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Gluten-free diet in a law trap: how long will celiac patients wait to see a change of the legislation?


Authors: P. Makovický 1;  G. Samasca 2;  H. J. Freeman 3;  P. Makovický 4
Authors‘ workplace: Laboratórium veterinárnej histopatológie v Komárne, Slovenská republika 1;  Department of Immunology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania 2;  Department of Medicine (Gastroenterology), Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada 3;  Katedra biológie, Pedagogická fakulta, Univerzita J. Selyeho, Komárno, Slovenská republika 4
Published in: Reviz. posud. Lék., 20, 2017, č. 2, s. 65-73
Category: Original Articles, Review Articles, Case Reports

Overview

A gluten-free diet represents the only therapy available for celiac disease, an immune-mediated small intestinal mucosal disorder that occurs in genetically-predisposed persons. By definition, a gluten-free diet assumes that each food component is gluten-free, or alternatively, that all pre-existing gluten has been secondarily removed from the food prior to dietary consumption. Even a small amount of gluten may be toxic and may launch an immune reaction that causes morphological change in the cellular level of the small bowel mucosa. We are presenting legislative proposal that would eventually be improved to clarify the production of gluten-free foods. Then, we propose some changes in the social system, including social support for people with celiac disease. Authorities with decision making and legislative power need to consider the impact of celiac disease in their nations, and the importance of providing support to affected individuals.

Keywords:
gluten-free diet – celiac disease – legislative – gluten – cereals – nutrition


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