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Lerner A, Jeremias P, Matthias T. Outside of Normal Limits: False Positive/Negative Anti TG2 Autoantibodies. Internat J Celiac Disease, 2015; 3:87-90.

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Article

Gluten-free Diet - Tough Alley in Torrid Time

1B. Rappaport School of Medicine, Technion-Israel Institute of Technology, Haifa, Israel

2AESKU.KIPP Institute, Wendelsheim, Germany


International Journal of Celiac Disease. 2017, Vol. 5 No. 2, 50-55
DOI: 10.12691/ijcd-5-2-4
Copyright © 2017 Science and Education Publishing

Cite this paper:
Lerner Aaron, Matthias Torsten. Gluten-free Diet - Tough Alley in Torrid Time. International Journal of Celiac Disease. 2017; 5(2):50-55. doi: 10.12691/ijcd-5-2-4.

Correspondence to: Lerner  Aaron, B. Rappaport School of Medicine, Technion-Israel Institute of Technology, Haifa, Israel. Email: aaronlerner1948@gmail.com

Abstract

Dietitians play a pivotal role in the education, follow-up and navigation of the gluten-free diet for patients affected by celiac disease. Since gluten withdrawal is the cornerstone of celiac disease therapy, and since various future therapeutic strategies, are not yet on the market, the patients relay heavily on the registered dietitian nutritionists (RDNs) advice and service to cope with the gluten-free diet tough alley. Unfortunately, gluten withdrawal, nowadays, represent also a torrid time. The actual surge in incidence, wheat content, gluten intake, celiac disease-related T-cell stimulatory epitopes in wheat, usage in the processed food industries, nutritional deficiencies, changing phenotype and the fact that gluten is potentially detrimental to humankind health, make the RDNs role more complex, difficult and challenging. The present review expands on the gluten-free diet related tough alley in torrid time, which the registered dietitian nutritionists are facing when dealing with gluten-sensitive patients.

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