<<Disclaimer: Verify this information before applying it to your situation.>>

This message is solicit participant(s) in case study of a Celiac woman
who is breast feeding or the mother of a Celiac child who is breast
feeding the Celiac Child for research information.  Please contact.
Annette Bentley either through email: [log in to unmask] or phone
973-325-8837 after 7 p.m. EST on Monday, Thursday, Friday, Saturday or
Sunday.

Thanks for your help.

Annette Bentley

1) Mother is a Celiac yes __ no ___
2) Child is a Celiac yes __ no ___
3) Is child Breast feeding only?  yes __ no ___
    If no: What type of supplements child receiving: Please list
    Cow's milk ___ , Soy milk ____, formula  (specify)________
    Age of child when supplements started ______
4) Brest Feeding since birth  yes___ no ____
   Age of child if still breastfeeding only ______
5) Problem experienced by mother list:
   _________________________________________________________
6)  Problems experienced by baby list:
   _________________________________________________________

7)  Age of child if when discontinued breast feeding ______
8)  Present age of child ____
9)  Mother's maternal history: Previous live childbirths __
    Stillborns ___ Abortions ____
10) Mother's age at birth of child presently breastfeeding ___
11) Is mother taking nutritional supplements, if so identify
_________________________________________________________
12) Is mother on special diet, if so please identify
________________________________________________
Thank you for your help.  Either email or mail to A. Bentley, 58 Musano
CT, W. Orange, NJ 07052
Please feel free