<<Disclaimer: Verify this information before applying it to your situation.>> I couldn't agree with vance more! We should avoid gluten at all costs. For example: In February of last year before I was diagnosed with celiac, I was on a low carb, high protein diet to control my blood sugar fluctuations. The diet was designed to be advanced to a more liberal form by slowly adding small amounts of starches to the diet. When I tried to liberalize my diet by adding one small serving of sugar free bread a day, I became so horridly ill with lower right quadrant pain, I thought I had appendisitis. I went to the ER only to get a diagnosis of "colic." I gave up the bread & the acute symptoms vanished. However, I continued to eat the little peice of sacrament bread each Sunday at church and little bits of hidden gluten here & there in my diet. While the acute symptoms were gone, I continued to feel general malaise, chronic fatigue & brain fog. In April of this year, when I finally I gave up the sacrament bread & really cleaned up my diet of all the hidden sources I could locate, I felt like a normal person for the first time in years -- my energy returned, the brain fog lifted, etc. So it's obvious that a large gluten load will cause more acute symptoms than tiny bits here & there, but because we don't know exactly how much gluten we can tolerate, but our best policy is to avoid it in anyway possible AS IF a molecule is as bad as a pound. ~Valerie in Tacoma, WA