The gluten-free diet consists of strictly eliminating from the diet all products that contain or are cooked with wheat, rye, barley and oats, or any of their varieties and hybrids (spelt, spelt, kamut, triticale…), and derived products, avoiding inadvertent contaminations and all types of dietary transgressions. Gluten is not indispensable for human beings. It is a mixture of proteins of low nutritional and biological value, deficient in essential amino acids, so from a nutritional point of view its exclusion from the diet does not represent any problem. The gluten-free diet is a safe diet, which does not cause any negative side effects, and is normally balanced. Only celiacs and people sensitive to non-coeliac gluten experience symptoms and various health disorders if they do not maintain the gluten-free diet strictly and for life.

The gluten-free diet should be based primarily on natural gluten-free products, which have a more balanced composition of micro and macronutrients, such as meat, fish, eggs, milk and dairy products, legumes, nuts, fruits, vegetables, potatoes, rice, corn and pseudocereals. If specific coeliac preparations are consumed commercially, the best choice is those enriched or fortified with vitamins and minerals. A healthy alternative to these commercial products is the production of pseudocereal flours (certified without gluten contamination), such as quinoa, amaranth, buckwheat and other minor cereals, which have a high nutritional and biological value, superior to those of gluten-containing cereals. The different varieties of pure oats (without gluten contamination of other cereals) have different degrees of toxicity.

Bestselling Products

 
essence | Lash Princess False Lash Effect Mascara | Gluten & Cruelty Free
285,015 Reviews

essence | Lash Princess False Lash Effect Mascara | Gluten & Cruelty Free

  • If you receive this mascara UNWRAPPED, it did not come from essence cosmetics.
  • NO FALSIES NEEDED! Lash Princess False Lash Mascara defines and separates lashes while achieving a bold look.
  • DRAMATIC VOLUME: the conic shape fiber brush delivers dramatic volume and sculpted length WITHOUT clumps or globs.
  • LASTS ALL DAY: go about your day free from flaking & fading! This mascara does not flake, fade, or wear, making it a perfect all-day, longlasting mascara.
  • CRUELTY FREE: essence cosmetics is certified and acknowledged by PETA as a cruelty-free brand. We do not test any of our products on animals.
 
Garden of Life Dr. Formulated Probiotics for Women & Prebiotics, 50 Billion CFU for Women’s Daily Digestive Vaginal & Immune Health, 16 Probiotic Strains Shelf Stable No Gluten Dairy Soy, 30 Capsules
41,028 Reviews

Garden of Life Dr. Formulated Probiotics for Women & Prebiotics, 50 Billion CFU for Women’s Daily Digestive Vaginal & Immune Health, 16 Probiotic Strains Shelf Stable No Gluten Dairy Soy, 30 Capsules

  • LOVE YOUR GUT, LOVE YOUR WHOLE BODY: Our Dr. Formulated Once Daily Women’s Probiotic has prebiotics and probiotics for women, with 16 diverse Lacto and Bifido strains for digestive health—including an acidophilus probiotic strain—all in one capsule a day
  • LET’S HEAR IT FOR THE GIRLS: Our Once Daily Women's probiotic supplement is doctor formulated for women's specific health needs, promoting her health with vaginal probiotics—that is, L. reuteri & L. fermentum—strains Clinically Studied for vaginal health
  • YOU GO GIRL: What a relief—our one a day provides Organic prebiotic fiber to help feed good bacteria in the gut & Probiotic strains hand selected for their potency and resistance to stomach acid and bile; Does your probiotic align with your health goals
  • IMMUNE SYSTEM SUPPORT WITH CONVENIENCE IN MIND: Our 50 Billion one a day probiotic for women's immune health comes in a shelf stable, easy-to-swallow vegetarian capsule, so it's just one and done—CFUs guaranteed with our patented no refrigeration bottle
  • EXPERTLY FORMULATED PREBIOTIC + PROBIOTIC: Proudly doctor formulated, Third Party Certified Non GMO, NSF Gluten Free & Carbon Neutral and Vegetarian, Dairy Free & Soy Free; Capsules may be opened and probiotic powder mixed in your favorite juice or water
 
Goli Apple Cider Vinegar Gummy Vitamins - 60 Count - Vitamins B9 & B12, Gelatin-Free, Gluten-Free, Vegan & Non-GMO
354,034 Reviews

Goli Apple Cider Vinegar Gummy Vitamins - 60 Count - Vitamins B9 & B12, Gelatin-Free, Gluten-Free, Vegan & Non-GMO

  • Vegan, Non-GMO, Gluten-free & Gelatin-free: Each bottle of Goli contains 60 delicious, vegan, non-gmo, gluten-free & gelatin-free Apple Cider Vinegar gummies, which makes them suitable for almost any lifestyle.
  • Made in the USA with locally and globally sourced ingredients. Goli Gummies are made in allergen-free, cGMP certified facilities in the United States with local and globally sourced ingredients to ensure that our products are reputable and of the highest quality standards.
  • Patented Formula, Essential Vitamins, Great Taste: Our patented formula contains essential Vitamins B9 and B12 to help support cellular energy production, immune function, heart health, healthy nutrient metabolism, a healthy nervous system and overall health and wellbeing. Apple Cider Vinegar has traditionally been used for digestion, gut health and appetite. Our unique flavor profile combined with essential vitamins makes Goli ACV Gummies a delicious addition to your daily health routine.
  • Vitamin Angels: Goli is a proud supporter of Vitamin Angels
 
Nature's Way Sambucus Black Elderberry Gummies with Vitamin C and Zinc for Adult, Immune Support*, 3200 mg, 60 Count
114,210 Reviews

Nature's Way Sambucus Black Elderberry Gummies with Vitamin C and Zinc for Adult, Immune Support*, 3200 mg, 60 Count

  • Sambucus Gummies are made with an excellent source of vitamin C and zinc and highly concentrated, premium black elderberry extract to support immune health.*
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  • Elderberries have been used for centuries for traditional immune support, you can enjoy support all year long.*
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Welch's Fruit Snacks, Mixed Fruit, Gluten Free, Bulk Pack, 0.9 oz Individual Single Serve Bags 40 Count (Pack of 1)
85,400 Reviews

Welch's Fruit Snacks, Mixed Fruit, Gluten Free, Bulk Pack, 0.9 oz Individual Single Serve Bags 40 Count (Pack of 1)

  • Includes (40) 0.9 oz single serving bags
  • Delicious fruit snacks where fruit is the 1st Ingredient
  • 100% Vitamin C, 25% Vitamins A&E (DV per serving)
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  • Perfect tasty snack for school lunches, sporting games, the office and more
 
Turmeric Curcumin with BioPerine 1500mg - Natural Joint & Healthy Inflammatory Support with 95% Standardized Curcuminoids for Potency & Absorption - Non-GMO, Gluten Free Capsules with Black Pepper.
81,773 Reviews

Turmeric Curcumin with BioPerine 1500mg - Natural Joint & Healthy Inflammatory Support with 95% Standardized Curcuminoids for Potency & Absorption - Non-GMO, Gluten Free Capsules with Black Pepper.

  • High potency turmeric pills enhanced with bioperine: BioSchwartz turmeric formula has 1500mg of turmeric curcumin with 95% standardized curcuminoids per serving (high potency) and 10mg of bioperine (black pepper, curcumin with black pepper) aiding in enhanced absorption and bio-availability
  • All natural, non-GMO, no fillers, binders or preservatives: Bioschwartz professional grade turmeric with bioperine (curcumin with bioperine) is a natural turmeric powder; turmeric powder has higher absorption compared to common turmeric teas, and this curcumin is also free of soy, gluten, milk, egg, wheat, GMOs, peanuts, sweeteners, shellfish and sugar
  • Professionally formulated & made in the USA: Bioschwartz turmeric extract is formulated by professionals and manufactured in the USA following strict GMP guidelines; this turmeric with bioperine is 3rd-party tested to ensure the quality and purity of each batch
  • Naturally potent ingredients: this turmeric curcumin supplement’s potency is enhanced with patented bioperine (10mg per serving), a type of black pepper extract shown to increase absorption and bioavailability in turmeric supplements
  • Bioschwartz professional quality standards: every batch of Bioschwartz turmeric curcumin with bioperine is 3rd-party tested for purity and potency and each bottle is manufactured in the USA using imported and domestic ingredients; this turmeric supplement is formulated for women and men who want to enjoy the benefits of turmeric curcumin supplements
 
NatureWise Vitamin D3 5000iu (125 mcg) 1 Year Supply for Healthy Muscle Function, and Immune Support, Non-GMO, Gluten Free in Cold-Pressed Olive Oil, Packaging Vary ( Mini Softgel), 360 Count
137,603 Reviews

NatureWise Vitamin D3 5000iu (125 mcg) 1 Year Supply for Healthy Muscle Function, and Immune Support, Non-GMO, Gluten Free in Cold-Pressed Olive Oil, Packaging Vary ( Mini Softgel), 360 Count

  • most active form: NatureWise Vitamin D3 in certified organic olive oil helps to support teeth and bone health, provide immune support, and promote healthy muscle function
  • Product Note: Exposure to heat or sunlight may lead to melting/damage of product. Hence customers are expected to be available during the product delivery
  • Essential Vitamin: Our formula delivers the same biologically active form of vitamin D produced by the body as a result of sun exposure, without exposure to sun rays
  • Get your daily dose: The Vitamin D Council recommends 5,000 IU Vitamin D daily for adults to achieve and maintain optimal levels. Supports the body’s ability to maintain good bone health
  • Highest potency: Our Vitamin D 5000 IU softgels are easy to swallow. Some research indicates that vitamin D3 in liquid softgel form is more bioavailable than powdered or tablet forms. No artificial additives
  • Pure & natural: These Vitamin D3 immune support and bone health supplements are gluten-free and non-GMO. Third party tested for purity and potency. Packaging may vary due to high demand, same great product and ingredients.
 
Premier Protein Shake 30g Protein 1g Sugar 24 Vitamins Minerals Nutrients to Support Immune Health, Chocolate, 11.5 Fl Oz (Pack of 12)
171,295 Reviews

Premier Protein Shake 30g Protein 1g Sugar 24 Vitamins Minerals Nutrients to Support Immune Health, Chocolate, 11.5 Fl Oz (Pack of 12)

  • Chocolately goodness: Smooth and creamy, rich chocolate flavored shake; Winner of American Masters of Taste Gold Medal for SUPERIOR TASTING ready-to-drink protein beverages
  • 30g of protein to help curb your hunger, as a mid-day snack or for post workout recovery; includes all essential amino acids
  • 24 Vitamins and Minerals: Support a healthy immune system as part of a healthy diet and lifestyle (Antioxidants Vitamins C and E plus Zinc), 50 percent daily value of calcium and 30 percent daily value of Vitamin D to help maintain healthy bones
  • Guilt free indulgence: 1g Sugar, 5g Carbs, 160 Calories and Low Fat; Gluten Free, No Soy Ingredients; Keto and Bariatric Friendly, Kosher
  • Try all eleven (11) delicious smooth and creamy flavors: Chocolate, Vanilla, Caramel, Cookies & Cream, Cafe Latte, Strawberries & Cream, Peaches & Cream, Bananas & Cream, Cinnamon Roll, Chocolate Peanut Butter and Cake Batter Delight
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Orgain Organic Vegan Protein Powder, Vanilla Bean - 21g of Plant Based Protein, Low Net Carbs, Gluten Free, Lactose Free, No Sugar Added, Soy Free, Kosher, Non-GMO, 2.03 Lb
46,095 Reviews

Orgain Organic Vegan Protein Powder, Vanilla Bean - 21g of Plant Based Protein, Low Net Carbs, Gluten Free, Lactose Free, No Sugar Added, Soy Free, Kosher, Non-GMO, 2.03 Lb

  • Includes 1 (2.03 pound) orgain organic plant based vanilla bean protein powder
  • 21 grams of organic plant based protein (pea, brown rice, chia seeds), 2 grams of organic dietary fiber, low net carbs, 0 grams of added sugar, 150 calories per serving
  • USDA organic, vegan, gluten free, dairy free, lactose free, low net carbs, no added sugar, soy free, kosher, non GMO, carrageenan free, and no artificial ingredients
  • Mix with water, milk, or your favorite protein shake recipe for a quick breakfast or snack drink. Use when baking to give your cakes, muffins, brownies, or cookies a protein and energy boost
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SmartyPants Kids Formula Daily Gummy Multivitamin: Vitamin C, D3, and Zinc for Immunity, Gluten Free, Omega 3 Fish Oil (DHA/EPA), Vitamin B6, B12, 120 Count (30 Day Supply)
42,507 Reviews

SmartyPants Kids Formula Daily Gummy Multivitamin: Vitamin C, D3, and Zinc for Immunity, Gluten Free, Omega 3 Fish Oil (DHA/EPA), Vitamin B6, B12, 120 Count (30 Day Supply)

  • Product Note: Exposure To Heat Or Sunlight May Lead To Melting/Damage Of Product; Hence Customers Are Expected To Be Available During The Product Delivery
  • Multivitamin Gummies For Kids With Omega-3 Epa & Dha (Essential Fatty Acids) Sustainably Sourced From Wild-Caught Small Fish.
  • 15 Essential Nutrients: Vitamin D3 For Bone & Immune Health, Vitamin B12 To Support Energy Metabolism, Omega-3 Epa & Dha (From Fish Oil), Vitamin E (From Sunflower Oil) For Antioxidant Support And Iodine For Thyroid Support.
  • For Children 4 Years Of Age And Older, Take Four (4) Gummies Daily; May Be Taken With Or Without Food.
  • Only The Good Stuff: Non-Gmo; Free Of Milk, Eggs, Peanuts, Tree Nut Allergens, Fish Allergens, Shellfish, Soy, Gluten And Wheat; No Synthetic Colors; No Artificial Sweeteners/Flavors; 3Rd Party Lab Tested; No Refrigeration Required.
 
Orgain Organic Vegan Protein Powder, Creamy Chocolate Fudge - 21g of Plant Based Protein, Low Net Carbs, Non Dairy, Gluten Free, No Sugar Added, Soy Free, Kosher, Non-GMO, 2.03 Lb (Packaging May Vary)
50,981 Reviews

Orgain Organic Vegan Protein Powder, Creamy Chocolate Fudge - 21g of Plant Based Protein, Low Net Carbs, Non Dairy, Gluten Free, No Sugar Added, Soy Free, Kosher, Non-GMO, 2.03 Lb (Packaging May Vary)

  • New look and label, same great product! Includes 1 (2.03 Lb) Orgain Organic Plant Based Protein Powder, Creamy Chocolate Fudge
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  • USDA organic, vegan, gluten free, dairy free, lactose free, low net carbs, no added sugar, soy free, kosher, Non GMO, carrageenan free, and no artificial ingredients
  • Mix with water, milk, or your favorite protein shake recipe for a quick breakfast or snack drink. Use when baking to give your cakes, muffins, brownies, or cookies a protein and energy boost
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CELSIUS Essential Energy Drink, 12 Fl Oz, Official Variety Pack (Pack of 12)
86,604 Reviews

CELSIUS Essential Energy Drink, 12 Fl Oz, Official Variety Pack (Pack of 12)

  • 12 oz. Slim Cans - Flavors May Vary
  • Pre-Workout Drink
  • Your Ultimate Fitness Partner
  • Healthy Energy, 200 mg Caffeine
  • Energy to Live Fit
  • Zero Sugars, Zero Preservatives. Container Type: Can
 
BetterBody Foods Organic Chia Seeds with Omega-3, Non-GMO, Gluten Free, Keto Diet Friendly, Vegan, Good Source of Fiber, 2 lbs, 32 Oz
82,476 Reviews

BetterBody Foods Organic Chia Seeds with Omega-3, Non-GMO, Gluten Free, Keto Diet Friendly, Vegan, Good Source of Fiber, 2 lbs, 32 Oz

  • NUTRIENT POWER: This omega powerhouse is full of other useful nutrients that will help men and women live a better life. In every serving of our chia seeds, you’ll find many nutrients, including omega-3, and fiber, making it a great bonus to any protein shake or juice. Because it is flavor neutral, you can add it to drinks and shakes of all flavors without them clashing
  • SIMPLY ORGANIC: Our Organic Chia Seeds are gluten-free, nut-free, low-carb, non-GMO, making them a great addition to your pantry, no matter your dietary restrictions. Whether you’re vegan, vegetarian, eating Keto or Paleo, or following another strict food regiment, you can easily incorporate this nutritious seed into your diet
  • WITH OMEGA-3 & MORE: Chia seeds are loaded with 5350mg of omega-3, 10g of fiber, which is 7% of the DV recommended amount for fiber. In the ancient Mayan language, the word “chia” meant strength, so the name speaks for itself. Our Organic Chia Seeds can also be used as an egg replacement in any meal. Simply mix 1 tbs. of chia seeds with 3 tbs. of water and let sit for 5 minutes
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AZO Cranberry Urinary Tract Health Dietary Supplement, 1 Serving = 1 Glass of Cranberry Juice, Sugar Free, 100 Softgels
49,414 Reviews

AZO Cranberry Urinary Tract Health Dietary Supplement, 1 Serving = 1 Glass of Cranberry Juice, Sugar Free, 100 Softgels

  • AZO CRANBERRY URINARY TRACT HEALTH SUPPLEMENT- Taking these softgels can help maintain a healthy urinary tract for both men and women.
  • NATURALLY SOURCED INGREDIENTS – These cranberry softgels are made with Pacran, a super-concentrated whole fruit cranberry blend which helps flush the urinary tract.
  • SUGAR FREE AND GLUTEN FREE –Each serving is equal to the benefits of one glass of cranberry juice; many cranberry juice cocktails have over 42 grams of sugar and 165 calories per 12 ounce serving while AZO cranberry softgels are sugar and gluten free. Not a reduced calorie food.
  • HOW TO TAKE - Take two softgels daily with water; 100 softgels per bottle (50 day supply).
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Nature’s Bounty Magnesium, Bone and Muscle Health, Tablets, 500 mg, 200 Ct
61,827 Reviews

Nature’s Bounty Magnesium, Bone and Muscle Health, Tablets, 500 mg, 200 Ct

  • SUPPORTS BONE AND MUSCLE HEALTH (1): Magnesium plays an essential role in supporting bone health and maintaining bone mineralization. (1)
  • 500 MG OF MAGNESIUM: Each tablet of Nature’s Bounty Magnesium contains 500 mg of Magnesium, which is 119% of the daily recommended value for this important mineral
  • VITAL MINERAL SUPPLEMENT: Magnesium is involved in muscle contractions, nerve impulses, energy metabolism, and protein formation (1)
  • NO ARTIFICIAL FLAVORS OR SWEETENERS: Nature’s Bounty Magnesium is free of artificial flavors and sweeteners, and is gluten free for your dietary needs
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MiraLAX Laxative Powder for Gentle Constipation Relief, #1 Dr. Recommended Brand, 45 Dose Polyethylene Glycol 3350, Stimulant-Free, Softens Stool
25,766 Reviews

MiraLAX Laxative Powder for Gentle Constipation Relief, #1 Dr. Recommended Brand, 45 Dose Polyethylene Glycol 3350, Stimulant-Free, Softens Stool

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  • Unblocks your system naturally: MiraLAX (PEG 3350) works with the water in your body to hydrate, soften, and ease stool through the colon
  • No harsh side effects: Relieve constipation without causing cramping, bloating, sudden urgency, and gas. Health Concern: Constipation
  • Mixes into anything: MiraLAX powder easily dissolves into any hot or cold beverage with no taste or grit. MiraLAX is gluten free, sugar free, and preservative free
  • The 26.9 ounce bottle contains 45 doses
 
Colgate Cavity Protection Toothpaste with Fluoride - Great regular, White 6 Ounce (Pack of 6)
52,925 Reviews

Colgate Cavity Protection Toothpaste with Fluoride - Great regular, White 6 Ounce (Pack of 6)

  • Fluoride toothpaste fights and protects against cavities for healthier teeth
  • Clinically proven to strengthen teeth enamel and cleans teeth thoroughly
  • Anti-cavity toothpaste with a great mint taste leaves mouth feeling fresh and clean; the mint ingredient is sourced from American mint farmers
  • American Dental Association (ADA) accepted and trusted by dentists for over 45 years
  • Gluten free toothpaste formula
  • Pack of 6 toothpaste tubes with 6 ounces in each; A total of 36 ounces
 
Doctor's Best High Absorption Magnesium Glycinate Lysinate, 100% Chelated, Non-GMO, Vegan, Gluten & Soy Free, 100 mg, 240 Count
50,527 Reviews

Doctor's Best High Absorption Magnesium Glycinate Lysinate, 100% Chelated, Non-GMO, Vegan, Gluten & Soy Free, 100 mg, 240 Count

  • Doctor's Best High Absorption Magnesium supports bone density, helps maintain a normal, regular heartbeat and supports overall cardiovascular health
  • Made with TRAACS, a patented, form of bioavailable magnesium that is chelated to optimize bioavailability
  • As many as 75% of Americans are deficient in magnesium and magnesium deficiency increases with age
  • Doctor's Best High Absorption Magnesium is "not buffered", a term meaning that is it not mixed with less expensive and less absorbable magnesium oxide
  • Vegan, Non-GMO, and Gluten Free
 
Color Wow Dream Coat Supernatural Spray – Multi-award-winning anti-frizz spray keeps hair frizz-free for days no matter the weather with moisture-repellant anti-humidity technology; glass hair results
45,599 Reviews

Color Wow Dream Coat Supernatural Spray – Multi-award-winning anti-frizz spray keeps hair frizz-free for days no matter the weather with moisture-repellant anti-humidity technology; glass hair results

  • The weightless, texture-transforming key to glass hair
  • Works on all hair types, including color-treated
  • Humidity-proof through up to 3 shampoos
  • Acts like a mini Keratin treatment
  • Apply liberally & evenly to damp, towel-dried hair
  • Blow dry to activate for frizz-free hair with a mirror-like shine
 
Atkins Gluten Free Protein-Rich Shake, Milk Chocolate Delight, Keto Friendly (Pack of 12), 11 Fl Oz
35,628 Reviews

Atkins Gluten Free Protein-Rich Shake, Milk Chocolate Delight, Keto Friendly (Pack of 12), 11 Fl Oz

  • One box of 12 Milk Chocolate Delight Protein-Rich Shakes
  • Delicious, creamy milk chocolate flavor
  • With 15 grams of high quality protein and 5 grams of fiber per serving to provide steady energy and satisfy hunger.Non-Caffeinated
  • 2 grams net carbs and 1 gram of sugar per serving
  • Shelf stable - no need to refrigerate
  • Keto friendly, gluten free and perfect for a low carb lifestyle. When used with Atkins ketogenic programs

As of 2018, Except in Brazil, it is not mandatory in any country in the world to label products as “Gluten-Free” or to declare the presence of traces of gluten, so simply reading the list of ingredients does not allow one to know if a product is safe. Other unsuspected sources of gluten can be medicines, supplements and food supplements, as well as adhesive bandages, plasters, feed and food for farm animals and pets, all kinds of cosmetic and personal care products, shampoos for dogs, modeling paste for children (such as Play-Doh), among others. These products may be the cause of inadvertent gluten contamination, as they may reach the mouth directly, or indirectly through the remains left on the hands when handled.

The gluten-free diet is a healthy diet because it is very varied and requires more attention to the composition and preparation of food, increasing the consumption of all types of vegetables and fruits, as well as natural foods, not frozen or processed, thus reducing the consumption of additives and sodium. However, some patients focus only on the elimination of gluten from the diet and downplay the importance of proper diet planning. An unbalanced selection of foods and an incorrect choice of alternative commercial gluten-free products specific to coeliacs (those traditionally made with wheat flour, such as breads, biscuits, etc.), can lead to certain nutritional deficiencies. In general, these alternative products are not usually fortified compared to their gluten equivalents, so there may be a lower intake of iron and B vitamins; they also contain higher amounts of lipids and carbohydrates, although since 2017 there is a trend of nutritional improvement with increased levels of fiber and decreased sugar content. These products are especially overconsumed by children, which also leads to a decrease in the consumption of other, healthier foods. These nutritional imbalances can be prevented with proper dietary education. In addition, certain complications of celiac disease, which sometimes do not subside despite a gluten-free diet, can lead to overweight or obesity.

The gluten-free diet is the only currently available treatment for celiac disease, which must be followed strictly and for life, without transgressions, in order to achieve a sustained and effective improvement, avoiding and/or significantly diminishing the appearance of numerous diseases and associated complications both digestive and extradigestive, since celiac disease can damage virtually any organ or tissue. Although there is a “permanent intolerance” to gluten, it is not a simple food intolerance, much less an allergy. It is a chronic, multi-organ autoimmune process that, if left untreated, can lead to very serious health complications, including various types of cancer (both of the digestive tract, with a 60% increased risk, and of other organs), neurological and psychiatric disorders (known as “neurogluten”), other autoimmune diseases, cardiovascular diseases, and osteoporosis, among others. The mean for complete bowel recovery usually ranges from two to five years. In addition, the gluten-free diet has been shown to be an effective treatment for all other gluten-related disorders, including non-coeliac gluten sensitivity, gluten ataxia, dermatitis herpetiformis, and wheat allergy. The mean for complete bowel recovery is usually two to five years.

In people with gluten-related neurological disorders, the regeneration of the nervous system once the diet is initiated is slow and sometimes incomplete, mainly when the diagnosis is delayed, but prevents the progression of neurological damage. Minimal amounts of gluten, including those present in most products labeled “Gluten-Free,” may be sufficient to keep the immune system response responsible for the neuronal lesion activated in a portion of patients.

Other diseases in which improvement of both gastrointestinal and systemic symptoms with the gluten-free diet has been documented in at least part of the patients include irritable bowel syndrome, type 1 diabetes mellitus, thyroiditis, systemic lupus erythematosus, rheumatoid arthritis, psoriasis, multiple sclerosis, Tourette syndrome and HIV enteropathy, among others. There is no experimental evidence that the gluten-free diet is a healthier option for the general population.

Adherence to the diet in coeliacs is much worse than what was traditionally considered by scientists and specialists. Current studies show that approximately 80% of coeliacs continue to have intestinal injury, despite continued treatment with the gluten-free diet. The main cause of this lack of recovery is the inadvertent intake of gluten, mainly due to cross-contamination. A 2018 meta-analysis concludes that most celiacs, especially adults but also children, continue to ingest gluten regularly, involuntarily, despite being on a gluten-free diet. People with poor basic education and low understanding of how to follow a gluten-free diet often believe that they are strictly following the diet, but are making frequent mistakes. A common problem is the patient’s lack of awareness of avoiding gluten contamination in food preparation and other common sources of gluten, such as oatmeal, communion wafers, malted beverages, medications, processed foods, restaurant meals, and social events. Eating out poses a great risk since despite offering a “gluten-free” menu, many establishments (restaurants, school canteens, etc.) do not strictly follow the rules to avoid cross-contamination. If gluten suppression is not complete and maintained for life, intestinal mucosal damage, immune activation, and the risk of developing very serious health complications persist. The strict gluten-free diet appears to have a protective role against the development of cancers in celiacs and is the only option to prevent certain rare, highly aggressive cancers. However, delay in the diagnosis of celiac disease increases the likelihood of developing malignancy. The protective effect is most effective when the gluten-free diet is initiated at an early age, especially during the first year of life.

None of the methods used to date (2018) to evaluate strict adherence to the gluten-free diet is objective or reliable: patient questionnaires, symptom assessment, determination of celiac-specific antibodies, and findings in duodenal biopsies. Neither the absence of digestive symptoms nor the negativity of antibodies guarantee recovery of intestinal mucosa, which is complicated by biopsies. This is due to the fact that lesions of the intestine usually consist of minimal changes, without atrophy of the villi, which are difficult to identify. A new method based on the detection of gluten in samples of urine or feces for professional use has been available since 2017 and, since January 2018, in a version for domestic use, which has demonstrated its effectiveness in scientific studies to control compliance with the diet and detect trace contamination.

Spanish gluten free store: GlutenFreeSmartStore.com/es/