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

If you have Celiac Disease, make sure your doctor:

        1.  Tests your bone density (osteoporosis is likely),

        2.  Vaccinates you for pneumococcal disease (serious infections are
likely),  and

        3. Tests your blood for iron and folate deficiencies.


Other recommendations for initial management:

        Referral to a dietitian and support group;

        Ensure all regular medications are gluten-free;

        If osteoporotic, assess vitamin D and parathyroid hormone concentrations;

        Blood screening of your parents, children, brothers and sisters.


References:
        Coeliac disease Seminar. Lancet 8/2/03. Green+.

        Celiac Disease -- The Villain Unmasked?, New England Journal of Medicine
6/19/03,                McManus+.

        Celiac Disease -- How to Handle a Clinical Chameleon, New England Journal
of Medicine,            6/19/03, Fasano (Editorial).


Carl Shoolman
(Just after receiving a diagnosis of severe, symptom-free osteoporosis and
a pneumococcal shot.)

Rochester NY
www.ConsumerXchange.org


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