FOR THE NEWLY-DIAGNOSED CELIAC AND DH’er STEP-BY-STEP:  BEGINNING THE GLUTEN-FREE LIFESTYLE© by Janet Y. Rinehart, Houston, and Lynn Rainwater, San Antonio BEGIN A definite diagnosis of Celiac Disease (screening blood tests plus endoscopic biopsies) and/or Dermatitis Herpetiformis (skin biopsy) means a lifetime commitment to a gluten-free diet. Take full advantage of your local chapter membership. …

Wheat, rye, and barley are universally acknowledged to contain the gluten proteins that trigger inflammation and damage to the small intestine in people with celiac disease. Gluten provokes the secretion of IgA-class autoantibodies which target tissue transglutaminase (tTG). These autoantibodies, called anti-tissue tranglutaminase (anti-tTG), are produced in the small-intestinal mucosa. Following ingestion of gluten, anti-tTG…

The Celiac Disease Center at Columbia University recently published its steps for nutrition assessment of patients with celiac disease.   The gluten-free diet is currently the only treatment for celiac disease, and patients should be monitored closely by a dietitian who is knowledgeable regarding this diet.   Evaluation by a dietitian includes the following:   Diet…