GlutenFreeSmartStore.com
Healthy Store
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
- 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.
- CLAIMS: Vegan & Cruelty Free. Free from gluten, silicones, parabens, oil, fragrance, alcohol, & microplastic particles. Made in Luxembourg.
- 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.
Dr. Formulated Probiotics for Women & Prebiotics, 50 Billion CFU for Women’s Daily Digestive Vaginal & Immune Health, Garden of Life 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 and 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 and 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 plus PROBIOTIC: Proudly doctor formulated, Third Party Certified Non GMO, NSF Gluten Free and Carbon Neutral and Vegetarian, Dairy Free and Soy Free; Capsules may be opened and probiotic powder mixed in your favorite juice or water
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.
Liquid I.V. Hydration Multiplier - Lemon Lime - Powder Packets | Electrolyte Drink Mix | Easy Open Single-Serving | Non-GMO | 16 Stick
- Hydration Multiplier is a great-tasting, non-GMO electrolyte drink mix powered by CTT to deliver hydration to the bloodstream faster and more efficiently than water alone. With a sunny mix of citrus notes, Lemon Lime is equal parts zesty and refreshing.
- Cellular Transport Technology, or CTT, is the breakthrough delivery system, used in all of our products, designed to enhance rapid absorption of water and other key ingredients into the bloodstream.
- Non-GMO and made with premium ingredients, Hydration Multiplier Electrolyte Powder Drink Mix contains 5 essential vitamins including Vitamins B3, B5, B6, B12 and Vitamin C. It's also gluten-free, soy-free, and dairy-free.
- CONVENIENCE Single-serving, travel-friendly packets are easy to enjoy on the go. Pour one easy-to-open packet into 16 oz of water, mix or shake, and hydrate.
- With each purchase you make, we donate a serving to someone in need around the world. Liquid I.V. provides much-needed hydration in disaster zones, hospitals, impoverished communities, and emergency living quarters across the globe. Since 2015, we have donated over 19 million servings.
Nature’s Way Sambucus Elderberry Gummies, Immune Support Gummies*, Black Elderberry with Vitamin C, Vitamin D and Zinc, 60 Gummies
- Nature's Way Sambucus Elderberry Gummies support immune health with high potency vitamins C & D, and an excellent source of zinc. Gummies also contain highly concentrated (64x) black elderberry extract made from 3,200 mg of elderberries per serving.
- Elderberries have naturally-occurring anthocyanins, which provide antioxidant support.* Antioxidants help neutralize free radicals.* Elderberries have been used for centuries for traditional immune support you can enjoy all year long.*
- Adults and children 4 years of age and older chew 2 gummies daily. Great tasting gummies for the whole family!
- Made with wholesome ingredients: Gummies are made with pectin, not gelatin, and sweetened with organic tapioca and cane sugar. Gluten-free with no yeast-derived ingredients, wheat, dairy, eggs, peanut, or artificial colors.
- Nature’s Way is a trusted health partner that believes healthy starts inside, with supplements that support your immune system health.*
TheraBreath Fresh Breath Dentist Formulated Oral Rinse, Icy Mint, 16 Fl Oz (Pack of 2)
- Fight and Breath: Our Fresh Breath Oral Rinse is a dentist-formulated mouthwash that targets sulfur-producing bacteria to help Fight and Breath. Clinically proven to be effective for up to 24 hours
- Restore Confidence: Our Icy Mint mouthwash uses clinically-proven oxygenating ingredients to help fight the bacteria that cause bad breath odor and stop sour, bitter, and metallic tastes in your mouth
- Premium Oral Care: Our solution-oriented line of toothpastes, mouthwashes, breath sprays, tonsil stone kits, pet care products, and more can help your whole family get the oral hygiene support you need
- Professional-Grade Products: TheraBreath's line of dentist-formulated toothpastes, mouthwashes, and other products are designed to help address halitosis, cavity prevention, gum disease, and more
- Trusted Quality: Started in 1994 by dentist Dr. Harold Katz, TheraBreath has continued to innovate, delivering an extensive line of the highest-quality oral care products for you and your family
Airheads Candy Bars, Variety Bulk Box, Chewy Full Size Fruit Taffy, Gifts, Holiday, Parties, Concessions, Pantry, Non Melting, Party, 60 Individually Wrapped Full Size Bars
- CONTAINS: Unwrap the fun and play delicious with this 60-count, six-flavor bulk variety pack of Airheads individually wrapped full-sized candy bars
- 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
- INTRO: Get crafty with your treats at playtime. Airheads are the chewy non-melting candy sure to satisfy any sweet tooth
- FLAVOR: Your taste buds can’t get enough of these flavors: Cherry, Watermelon, Blue Raspberry, White Mystery, Grape, and Orange
- OCCASION: Stash a few in lunch boxes, dress up a wedding candy bar, do some crafts with the family, or stock up for concession stands
- ALLERGY: These candies are peanut and tree nut free, gluten free, and kosher. A great treat for the classroom
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, 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
- Contains: Milk and Soy
LMNT Keto Electrolyte Powder Packets | Paleo Hydration Powder | No Sugar, No Artificial Ingredients | Variety Pack | 12 Stick Packs
- THE BEST ELECTROLYTE DRINK MIX EVER: LMNT is a tasty electrolyte drink mix with everything you need and nothing you don't. LMNT is perfect for anyone interested in a keto, low-carb or intermittent fasting lifestyle, and a gluten-free diet. Our electrolyte supplement fights against the low-carb fatigue and keto fog to keep energy levels high
- WINTER HYDRATION NEEDS: Hydration is critical during the colder months; due to drier air, cold-induced diuresis, or a simple lack of water, it's important to stay salty year round. When spending time at or below freezing temps, be mindful that you likely need to intake more electrolytes even when you're not necessarily feeling thirsty
- INGREDIENTS THAT WORK FOR YOU: At LMNT, we like to cut through the BS. We are committed to no sugar, no gluten, no fillers, and no artificial ingredients. Our products are carefully formulated with the perfect ratio of sodium, potassium, and magnesium
- DEVELOPED BY ROBB WOLF AND KETOGAINS. Traditional electrolyte drinks don't meet the standards of our active life, so we created LMNT with zero sugar, fillers, or artificial ingredients. Born from a need, backed by science, and built for you
- HOW TO USE: Mix one packet with 16 ounces of water (or more, depending on preference). May not be suitable for those following a low-sodium diet or those directed by a physician to follow a low-sodium diet
CELSIUS Official Variety Pack, Functional Essential Energy Drink, 12 Fl Oz (Pack of 12)
- Functional, Essential Energy with 200mg Caffeine to help you LIVE FIT
- Made with Premium, Proven Ingredients and 7 Essential Vitamins
- No Sugar, No Sodium
- No High Fructose Corn Syrup, No Aspartame, No Artificial Flavors or Colors
- Gluten-Free, Kosher, Non-GMO, & Certified Vegan
OLLY Probiotic + Prebiotic Gummy, Digestive Support and Gut Health, 500 Million CFUs, Fiber, Adult Chewable Supplement for Men and Women, Peach, 30 Day Supply - 30 Count
- OLLY PROBIOTIC + PREBIOTIC: These chewable adult probiotics deliver a powerful combination of live Probiotics and Prebiotic Fiber to help keep your natural flora and digestion balance
- 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
- THE GOODS INSIDE: 500 million CFU of Bacillus Coagulans work with your body’s natural bacteria to support a healthy digestive tract and immune system. Prebiotics nourishes your good bacteria so it can thrive and work more efficiently in your body
- HOW TO TAKE: Chew one gummy daily, no food or water needed
- NATURALLY DELICIOUS: These probiotic prebiotic gummies come in naturally flavored Peachy Peach with no artificial colors or flavors and are gluten free. 30 gummies per bottle (30 day supply)
- MIX AND MATCH: Delightful and delicious OLLY gummies can be taken together—mix and match as you please
Liquid I.V. Hydration Multiplier - Passion Fruit - Hydration Powder Packets | Electrolyte Drink Mix | Easy Open Single-Serving Stick | Non-GMO | 16 Sticks
- Hydration Multiplier is a great-tasting, non-GMO electrolyte drink mix powered by CTT to deliver hydration to the bloodstream faster and more efficiently than water alone. Passion Fruit is equal parts invigorating and refreshing with hints of honey and berry flavors.
- Cellular Transport Technology, or CTT, is the breakthrough delivery system used in all Liquid I.V. products, designed to enhance rapid absorption of water and other key ingredients into the bloodstream.
- Non-GMO and made with premium ingredients, Hydration Multiplier Electrolyte Powder Drink Mix contains 5 essential vitamins including Vitamins B3, B5, B6, B12 and Vitamin C. It's also gluten-free, soy-free, and dairy-free.
- CONVENIENCE Single-serving, travel-friendly packets are easy to enjoy on the go. Pour one easy-to-open packet into 16 oz of water, mix or shake, and hydrate.
- With each purchase you make, we donate a serving to someone in need around the world. Liquid I.V. provides much-needed hydration in disaster zones, hospitals, impoverished communities, and emergency living quarters across the globe. Since 2015, we have donated over 19 million servings.
Life Extension Neuro-mag Magnesium L-threonate, Magnesium L-threonate, Brain Health, Memory & Attention, Gluten Free, Vegetarian, Non-GMO, 90 Vegetarian Capsules
- Memory, focus & cognitive boost - Magnesium is essential for overall brain performance, but not all magnesium supplements are easy to absorb. But magnesium L-threonate is! This highly absorbable form of bioavailable magnesium can cross the blood-brain barrier, supporting brain cell communication and signaling pathways associated with learning, memory and focus.
- Maintain ideal magnesium levels - Magnesium does wonders for your brain, but unfortunately, most of us don’t get enough magnesium from our diets. That’s why supplementing with high-absorption magnesium is a great complement to your brain-friendly lifestyle choices!
- Keep your brain at its best - Your daily activities demand focus and adequate attention span. Still, over time, the little details can slip your mind and you find yourself looking for sunglasses on your head. Our magnesium L-threonate cognitive supplement helps maintain the crucial connections between your brain cells so your memory stays razor-sharp.
- Ingredients matter - Sourced using only the finest raw ingredients with the purity and potency your body deserves. The majority of our products are non-GMO, gluten-free and manufactured in the USA—and a Certificate of Analysis is available for every product we produce.
- Live your healthiest life - For over 40 years, we’ve been developing advanced, effective formulas made with the highest standards and based on the latest scientific findings. We believe the answers to a healthier, richer life are within reach, and that rigorous scientific research is the path to get us there. That’s why so many of our nutritional formulas are designed using specific ingredients and amounts based on scientific studies.
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
- FLAVOR NEUTRAL FAVORITE: Chia seeds are a kitchen essential that many people don’t know about. You can add chia seeds to just about any food without having to worry about it upsetting the flavor of your dish. Because they are tasteless, you can use chia seeds to add texture to your food without drowning out the original flavor of your dish
- BLEND, BAKE, OR SHAKE: When it comes to the uses for our chia seeds, the possibilities are endless. Mix into baked goods like bread and muffins to add a little added crunch of protein and fiber. You can also sprinkle the seeds as a topping on some yogurt, pudding, salads, oatmeal, granola, or cereal for a satisfying snack
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 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
- UNSURPASSED QUALITY AND VALUE: Using the latest breakthroughs in nutritional science and the finest ingredients, Nature’s Bounty provides supplements of unsurpassed quality and value
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
- Ideal for healthy, on the go nutrition for men, women, and kids. These are great for meal replacement, smoothie boosters, muscle recovery, and pre or post workouts
Welch's Fruit Snacks Mixed Fruit, 0.9 oz, 40 Ct
- 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)
- Gluten free, fat free & preservative free
- Perfect tasty snack for school lunches, sporting games, the office and more
Better Body Co. Original Provitalize | Natural Menopause Probiotics for Weight Gain, Hot Flashes, Night Sweats, Low Energy, Mood Swings, Gut Health. Unique Probiotics Formula
- BENEFITS: Just 2 capsules a day helps you improve gut health, soothe bloating and indigestion. Natural herbs keep night sweats at bay, ease joint pains.
- INGREDIENTS: Thermogenic Probiotic blend (L.Gasseri, B.Breve, B.Lactis) 68.2 billion CFUs per serving, Turmeric Curcumin standardized to 95% curcuminoids, 100% organic Moringa Oleifera leaf extract, pure Curry Leaf extract, Bioperine black pepper extract, Sunflower Lecithin Booster, DRCaps
- DIETARY FEATURES: This menopause supplement bundle is 100% natural, soy-free, gluten-free & GMO-Free. Hormone & estrogen free.
- RETURN POLICY: Our products are meant to be consumed within 30 days after opening thus we are not accepting returns to ensure that only the highest quality products go to our customers. If you have any concerns, send us a message by reporting a problem with your order, select 'Other issue' as the reason, and select 'Contact seller'. Our dedicated Customer Service team will get back to you within 24 hours!
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/
