<<Disclaimer: Verify this information before applying it to your situation.>> Those of us who are very careful know this. I was surprised at the low percentage of study participants who are "vigilant". "Current guidelines for managing celiac disease call for “lifelong adherence to a strict, gluten-free diet,” study leader Randi Wolf of Columbia University in New York City told Reuters Health in an email. But the ‘extreme vigilance’ required to follow a strict gluten-free diet may also have negative consequences, both physically and emotionally, Wolf said. see article at link: https://www.reuters.com/article/us-health-celiac-stress/vigilant-adherence-to-celiac-diet-linked-with-lower-quality-of-life-idUSKCN1FX30S?feedType=nl&feedName=healthNews&utm_source=Sailthru&utm_medium=email&utm_campaign=US%20Health%20Report%202018-02-14&utm_term=US%20Health%20Report *Support summarization of posts, reply to the SENDER not the CELIAC List* Archives are at: Http://Listserv.icors.org/SCRIPTS/WA-ICORS.EXE?LIST=CELIAC