Patient discussions

As soon as the patient is diagnosed with coeliac disease, they should be advised to avoid all products containing wheat, rye, barley, and spelt. National Digestive Diseases Information Clearinghouse: celiac disease National Celiac Association Although not technically a trigger for coeliac disease, oats should be avoided at the outset as many products are contaminated with wheat and a minority of coeliac patients may be oat-intolerant. The gluten-free diet is demanding, especially at the outset, and referral to both a dietician skilled in coeliac disease and a local support/advocacy group is strongly recommended. Patients should be reassured that adopting the diet is a challenge and mistakes and difficulties adjusting early on are common.

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