [115] which generally revert or improve several months after starting a gluten-free diet, [116] [117] such as small intestinal bacterial overgrowth ...
People with gluten-related disorders have to remove gluten from their diet strictly, so they need clear labeling rules. [84] The term "gluten-free" is generally used to indicate a supposed harmless level of gluten rather than a complete absence. [85] The exact level at which gluten is harmless is uncertain and controversial.
List of medical symptoms. Medical symptoms refer to the manifestations or indications of a disease or condition, perceived and complained about by the patient. [1] [2] Patients observe these symptoms and seek medical advice from healthcare professionals.
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The type of protein here is gluten, the main culprit in Celiac disease. Well, really the main culprit behind celiac disease is a 33 amino acid peptide component of gluten called gliadin. Okay, so the gliadin in gluten is what triggers immune attack in Celiac disease, hence the need for gluten-free pizza or buns in hamburgers, right?