Treatment
The only treatment for CD/DH is the lifelong adherence to a gluten-free diet. When gluten is removed from the diet, the small intestine will start to heal and overall health improves. Medication is not normally required. Because osteoporosis is common and may be profound in patients with newly diagnosed CD, bone density should be measured at or shortly after diagnosis. Consult your physician regarding specific nutritional supplementation to correct any deficiencies. The diagnosed celiac should have medical follow-up to monitor the clinical response to the gluten-free diet. Dietary compliance increases the quality of life and decreases the likelihood of osteoporosis, intestinal lymphoma and other associated illnesses.
Adapting to the gluten-free diet requires some lifestyle changes. It is essential to read labels which are often imprecise, and to learn how to identify ingredients that may contain hidden gluten.
Be aware that hidden gluten can be found in some unlikely foods such as: cold cuts, soups, hard candies, soy sauce, many low or non-fat products, even licorice and jelly beans.
Gluten may also be used as a binder in some pharmaceutical products. Request clarification from food and drug manufacturers when necessary.
Potential harmful ingredients include:
- unidentified starch
- modified food starch
- hydrolyzed vegetable protein - HVP
- hydrolyzed plant protein - HPP
- texturized vegetable protein - TVP
- binders
- fillers
- excipients
- extenders
- malt
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