Celiac Disease

Lifestyle modifications

NUTRITION

Dietary changes should not be started until diagnosis is confirmed (1)
A gluten free diet is prescribed (1)
Gluten free diet is associated with lower intake of fibre, mineral and vitamin deficiencies, increased intake of saturated fats and simple carbohydrates (1)
Increased risk of obesity (1)
Check for vitamin B12, iron, vitamin D and folate deficiencies (1)
Vitamin D and calcium supplementation is recommended (1)

EXPLANATION TO EVIDENCE PRESENTATION

Evidence based on guidelines and evidence based Clinical Decision Systems is written in BOLD

Evidence based on meta analysis or systematic reviews is written in BOLD and CURSIVE

Evidence based on randomized controlled trials is written in plain font

Evidence based on observational / cohort studies is written in CURSIVE

Figure: Evidence pyramid