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In less developed countries, wheat can represent an important source of protein, since it is a substantial part of the diet in the form of bread, noodles, bulgur, couscous, and other products. [16] [74] In the British National Health Service, gluten-free foods have been supplied on prescription. For many patients, this meant at no cost.
A strict gluten-free diet is the first-line treatment, which should be started as soon as possible. It is effective in most of these disorders. When dementia has progressed to an advanced degree, the diet has no beneficial effect. Cortical myoclonus appears to be treatment-resistant on both gluten-free diet and immunosuppression. [14]
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Not all gluten-free breads are healthy. A dietitian helps us separate the wheat from the chaff in the gluten-free space. 6 Healthiest Gluten-Free Breads—and 3 To Avoid
This diet is dangerous and can lead to sudden death when not done in a medically supervised setting. [36] [37] Several diets listed here are weight-loss diets which would also fit into other sections of this list. Where this is the case, it will be noted in that diet's entry.
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The test may be performed in people with suspected gluten-related disorders in very specific occasions and under medical supervision, for example in people who had started a gluten-free diet without performing duodenal biopsy. [1] [2] [3] Gluten challenge is discouraged before the age of 5 years and during pubertal growth. [4]