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Reported symptoms of NCGS are similar to those of celiac disease, [30] [31] with most patients reporting both gastrointestinal and non-gastrointestinal symptoms. [29] [32] In the "classical" presentation of NCGS, gastrointestinal symptoms are similar to those of irritable bowel syndrome, and are also not distinguishable from those of wheat allergy, but there is a different interval between ...
For people with celiac disease, a lifelong strict gluten-free diet is the only effective treatment to date; [23] [69] For people diagnosed with non-celiac gluten sensitivity, there are still open questions concerning for example the duration of such a diet.
In these people, the gluten-free diet is demonstrated as an effective treatment, [7] [8] [9] but several studies show that about 79% of the people with coeliac disease have an incomplete recovery of the small bowel, despite a strict gluten-free diet. [10] This is mainly caused by inadvertent ingestion of gluten. [10]
If you don’t have celiac disease or a gluten intolerance, there’s no need to hate on whole-wheat flour. It should come as no surprise that it’s healthier than any refined white flours.
Non-celiac gluten sensitivity (NCGS) is described as a condition of multiple symptoms that improves when switching to a gluten-free diet, after celiac disease and wheat allergy are excluded. [ 64 ] [ 65 ] Recognized since 2010, [ 66 ] [ 67 ] it is included among gluten-related disorders . [ 66 ]
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.
For more gluten-free recipe ideas, try these gluten-free dinners, where you'll find everything from a gluten-free cacio e pepe recipe to gluten-free chicken parm, and of course, lots and lots of ...
For people eating a gluten-free diet who are unable to perform an oral gluten challenge, an alternative to identify a possible celiac disease is an in vitro gliadin challenge of small bowel biopsies, but this test is available only at selected specialized tertiary-care centers. [5]
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