<<Disclaimer: Verify this information before applying it to your situation.>> Yearly check ups are a quality control. The more a doctor knows about celiac the more they know you should get a yearly checkup. It is important to get one of the antibodies tested yearly to look for unknown gluten exposure and to confirm good dietary adherence, as well as to check thyroid function, look for diabetes, and other problems. See my web site at www.napervillegi.com for a cheat sheet on what is needed in history, physical exam, and labs in addition to routine adult health testing, as well as a reference to an excellent monograph from Amer. Assoc. Fam Prac. Regarding Kaiser, there is so much practice variance that is unregulated that you can expect to find a wide range of utilization habits among docs, even at Kaiser. Stephen Holland, M.D. *Support summarization of posts, reply to the SENDER not the Celiac List*