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recommend\ta\tnew\tlower\tosmolality\tsolution\tat\t245\tmOsm/L\twith\tdecreased\tconcentrations\tof\tboth\nglucose\t(13.5\tg/L)\tand\tsodium\t(75\tmEq/L),\tas\tit\twas\tshown\tto\tresult\tin\tgreater\twater\tabsorption\tin\nchildren\twith\tnoncholera\tdiarrhea\t(\nSuh\tet\tal,\t2010\n;\t\nWHO\t2002\n;\t\nWHO\t2006\n)....
[ -0.037040866911411285, -0.014618432149291039, 0.037612054497003555, -0.024977294728159904, -0.023525524884462357, 0.0022694545332342386, 0.09426151216030121, 0.056905485689640045, -0.05076667293906212, 0.017876001074910164, 0.07029972970485687, -0.014178313314914703, 0.04478229209780693, 0...
;\t\nWHO\t2006\n).\nOverall,\twhen\treduced-osmolarity\tORS\tis\tused\tfor\n\tchildren\twith\tacute\tdiarrhea,\tit\tresults\tin\ndecreased\tneed\tfor\tintravenous\ttherapy,\tsignificant\treduction\tin\tstool\toutput,\tand\tdecreased\nvomiting\tcompared\twith\tstandard\tWHO-recommended\tORS\t(\nAtia\tand\tBuchman,\t2009...
[ -0.017573047429323196, -0.0076003847643733025, 0.03867460787296295, -0.030052507296204567, -0.08779741078615189, 0.015283799730241299, 0.06399184465408325, 0.012245867401361465, -0.00013039277109783143, 0.05535731464624405, 0.11374230682849884, -0.011527865193784237, 0.03375111520290375, 0...
Atia\tand\tBuchman,\t2009\n).\tCommercial\nsolutions\tsuch\tas\tPedialyte,\tInfalyte,\tLytren,\tEqualyte,\tand\tRehydralyte\ttypically\tcontain\tless\tglucose\nand\tslightly\tless\tsalt\tthan\tthe\tWHO-ORS\tformulation\tand\tare\tavailable\n\tin\tpharmacies,\toften\twithout\na\tprescription.\tOral\trehydration\ttherapy...
[ 0.01553955115377903, -0.05166350305080414, 0.03420616686344147, -0.007635236717760563, -0.09695751219987869, 0.0004297823179513216, 0.10402201861143112, 0.011320240795612335, 0.013757243752479553, 0.057569459080696106, 0.08210115134716034, -0.033188022673130035, 0.02341374382376671, 0.0406...
rehydration\tand,\twhen\tused\twith\tchildren,\tallows\tparents\tto\tassist\twith\ttheir\tchildren’s\trecovery.\nHowever,\tclose\tattention\tmust\tbe\tpaid\tto\tthe\tactual\telectrolyte\tcontent,\tas\tmany\tso-called\tORS\tare\nnot\tuseful\tfor\trehydration.\tSee\t\nTable\t27.2\n\tfor\tORS\trecipes\tthat\tcan\tbe\tused...
[ -0.019329946488142014, -0.02185097523033619, 0.09599975496530533, -0.031640589237213135, -0.10302530974149704, -0.024736860767006874, 0.12538497149944305, -0.014368499629199505, 0.00034685421269387007, 0.027533896267414093, 0.07839296758174896, -0.02522040158510208, 0.03409048542380333, 0....
for\tORS\trecipes\tthat\tcan\tbe\tused\n\tto\tcreate\tthe\tformula\tat\nhome.\tCommercial\tsports\tdrinks\t(i.e.,\tGatorade)\twithout\tthe\tadded\tsalt\tare\tnot\trecommended.\nTABLE\t27.2\nOral\tRehydration\tSolution\t(ORS)\tRecipes\n*\n2\tcups\tGatorade,\t2\tcups\twater,\t¾\ttsp\tsalt\n28\tg\tglucose,\t82\tmEq\tNa,\t...
[ -0.06417565792798996, -0.04254796355962753, 0.013308401219546795, -0.09502154588699341, -0.1103401854634285, -0.044857144355773926, 0.05178768187761307, 0.022991647943854332, -0.010656367987394333, 0.01467591617256403, 0.0391724593937397, -0.031436171382665634, 0.047804493457078934, 0.0314...
or\n1\tquart\twater,\t¾\ttsp\tsalt,\t6\ttsp\tsugar\n24\tg\tglucose,\t76\tmEq\tNa,\t0\tmEq\tK\n*\nEach\tmakes\t1\tliter\tand\tshould\tbe\tmade\tfresh\tevery\t24\thours.\nData\tfrom\tKrenitsky\tJ,\tMcCray\tS:\t\nUniversity\tof\tVirginia\tHealth\tSystem\tNutrition\tSupport\tTraineeship\tSyllabus,\n\tCharlottesville,\tVA,\...
[ -0.02466636709868908, -0.038398999720811844, 0.05901845917105675, -0.03458673506975174, -0.13445894420146942, -0.03446348011493683, -0.02708796225488186, -0.04541328176856041, -0.02585839293897152, -0.01039203256368637, 0.07077348232269287, -0.043609801679849625, 0.02181733027100563, 0.028...
Charlottesville,\tVA,\t2010,\tUniversity\tof\nVirginia\tHealth\tSystem;\tRecipes\tfrom\tParrish\tCR:\tThe\tclinician’s\tguide\tto\tshort\tbowel\tsyndrome,\t\nPract\tGastroenterol\n\t29:67,\t2005.\nA\tsubstantial\tproportion\tof\tchildren\t9\tto\t20\tmonths\tof\tage\tcan\tmaintain\tadequate\tintake\twhen\noffered\teithe...
[ 0.03761189803481102, -0.03802189230918884, 0.041763342916965485, -0.009817575104534626, -0.09127403050661087, 0.019234463572502136, 0.004652349278330803, -0.051295895129442215, -0.021699462085962296, -0.0004304387839511037, 0.04299234598875046, -0.054647043347358704, 0.023255644366145134, ...
offered\teither\ta\tliquid\n\tor\ta\tsemisolid\tdiet\tcontinuously\tduring\tbouts\tof\tacute\tdiarrhea.\tEven\tduring\nacute\tdiarrhea,\tthe\tintestine\tcan\tabsorb\tup\tto\t60%\tof\tthe\tfood\teaten.\tSome\tpractitioners\thave\tbeen\nslow\tto\tadopt\tthe\tpractice\tof\tearly\trefeeding\tafter\tsevere\tdiarrhea\tin\tin...
[ -0.011758276261389256, -0.033161960542201996, 0.052538324147462845, 0.007049032486975193, -0.10525178909301758, 0.03082166239619255, 0.05749966949224472, 0.019197875633835793, -0.0014377495972439647, 0.032430294901132584, 0.056887321174144745, -0.03681914135813713, 0.0392555296421051, 0.02...
“resting\tthe\tgut”\tis\tactually\tmore\tdamaging.\nGastrointestinal\tstrictures\tand\tobstruction\nPathophysiology\nPatients\n\twith\tgastroparesis,\tadhesions,\thernias,\tmetastatic\tcancers,\tdysmotility,\tor\tvolvulus\tare\nprone\tto\tobstruction,\twhich\tcan\tresult\tin\tpartial\tor\tcomplete\tblockage\tof\tmoveme...
[ 0.025620201602578163, -0.09682488441467285, 0.029629789292812347, 0.00838504172861576, -0.12654346227645874, 0.02043602243065834, 0.0635179877281189, 0.02889212779700756, 0.010928655974566936, 0.07696878165006638, 0.08156856894493103, -0.010805918835103512, -0.005496379919350147, 0.0726990...
through\tthe\tintestines.\tObstructions\tmay\tbe\tpartial\tor\tcomplete\tand\tmay\toccur\tin\tthe\tstomach\n(gastric\toutlet\tobstruction),\tsmall\tintestine,\tor\tlarge\tintestine.\tSymptoms\tinclude\tbloating,\tabdominal\ndistention\tand\n\tpain,\tnausea,\tand\tvomiting.\nObstructions\tare\tnot\tusually\tcaused\tby\t...
[ 0.04387605935335159, -0.06050257012248039, 0.05167512595653534, -0.023074708878993988, -0.0806274488568306, -0.02290184050798416, 0.10782116651535034, -0.01468710508197546, -0.014858053997159004, 0.07159946113824844, 0.09307584166526794, -0.044734396040439606, 0.03698280081152916, 0.045656...
have\tnot\tfound\tthat\teating,\tdiet,\tand\tnutrition\tplay\ta\trole\tin\tcausing\tor\tpreventing\tthe\tfrequency\tof\nobstructive\tsymptoms\tin\tthis\tpopulation.\tHowever,\twhen\tsections\tof\tthe\tGI\ttract\tare\tpartially\nobstructed\tor\tnot\tmoving\tnormally,\tfoods\tmay\tcontribute\tto\tobstruction.\tIn\n\tthes...
[ 0.0057474300265312195, -0.05121728032827377, 0.06310437619686127, -0.0403381884098053, -0.07016513496637344, 0.02710493840277195, 0.10704368352890015, -0.03095809742808342, -0.01281858328729868, 0.06394897401332855, 0.11521065980195999, -0.045516639947891235, 0.060116104781627655, 0.017274...
these\tindividuals\twith\ta\ncompromised\tGI\ttract,\tit\tis\tbelieved\tthat\tfibrous\tplant\tfoods\tcan\tcontribute\tto\tobstruction\tbecause\nthe\tfiber\tin\tthe\tfoods\tmay\tnot\tbe\tcompletely\tchewed\tto\tpass\tthrough\tnarrowed\tsegments\tof\tthe\tGI\ntract.\nMedical\tnutrition\ttherapy
[ 0.03174380213022232, -0.03937944024801254, 0.04986932501196861, -0.01795121282339096, -0.08462133258581161, 0.014150088652968407, 0.10608262568712234, -0.02367084100842476, 0.017012616619467735, 0.06125422567129135, 0.1306743323802948, -0.04912101477384567, 0.04700786992907524, -0.00009558...
tract.\nMedical\tnutrition\ttherapy\nMost\tclinicians\twould\trecommend\tpatients\tprone\tto\tobstructions\tto\tchew\tfood\tthoroughly\tand\tavoid\nexcessive\tfiber\tintake,\tlimiting\tintake\tto\n\tfoods\twith\tless\tthan\t3\tgrams\tof\tfiber\tper\tserving\tor\tno\tmore\nthan\t10\tgrams\tper\tday.\tA\tpatient\twith\ta...
[ 0.050244346261024475, -0.08419524133205414, 0.0309592392295599, -0.032506853342056274, -0.11912747472524643, -0.006652361247688532, 0.05035049840807915, 0.0014761333586648107, 0.0009714820771478117, 0.021597562357783318, 0.11563736945390701, 0.01320415548980236, 0.08447608351707458, 0.0152...
restricted-fiber\tdiet\tand\tliquids,\tdepending\ton\tthe\tlocation\tof\tthe\tstricture\tor\tobstruction\tin\tthe\tGI
[ 0.0027931227814406157, -0.055463891476392746, 0.017506329342722893, -0.04276096075773239, -0.0708102285861969, 0.0075963204726576805, 0.07209695875644684, -0.012429634109139442, -0.00483760004863143, 0.022357527166604996, 0.12634362280368805, 0.03204534575343132, -0.02552153915166855, 0.07...
tract.\tA\tmore\tproximal\t(closer\tto\tthe\tmouth)\tblockage\tmay\trequire\ta\tsemisolid\tor\tliquid\tdiet.\nHowever,\tthe\tmore\tdistal\t(closer\tto\tthe\tanus)\tthe\n\tblockage,\tthe\tless\tlikely\taltering\tthe\tconsistency\tof\nthe\tdiet\twill\thelp.\tSymptoms\tare\tmore\tsevere\tduring\tcomplete\tobstruction.\tPa...
[ 0.046058397740125656, -0.06367335468530655, 0.045973099768161774, -0.042177025228738785, -0.15419505536556244, -0.011439893394708633, 0.030124805867671967, 0.007929747924208641, 0.057957589626312256, 0.026542261242866516, 0.12421729415655136, -0.00517458887770772, 0.04212421923875809, 0.04...
intolerant\tof\toral\tintake\tand\tof\ttheir\town\tsecretions\tleading\tto\tprogressive\tdehydration,\telectrolyte\nimbalance,\tand\tsystemic\ttoxicity.\tInitial\ttreatment\tconsists\tof\taggressive\tfluid\tresuscitation,\nnasogastric\tdecompression,\tand\tadministration\tof\tanalgesics\n\tand\tantiemetics.
[ 0.04359717294573784, -0.07494363188743591, 0.025905447080731392, -0.014696461148560047, -0.11154764145612717, -0.01677597686648369, 0.10912394523620605, 0.021279674023389816, -0.013308740220963955, 0.0810357928276062, 0.08958736807107925, -0.04551661014556885, -0.010257920250296593, 0.0382...
and\tantiemetics.\nPatients\twith\tcomplete\tbowel\tobstruction\tmay\trequire\tsurgical\tintervention.\tIn\tsome\tcases,\tenteral\nfeeding\tbeyond\tthe\tpoint\tof\tobstruction\tmay\tbe\tfeasible,\tbut\tif\tenteral\tfeeding\tis\tnot\tpossible\tfor\ta\nprolonged\tperiod,\tPN\tmay\tbe\tneeded.\tWorking\twith\tthe\tpatient...
[ 0.05417767912149429, -0.05782531946897507, 0.06315523386001587, -0.031083300709724426, -0.12687267363071442, 0.0028278774116188288, 0.07981347292661667, 0.0014501281548291445, 0.02475879155099392, 0.03214636072516441, 0.10840864479541779, -0.0003387178585398942, 0.028481844812631607, 0.067...
determine\tthe\tnature,\tsite,\tand\tduration\tof\tthe\tobstruction\tso\tthat\tnutrition\ttherapy\n\tcan\tbe\nindividualized.\nDiseases\tof\tthe\tsmall\tintestine\nCeliac\tdisease\t(gluten-sensitive\tenteropathy)\nThe\tprevalence\tof\t\nceliac\tdisease\t(CD)\n\thas\tbeen\tunderestimated\tin\tthe\tpast\tand\tnow\tis\tco...
[ 0.017082400619983673, -0.06923134624958038, 0.03368433192372322, 0.011700049042701721, -0.07323674112558365, 0.00449653435498476, 0.0906263068318367, 0.06355158239603043, -0.05308852717280388, 0.06725858151912689, 0.10745041817426682, -0.022108014672994614, -0.007264953572303057, 0.0696310...
has\tbeen\tunderestimated\tin\tthe\tpast\tand\tnow\tis\tconsidered\nto\taffect\t0.3%\tto\t0.9%\tof\tthe\tpopulation\tin\tthe\tUnited\tStates\tand\tvaries\tby\trace\tand\tethnicity,\twith\ta\nmarked\tpredominance\tamong\tnon-Hispanic\twhites.\tWorldwide\tincidence\tof\tCD\tis\tabout\t1%\t(\nLeonard\net\tal,\t2017
[ 0.07566011697053909, -0.033362291753292084, 0.05545295774936676, -0.023963896557688713, -0.04047251120209694, 0.010165097191929817, 0.066164530813694, -0.04866182431578636, -0.030880719423294067, 0.036515772342681885, 0.12158903479576111, -0.07653415948152542, -0.020114615559577942, 0.0042...
Leonard\net\tal,\t2017\n).\tThe\tonset\tand\tfirst\toccurrence\tof\tsymptoms\tmay\tappear\tany\ttime\tfrom\tinfancy\tto\nadulthood.\tThe\tdisease\tmay\tbecome\tapparent\twhen\tan\tinfant\tbegins\teating\tgluten-containing\ncereals.\tIn\tsome,\tit\tmay\tnot\tappear\tuntil\tadulthood,\twhen\tit\tmay\tbe\ttriggered\tor\tu...
[ -0.018644489347934723, -0.0557413324713707, 0.12359408289194107, -0.03470057249069214, -0.08086773753166199, 0.044740453362464905, 0.1195048987865448, -0.03613688796758652, -0.018276821821928024, 0.011229618452489376, 0.0369395911693573, -0.018778884783387184, 0.03521859645843506, -0.01349...
surgery,\tstress,\tpregnancy,\tor\tviral\tinfection.\tIt\tmay\tbe\tdiscovered\tas\ta\tresult\tof\tevaluation\tfor\nanother\tsuspected\n\tproblem\t(such\tas\tconstipation,\tabdominal\tpain,\tunexplained\tanemia).\nEtiology\nThe\tpresentation\tin\tyoung\tchildren\tis\tlikely\tto\tinclude\tthe\tmore\t“classic”\tGI\tsympto...
[ -0.017480285838246346, -0.016011139377951622, 0.062467582523822784, -0.005782080348581076, -0.09623948484659195, 0.010979964397847652, 0.1000726968050003, 0.024574028328061104, -0.0027556875720620155, 0.03732166439294815, 0.07071781903505325, -0.015594704076647758, -0.0019015816505998373, ...
steatorrhea,\tmalodorous\tstools,\tabdominal\tbloating,\tfatigue,\tand\tpoor\tweight\tgain.\tAn\tincreasing\nnumber\tof\tpatients\tare\tbeing\tdiagnosed\twith\textraintestinal\tsymptoms\t(such\tas\theadache,\tbrain\n“fog,”\tanemia,\treduced\tbone-mineral\n\tdensity,\tchronic\tfatigue,\tdental\tenamel\thypoplasia,\telev...
[ 0.013707829639315605, -0.010564993135631084, 0.08135535567998886, 0.016127662733197212, -0.09229693561792374, -0.0026634333189576864, 0.1389991194009781, 0.020100193098187447, -0.025402706116437912, 0.014111383818089962, 0.09646930545568466, -0.04826514422893524, 0.008656494319438934, -0.0...
density,\tchronic\tfatigue,\tdental\tenamel\thypoplasia,\televated\nliver\tenzymes).\tA\trecent\tstudy\tfound\tthat\tonly\t34%\tof\tpediatric\tpatients\tpresented\twith\tclassic\nsymptoms\tof\tCD\tand\t43%\tof\tpatients\thad\tnonclassic\tsymptoms\t(\nAlmallouhi\tet\tal,\t2017\n).\tCD\nfrequently\tis\tmisdiagnosed\tas\t...
[ 0.024083809927105904, -0.06764564663171768, 0.014690819196403027, -0.04165711998939514, -0.11659263074398041, -0.04633794724941254, 0.05752190202474594, 0.05540366843342781, -0.011702763848006725, 0.008763314224779606, 0.08631333708763123, -0.0030907844193279743, 0.02994094043970108, 0.066...
necessarily\tinvolving\tthe\tGI\ttract,\tbecause\tthe\tpresentation\n\tand\tonset\tof\tsymptoms\tvary\tso\tgreatly.\nPatients\tmay\tpresent\twith\tone\tor\tmore\tof\ta\thost\tof\tconditions\tassociated\twith\tCD:\tanemias,\ngeneralized\tfatigue,\tweight\tloss\tor\tfailure\tto\tthrive,\tosteoporosis,\tvitamin\tor\tminer...
[ 0.031178172677755356, -0.042273249477148056, 0.018857469782233238, 0.01679285243153572, -0.10027813911437988, -0.0013564026448875666, 0.05204511061310768, 0.025289330631494522, -0.04765339195728302, 0.004600541200488806, 0.0817120224237442, 0.01805105246603489, 0.006984537933021784, -0.003...
and\t(although\trare)\tGI\tmalignancy.\t\nDermatitis\therpetiformis\n,\tyet\tanother\tmanifestation\tof\tCD,\npresents\tas\tan\titchy\tskin\trash;\tits\tpresence\tis\tdiagnostic\tof\tCD.\t\nBox\t27.6\n\tlists\tconditions\tassociated\nwith\tCD.\tPersons\twho\tare\tdiagnosed\tlate\tin\tlife,\twho\tcannot\tor\twill\tnot\t...
[ 0.011174684390425682, -0.04423455521464348, 0.06024714559316635, -0.030337218195199966, -0.10901466012001038, -0.01084164623171091, 0.1310754269361496, -0.0444222018122673, 0.023912817239761353, 0.04975896701216698, 0.09108822047710419, -0.03605581447482109, 0.06922734528779984, 0.02399374...
were\tdiagnosed\tas\tchildren\tbut\ttold\tthey\twould\tgrow\tout\tof\tit,\tare\tat\ta\thigher\trisk\tfor\texperiencing\nlong-term\tcomplications\tfrom\tCD\t(\nNachman\tet\tal,\t2010\n).\nBOX\t27.6\nSymptoms\tand\tConditions\tAssociated\tWith\tCeliac\tDisease\nNutritional\nAnemia\t(iron\tor\tfolate,\n\trarely\tB\n12\n)
[ 0.022729963064193726, 0.0005089499172754586, 0.04975465312600136, 0.013286840170621872, -0.0834837406873703, 0.029257480055093765, 0.06360220909118652, 0.009094079956412315, -0.0635325014591217, 0.043170273303985596, 0.08465440571308136, -0.052977897226810455, -0.003564178477972746, 0.0055...
Nutritional\nAnemia\t(iron\tor\tfolate,\n\trarely\tB\n12\n)\nOsteomalacia,\tosteopenia,\tfractures\t(vitamin\tD\tdeficiency,\tinadequate\tcalcium\tabsorption)\nCoagulopathies\t(vitamin\tK\tdeficiency)\nDental\tenamel\thypoplasia\nDelayed\tgrowth,\tdelayed\tpuberty,\tunderweight\nLactase\tdeficiency\nExtraintestinal\nFa...
[ -0.007815159857273102, -0.03878885507583618, -0.005309729836881161, 0.026671158149838448, -0.04887237027287483, 0.023661747574806213, 0.050526730716228485, 0.03086915984749794, -0.08386660367250443, 0.022112125530838966, 0.054001010954380035, -0.028156859800219536, 0.024056799709796906, -0...
Extraintestinal\nFatigue,\tmalaise\t(sometimes\tdespite\tlack\tof\tanemia)\nArthritis,\tarthralgia\nDermatitis\therpetiformis\nInfertility,\tincreased\trisk\tof\tmiscarriage\nHepatic\tsteatosis,\thepatitis\nNeurologic\tsymptoms\t(ataxia,\tpolyneuropathy,\tseizures);\tmay\tbe\tpartly\tnutrition\trelated\nPsychiatric\tsy...
[ 0.018526295199990273, -0.07427011430263519, -0.02165307104587555, 0.029843831434845924, -0.08984115719795227, -0.030128663405776024, -0.004957985132932663, 0.07057727873325348, -0.08143216371536255, 0.041372306644916534, 0.03577549010515213, 0.01785847917199135, 0.01844709739089012, -0.047...
Psychiatric\tsyndromes\nAssociated\tdisorders\nAutoimmune\tdiseases:\ttype\t1\tdiabetes,\tthyroiditis,\thepatitis,\tcollagen\tvascular\tdisease\nGastrointestinal\tmalignancy\nIgA\tdeficiency\nIgA\n,\tImmunoglobulin\tA.
[ 0.006390526425093412, -0.022713102400302887, -0.032078828662633896, 0.04368668422102928, -0.13492673635482788, -0.000391508947359398, 0.06623770296573639, 0.07376985251903534, -0.06470053642988205, 0.06677089631557465, -0.009607020765542984, -0.0325813926756382, -0.031184440478682518, 0.05...
Kupfer\tSS,\tJabri\tB:\tPathophysiology\tof\tceliac\tdisease,\t\nGastrointest\n\tEndosc\tClin\tN\tAm\n\t22:639,\t2012.\nPathophysiology\nCD,\tor\t\ngluten-sensitive\tenteropathy\n,\tis\tcharacterized\tby\ta\tcombination\tof\tfour\tfactors:\t(1)\tgenetic\nsusceptibility,\t(2)\texposure\tto\tgluten,\t(3)\tan\tenvironment...
[ -0.05675356835126877, -0.11408062279224396, 0.024281920865178108, 0.006012577097862959, -0.05612220987677574, 0.035917315632104874, 0.06627632677555084, 0.12327022850513458, -0.004845210816711187, 0.014216163195669651, 0.07744773477315903, -0.028361231088638306, 0.010023183189332485, 0.047...
response.\t\nGluten\n\trefers\tto\tspecific\tpeptide\tfractions\tof\tproteins\t(prolamins)\tfound\tin\twheat\t(glutenin\nand\tgliadin),\trye\t(secalin),\tand\tbarley\n\t(hordein).\tA\tsmall\tnumber\tof\tthose\twith\tCD\tmay\talso\treact\tto\nthe\tavenin\tprotein\tin\toats\t(\nPinto-Sanchez\tet\tal,\t2017\n).\tThese\tpe...
[ -0.05852276831865311, -0.030921252444386482, 0.00866841059178114, 0.012114159762859344, -0.03785238415002823, 0.027226939797401428, 0.08188224583864212, 0.07821435481309891, 0.004527107812464237, -0.013772385194897652, 0.09605997055768967, -0.02945028245449066, 0.02754228189587593, 0.03422...
).\tThese\tpeptides\tare\tgenerally\tmore\tresistant\tto\ncomplete\tdigestion\tby\tGI\tenzymes\tand\tmay\treach\tthe\tsmall\tintestine\tintact.\tIn\ta\tnormal,\thealthy\nintestine,\tthese\tpeptides\tare\tharmless,\tas\tthe\tintestinal\tbarrier\tis\tintact\tand\tprevents\ttranslocation\nfrom\tthe\tintestine.\tHowever,\t...
[ 0.007454514969140291, -0.04455914720892906, 0.05399668216705322, -0.039548296481370926, -0.11504006385803223, -0.000054015621572034433, 0.1262115091085434, 0.029130639508366585, 0.019275227561593056, 0.05596723407506943, 0.10669074207544327, -0.04544462263584137, 0.012378672137856483, 0.00...
with\tCD\tthese\tpeptides\ttravel\tfrom\tthe\tintestinal\tlumen,\nacross\tthe\tintestinal\tepithelium,\tand\tinto\tthe\tlamina\tpropria,\twhere\tthey\tcan\ttrigger\tan\tinflammatory\nresponse\tthat\tresults\tin\tflattening\tof\tintestinal\tvilli\tand\telongation\tof\tthe\tcrypt\tcells\t(secretory\tcells),\nalong\twith\...
[ 0.0008441279642283916, -0.016492145135998726, 0.04599001258611679, -0.0557912178337574, -0.12092071026563644, -0.00340685760602355, 0.10417299717664719, -0.014205234125256538, 0.026462309062480927, 0.07603102177381516, 0.10972874611616135, -0.06336918473243713, 0.022278955206274986, 0.0583...
Sams\tand\tHawks,\t2014\n)\t(\nFig.\t27.4\n).\tThe\n“triggers”\tthat\tcause\ta\tgenetically\tpredisposed\n\tindividual\tto\tdevelop\tCD\tare\tnot\twell\tunderstood,\tbut\nstressors\t(e.g.,\tillness,\tinflammation)\tare\tthought\tto\tplay\ta\trole.\nFIG.\t27.4\nCD\t(gluten-sensitive\tenteropathy).\t\nA,\n\tPeroral\tjeju...
[ -0.03518177196383476, -0.08453509956598282, 0.011277507059276104, 0.009479107335209846, -0.07565633952617645, 0.021675927564501762, 0.09319893270730972, 0.09071444720029831, 0.010519664734601974, 0.03512343019247055, 0.10068964958190918, 0.008774461224675179, 0.04702819511294365, 0.0275099...
A,\n\tPeroral\tjejunal\tbiopsy\tspecimen\tof\tdiseased\tmucosa\tshows\nsevere\tatrophy\tand\tblunting\tof\tvilli,\twith\ta\tchronic\tinflammatory\tinfiltrate\tof\tthe\tlamina\tpropria.\t\nB,\n\tNormal\nmucosal\tbiopsy.\n\t\nSource:\n\t(From\tKumar\tV\tet\tal:\t\nRobbins\tand\tCotran\tpathologic\tbasis\tof\tdisease\n,\t...
[ 0.0034882714971899986, -0.09134956449270248, 0.029630186036229134, -0.0673597902059555, -0.13426634669303894, 0.04820123687386513, 0.1128741055727005, 0.03255930542945862, 0.007320860400795937, 0.0732765942811966, 0.12536299228668213, -0.02235964871942997, 0.028427910059690475, 0.057887315...
,\ted\t7,\tPhiladelphia,\t2005,\nSaunders.)\nWhen\tCD\tremains\tuntreated,\tthe\timmune\tand\tinflammatory\n\tresponse\teventually\tresults\tin\tatrophy\nand\tflattening\tof\tvilli.\tOver\ttime,\tthe\tprocess\tcan\tcause\tenough\tdamage\tto\tthe\tintestinal\tmucosa\tto\ncompromise\tnormal\tsecretory,\tdigestive,\tand\t...
[ 0.014073148369789124, -0.09442119300365448, 0.04934342950582504, 0.011690285988152027, -0.11717934161424637, 0.03149374946951866, 0.10665704309940338, 0.050646696239709854, -0.007614471483975649, 0.07532604783773422, 0.09671427309513092, -0.0499173067510128, 0.03329409286379814, 0.03576954...
and\tmacronutrient\tabsorption\t(\nKupfer\tand\tJabri,\t2012\n).\tCells\tof\tthe\tvilli\tbecome\tdeficient\tin\tthe\ndisaccharidases\tand\tpeptidases\tneeded\tfor\tdigestion\tand\talso\n\tin\tthe\tcarriers\tneeded\tto\ttransport\nnutrients\tinto\tthe\tbloodstream.\tThe\tdisease\tprimarily\taffects\tthe\tproximal\tand\t...
[ 0.0245099738240242, -0.08523388206958771, 0.0208187997341156, -0.008351070806384087, -0.07575418800115585, 0.015816794708371162, 0.10508479177951813, 0.03516027331352234, 0.009807606227695942, 0.0301175806671381, 0.11016444116830826, -0.03457111865282059, 0.03685440495610237, 0.04449989646...
small\tbowel,\talthough\tthe\tmore\tdistal\tsegments\talso\tmay\tbe\tinvolved\t(\nSams\tand\tHawks,\t2014\n).\nThe\tterm\t\ngluten\tsensitivity\n\tis\tused\tcommonly\tto\tdescribe\tpersons\twith\tnonspecific\tsymptoms,\nwithout\tthe\timmune\tresponse\tcharacteristic\tof\tCD\tor\tthe\tconsequential\tintestinal\n\tdamage...
[ 0.019973279908299446, -0.06152654439210892, 0.06226914003491402, 0.003559454344213009, -0.11236151307821274, 0.001520334160886705, 0.09069310873746872, 0.013699527829885483, -0.029322361573576927, 0.10086854547262192, 0.14202144742012024, -0.03627873584628105, 0.018903717398643494, 0.01475...
damage.\t\nGluten\nintolerance\n,\talso\tcalled\tnonceliac\tgluten\tsensitivity,\tdescribes\tindividuals\twho\thave\tsymptoms\tafter\ningesting\tgluten-containing\tfoods.\tSymptoms\tmay\tbe\tisolated\tin\tthe\tgastrointestinal\ttract\tsuch\tas\nnausea,\tabdominal\tcramps,\tor\tdiarrhea;\tor\tmay\tbe\textraintestinal\ti...
[ 0.020887551829218864, -0.0439244769513607, 0.05155273154377937, -0.0012209909036755562, -0.05062507838010788, 0.011903497390449047, 0.06765910238027573, 0.10500753670930862, -0.039600398391485214, 0.04521983116865158, 0.09665945917367935, -0.00992211140692234, 0.04332570731639862, 0.048293...
generalized\tpain.\tPatients\twho\texperience\tthese\tsymptoms\tshould\tbe\tadvised\tagainst\tfollowing\n\ta\ngluten-free\t(GF)\tdiet\twithout\thaving\ta\tworkup\tto\texclude\tor\tconfirm\ta\tdiagnosis\tof\tCD\tbecause\t(1)\ntesting\tto\tdiagnose\tCD\trequires\tongoing\texposure\tto\tgluten\tin\tthe\tdiet,\t(2)\tthere\...
[ -0.03985832259058952, -0.05129043012857437, 0.032341714948415756, 0.000577508588321507, -0.11252855509519577, -0.02412143163383007, 0.10052933543920517, 0.027255158871412277, 0.03820652514696121, -0.00958722922950983, 0.11762470752000809, -0.0037040235474705696, 0.06113719940185547, 0.0322...
underlying\tmedical\tcondition\tfor\twhich\ta\tGF\tdiet\tis\tnot\tthe\ttreatment,\tand\t(3)\ta\tGF\tdiet\tcan\tbe\nexpensive\tand\trestrictive.\tNon-celiac\tgluten-sensitivity\tor\twheat\tsensitivity\tincludes\ta\treaction\n\tto\ngluten\tas\twell\tas\tother\tcomponents\tof\twheat\tsuch\tas\tfructan\t(a\tFODMAP)\t(\nGib...
[ -0.014187141321599483, -0.10268767178058624, 0.014649840071797371, 0.033728137612342834, -0.07204806804656982, -0.03463413566350937, 0.06452089548110962, 0.07360842078924179, -0.0008002775139175355, 0.015461382456123829, 0.0987977460026741, 0.005747768096625805, 0.005722901783883572, 0.039...
The\tdiagnosis\tof\tCD\tis\tmade\tfrom\ta\tcombination\tof\tclinical,\tlaboratory,\tand\thistologic\tevaluations.\nPersons\tsuspected\tof\thaving\tCD\tshould\tbe\tevaluated\tfor\tthe\toverall\tpattern\tof\tsymptoms\tand\tfamily\nhistory.\tBlood\tscreening\tfor\tcertain\tantibodies\tshould\tbe\tcompleted\tif\tsymptoms\t...
[ 0.0389908067882061, -0.026287619024515152, 0.03858377784490585, -0.03642294555902481, -0.07825776934623718, -0.028772354125976562, 0.08764586597681046, -0.00331954681314528, 0.00900758896023035, 0.06963282823562622, 0.04138902574777603, -0.07281732559204102, 0.06398242712020874, 0.05102367...
history\tmay\tindicate\tCD.\tIf\tserology\tis\tpositive,\ta\tbiopsy\tof\tthe\tsmall\tintestine\tis\tthe\tgold\tstandard\nfor\tconfirming\tdiagnosis\tof\tCD.\tAn\tintestinal\tbiopsy\tpositive\tfor\tCD\tgenerally\tshows\tvillous\tatrophy,\nincreased\tintraepithelial\tlymphocytes,\tand\tcrypt\tcell\thyperplasia.\tHowever,...
[ -0.010366709902882576, -0.038054727017879486, 0.04263996332883835, -0.03452252969145775, -0.07104655355215073, 0.0009586211526766419, 0.06993482261896133, 0.0104144886136055, -0.009275724180042744, 0.09166821092367172, 0.08721107244491577, -0.02095910534262657, 0.017444049939513206, 0.0530...
initial\tscreening\tbecause\tof\tits\tcost\tand\tinvasiveness.\nElevated\tblood\tlevels\tof\tcertain\tautoantibodies\n\tare\tfound\tin\tpeople\twith\tCD.\tTo\tscreen\tfor\tCD\nseveral\tserologic\ttests\tare\tevaluated.\tThese\ttests\tevaluate\tlevels\tof\tserum\timmunoglobin\tA\t(IgA)\nantibodies\tto\ttissue\ttransglut...
[ 0.0008275051368400455, -0.04963481426239014, 0.030773859471082687, -0.044674117118120193, -0.11269209533929825, -0.022474851459264755, 0.12253385782241821, 0.024313919246196747, -0.020710045471787453, 0.06367754191160202, 0.10393823683261871, -0.05316095054149628, 0.011112560518085957, 0.0...
specificity\tof\t77.8%\tto\t100%\t(\nLeonard\tet\tal,\t2017\n).\tThere\tis\ta\thigher\tincidence\tof\tIgA\tdeficiency\tin\npatients\twith\tCD;\tthus\tphysicians\toften\tmeasure\ttotal\tIgA\n\tlevels\twhen\tserologic\tfindings\tare\tnormal,\nbut\tthe\toverall\tclinical\tpicture\tsuggests\tCD\t(see\t\nClinical\tInsight:\...
[ 0.01587953045964241, -0.05959171801805496, 0.04421837627887726, -0.020856257528066635, -0.04699568450450897, -0.01367400772869587, 0.08053872734308243, 0.027798647060990334, -0.010295174084603786, 0.08584735542535782, 0.07737000286579132, -0.05225532874464989, 0.030717473477125168, 0.08723...
Antibody\tTesting\tfor\tCeliac\tDisease\nand\tGluten\tSensitivity\n).\tBecause\tdietary\tchange\talters\tdiagnostic\tresults,\tinitial\tevaluation\tshould\tbe\ndone\t\nbefore\n\tthe\tperson\thas\teliminated\tgluten-containing\tfoods\tfrom\this\tor\ther\tdiet.\tSerologic\ttests\nalso\tmay\tbe\tused\tto\tmonitor\tthe\tre...
[ 0.0002148623316315934, -0.046143192797899246, 0.04335938021540642, -0.06977882236242294, -0.10452210903167725, -0.03805840015411377, 0.08279392868280411, 0.04439713433384895, -0.027184374630451202, 0.04333732649683952, 0.11106278747320175, -0.014724146574735641, 0.06313957273960114, 0.0466...
newly\tdiagnosed\tpatient\ttreated\twith\ta\tGF\tdiet.\nCertain\tgenetic\ttesting\tis\tbecoming\tincreasingly\tmore\tcommon\tto\tevaluate\tfor\tHLA\tDQ2\tor\tHLA\tDQ8\ncarrier\tstatus.\tIt\tis\timportant\tto\tknow\tas\tclinicians\tthat\ta\tpositive\tresult\tfrom\tthese\ttests\tdoes\tnot\nindicate\tpresence\tof\tCD,\tno...
[ -0.004836465232074261, -0.05047748237848282, 0.03917901962995529, -0.03629546985030174, -0.09022858738899231, -0.0025901924818754196, 0.07251719385385513, 0.01304966863244772, 0.019406968727707863, 0.07263948023319244, 0.14125263690948486, -0.03369956091046333, 0.06929706037044525, 0.01091...
positive\tfor\tHLA\tDQ2,\tbut\tless\tthan\t5%\tof\tthese\tpeople\n\tdevelop\tCD\t(\nMay-Ling\tTjon\tet\tal,\t2010\n).\nCLINICAL\tINSIGHT\nAntibody\tTesting\tfor\tCeliac\tDisease\tand\tGluten\tSensitivity\nThere\tare\ttwo\tdifferent\ttypes\tof\tantibodies\tconsidered\tin\tceliac\tdisease\tdiagnosis:\tthose\twhich
[ 0.0027290612924844027, -0.02876114659011364, 0.04105336219072342, -0.03562476858496666, -0.0498407706618309, 0.009245823137462139, 0.12881404161453247, 0.009769728407263756, -0.013068811036646366, 0.07307159155607224, 0.13796809315681458, -0.08094025403261185, 0.047188565135002136, 0.05783...
are\t“antigluten,”\tand\tthose\twhich\tare\t“antiself”\t(auto-immune).\t“Antigluten”\tantibodies\tare\tthe\nantigliadin\timmunoglobulin\tG\t(IgG)\tand\timmunoglobulin\tA\t(IgA).\tIg\tstands\tfor\t“immunoglobulin”\nor\t“antibody.”\tIn\tceliac\tdisease,\tthe\tautoimmune\tantibodies\tare\tantiendomysial\tIgA\tand\tantitis...
[ -0.009932821616530418, -0.010082270950078964, 0.023497337475419044, -0.041574470698833466, -0.07373708486557007, 0.015674153342843056, 0.11799469590187073, 0.08652195334434509, -0.00111618812661618, 0.07216279208660126, 0.04237908124923706, -0.01177830621600151, 0.010066132061183453, 0.068...
transglutaminase\tIgA\t(tTG\tIgA).\nThe\ttTG\tIgA\ttest\tis\thighly\tsensitive\tand\tspecific.\tIt\tcorrelates\twell\twith\tbiopsy,\tis\tinexpensive,\nnot\tsubjective,\tand\tcan\tbe\tperformed\ton\ta\tsingle\tdrop\tof\tblood.\tHowever,\tit\tcan\tbe\tfalsely\tpositive\nin\ta\tpatient\twho\thas\tother\tautoimmune\tcondit...
[ 0.019870836287736893, -0.05799678713083267, 0.06911994516849518, -0.029346294701099396, -0.15721912682056427, -0.021292755380272865, 0.11312739551067352, -0.0025984428357332945, -0.009422164410352707, 0.035819943994283676, 0.05846263840794563, -0.011950040236115456, 0.047356508672237396, 0...
For\tthose\twith\ta\nnegative\ttTG\tIgA\ttest,\tIgA\tdeficiency\tshould\tbe\tconsidered.\nAntigliadin\tantibodies\tIgG\tand\tIgA\trecognize\ta\tsmall\tpiece\tof\tthe\tgluten\tprotein\tcalled\tgliadin.\nAntigliadin\tIgG\thas\tgood\tsensitivity,\twhile\tantigliadin\tIgA\thas\tgood\tspecificity.\tTheir\tcombined\tuse
[ 0.035233065485954285, -0.04907919093966484, 0.047129128128290176, -0.08749920129776001, -0.11164424568414688, 0.03114447556436062, 0.11455702036619186, 0.022263560444116592, 0.04192264750599861, 0.05000365152955055, 0.0470922626554966, -0.01660957932472229, 0.01640143431723118, 0.051628530...
provides\ta\tscreening\ttest\tfor\tceliac\tdisease.\tMany\tnormal\tindividuals\twithout\tceliac\tdisease\twill\nhave\tan\televated\tantigliadin\n\tIgG.\tIt\tis\testimated\tthat\t0.2%\tto\t0.4%\tof\tthe\tgeneral\tpopulation\thas\nselective\tIgA\tdeficiency,\twhile\t2%\tto\t3%\tor\tmore\tof\tpeople\twith\tceliac\tdisease...
[ -0.009479680098593235, -0.04028395935893059, 0.025718893855810165, -0.04756923019886017, -0.06729354709386826, -0.00492594949901104, 0.1054684966802597, 0.007927002385258675, -0.012978416867554188, 0.05528590828180313, 0.12908917665481567, -0.07997401803731918, -0.0005714785656891763, 0.06...
If\ta\tceliac\tpanel\tis\tonly\tpositive\tfor\tantigliadin\tIgG,\tthis\tis\tnot\thighly\tsuggestive\tfor\tceliac\ndisease\tif\tthe\tpatient\thas\ta\tnormal\ttotal\tIgA\tlevel.\tAn\tantigliadin\tIgG\tlevel\tthree\tto\tfour\ttimes\tthe\nupper\tlimit\tof\tnormal\tfor\tthat\n\tlaboratory\tis\thighly\tsuggestive\tof\ta\tcon...
[ 0.034420233219861984, -0.03576106205582619, 0.05316097289323807, -0.049940381199121475, -0.089214988052845, 0.003828085493296385, 0.07161619514226913, 0.0055692726746201515, 0.012689609080553055, 0.03510408475995064, 0.08754011243581772, -0.042541179805994034, 0.014565655961632729, 0.05808...
laboratory\tis\thighly\tsuggestive\tof\ta\tcondition\twhere\tthe\tgut\tis\nabnormally\tpermeable\t(“leaky”)\tto\tgluten.\tThis\tcan\thappen\twith\tfood\tallergies,\tcystic\tfibrosis,\nparasitic\tinfections,\tCrohn’s\tdisease,\tand\tother\ttypes\tof\tautoimmune\tgastrointestinal\t(GI)\ndiseases.\tThese\tantibodies\tmay\...
[ -0.003505409462377429, -0.07300598919391632, 0.06558778136968613, -0.017217976972460747, -0.12362466007471085, -0.03188126161694527, 0.07819629460573196, 0.05096409469842911, -0.01961006037890911, 0.06984534859657288, 0.09038995951414108, -0.0335242934525013, 0.04009911045432091, 0.0550112...
(\nKelly\tet\tal,\t2015\n).\nRuth\tLeyse-Wallace,\tPhD,\tRDN\nLifelong,\tstrict\tadherence\tto\ta\tGF\tdiet\tis\tthe\tonly\tknown\ttreatment\tfor\tCD\t(see\t\nBox\t27.7\n\tfor\ta\tlist\nof\tsafe,\tquestionable,\tand\tunsafe\tchoices\ton\tthe\tGF\tdiet).\tThe\tGF\tdiet\tdiminishes\tthe\tautoimmune
[ -0.0170879065990448, -0.06641809642314911, 0.055469196289777756, -0.08694545924663544, -0.10692771524190903, 0.042470090091228485, 0.07951861619949341, -0.017993075773119926, 0.01946258172392845, 0.043793004006147385, 0.030980084091424942, 0.013824616558849812, 0.00320305023342371, 0.00468...
process,\tand\tthe\tintestinal\tmucosa\tusually\treverts\tto\tnormal\tor\tnear\tnormal.\tWithin\t2\tto\t8\tweeks\tof\nstarting\tthe\tGF\tdiet,\tmost\tpatients\treport\tthat\ttheir\tclinical\tsymptoms\thave\tabated.\tHistologic,\nimmunologic,\tand\tfunctional\timprovements\tmay\ttake\tmonths\tto\tyears,\tdepending\ton\t...
[ 0.0327923409640789, -0.07254698127508163, 0.018955528736114502, -0.06979665160179138, -0.1295630931854248, -0.04778130725026131, 0.09226486831903458, 0.0541539266705513, 0.015397289767861366, 0.06586350500583649, 0.08433378487825394, 0.02069033682346344, 0.056921061128377914, 0.04023122042...
the\tdisease,\tage\tof\tthe\tsubject,\tand\tdegree\tof\tdietary\tcompliance.\tWith\tstrict\tdietary\tcontrol,\tlevels\nof\tthe\tspecific\tantibodies\tusually\tbecome\tundetectable\twithin\t6\tto\t12\tmonths\tin\tmost\tpersons.\nMarked\tgut\timprovement\tand\ta\treturn\tto\tnormal\thistologic\tfindings\toccurs\tin\tthe\...
[ 0.0205245278775692, -0.05653655529022217, 0.04409536346793175, -0.05509824678301811, -0.10034095495939255, -0.02579405903816223, 0.07134933769702911, -0.018919972702860832, 0.0264216847717762, 0.08023100346326828, 0.10449667274951935, -0.017846686765551567, 0.058256618678569794, 0.02085324...
patients\tafter\n\tan\taverage\tof\t2\tyears\t(\nHutchinson\tet\tal,\t2010\n).\tPatients\twho\tare\table\tto\tfollow\tthe\tGF\ndiet\tclosely\thave\ta\tbetter\toverall\tresponse\t(see\t\nPathophysiology\tand\tCare\tManagement\tAlgorithm:\nCeliac\tDisease\n).\nBOX\t27.7\nThe\tBasic\tGluten-Free\tDiet\nFoods\nSafe\tChoice...
[ -0.018338173627853394, -0.01516023837029934, 0.03591807559132576, -0.01409922819584608, -0.06383781135082245, 0.012737743556499481, 0.08785879611968994, 0.08281015604734421, 0.006652616895735264, -0.01243923231959343, 0.07494119554758072, -0.006200316362082958, 0.033479709178209305, 0.0285...
Avoid\nGrains\nand\nflours\nAmaranth,\tarrowroot,\tbean\tflours\t(such\tas\ngarbanzo\tor\tfava\tbean),\tbuckwheat,\ncorn\t(maize)\tor\tcornstarch,\n\tflax,\tJob’s\ntears,\tmillet,\tpotato,\tquinoa,\tragi,\trice,\nand\twild\trice\tsorghum,\tsoybean\t(soya),\ntapioca,\tteff\nWheat\t(bulgur,\tcouscous,\tdurum,\tfarina,\tg...
[ -0.04569163918495178, -0.012676951475441456, 0.05008596181869507, -0.03887183219194412, -0.0744117721915245, -0.0002733852306846529, 0.03608076274394989, -0.008122210390865803, -0.018886255100369453, 0.02663802169263363, 0.1426340788602829, -0.04205061495304108, 0.02618037909269333, -0.054...
kamut,\tsemolina,\tspelt,\ttriticale,\temmer,\tfarro,\nwheat\tgerm),\trye,\tbarley,\toats\t(except\tpure,\nuncontaminated\toats),\tlow-gluten\tflour.\nCaution:\t“wheat\tfree”\tdoes\tnot\tnecessarily\nmean\t“gluten\tfree.”\nCereals\n—hot\nor\nCream\tof\trice,\tcream\tof\n\tbuckwheat,\nhominy,\tgluten-free\tdry\tcereals,...
[ -0.05372219532728195, -0.03902491554617882, 0.020823612809181213, 0.02981368638575077, -0.020985886454582214, 0.03506245091557503, 0.07503573596477509, 0.022823987528681755, -0.0030593276023864746, -0.014320778660476208, 0.11102139949798584, -0.0024007970932871103, 0.04558311402797699, -0....
Those\twith\twheat,\trye,\toats\t(except\tgluten-free\noats),\tbarley,\tbarley\tmalt,\tmalt\tflavoring,\twheat\ngerm,\tbran
[ 0.008815892972052097, 0.002050236100330949, 0.02651025913655758, 0.001731405034661293, -0.018776558339595795, 0.009249027818441391, 0.07487983256578445, -0.0042214421555399895, 0.03166286274790764, -0.008813255466520786, 0.07527349144220352, -0.06394971907138824, 0.02134082093834877, -0.00...
dry\nPotatoes\n,\trice,\nstarc\nh\nAny\tplain\tpotatoes,\tsweet\tpotatoes\tand\nyams,\tall\ttypes\tof\tplain\trice,\trice\nnoodles,\t100%\tbuckwheat\tsoba\tnoodles,\ngluten-free\tpasta,\tpolenta,\thominy,\tcorn\ntortillas,\tparsnips,\tyucca,\tturnips\nBattered\tor\tdeep-fried\n\tFrench\tfries\t(unless\tno\nother\tfoods...
[ -0.059017423540353775, -0.043383266776800156, 0.027939384803175926, 0.020054958760738373, -0.049342986196279526, 0.00082869065226987, 0.10521117597818375, 0.010892784222960472, -0.021544713526964188, 0.00337942223995924, 0.10630059987306595, -0.06541601568460464, 0.05284145474433899, -0.03...
other\tfoods\thave\tbeen\tfried\tin\tthe\tsame\toil),\npasta,\tnoodles,\twheat\tstarch,\tstuffing,\tflour\ntortillas,\tcroutons.\tLabels\tfor\tcommercial\npotato\tor\trice\tproducts\twith\tseasonings\tshould\nbe\treviewed.\nCracker\ns,\nchips\n,\npopc\norn\nRice\twafers\tor\tother\tgluten-free\tcrackers,\nrice\tcakes;\...
[ -0.04117848351597786, -0.05823824927210808, -0.032461196184158325, -0.026809116825461388, -0.05810757353901863, -0.02177324704825878, 0.07723744213581085, -0.018493173643946648, -0.04235846549272537, 0.03217414766550064, 0.11899605393409729, -0.04496323689818382, 0.07295346260070801, -0.00...
tortilla\tchips,\tpotato\tchips,\tand\tother\nroot\t(taro,\tbeet,\tsweet\tpotato,\n\tor\nvegetable,\tetc.)\tor\tgrain\t(amaranth,\nquinoa)\tchips,\tplain\tpopcorn\nGluten-free\tcrackers,\tgraham\tcrackers,\trye\ncrisps,\tmatzo,\tcroutons,\tpretzels,\tsome\tchips\nwith\tflavorings\nDesserts\nSorbet,\tpopsicles,\tItalian...
[ -0.0768396258354187, -0.03272486478090286, 0.005035723093897104, 0.005625059828162193, -0.10112858563661575, 0.00965980812907219, 0.09274937957525253, -0.0012682594824582338, -0.008623252622783184, 0.0212735366076231, 0.10174079984426498, -0.0052939183078706264, 0.045215267688035965, 0.000...
puddings\twithout\tgluten\tingredients\nIce\tcream\twith\tbits\tof\tcookies,\t“crispies,”\npretzels,\tpie\tcrust,\tcookies,\tcakes,\tice\tcream\ncones,\tand\tpastries\tmade\tfrom\tgluten-\ncontaining\n\tflours\nMilk\nand\nyogu\nrt\nAny\tplain,\tunflavored\tmilk\tor\tyogurt,\nbuttermilk,\tcream,\thalf\tand\thalf\nMalted...
[ -0.013196592219173908, -0.060700830072164536, 0.08400209248065948, -0.009477031417191029, -0.11858725547790527, -0.029786568135023117, 0.10575644671916962, -0.016833152621984482, -0.04734562709927559, 0.021537352353334427, 0.06289473176002502, -0.055337727069854736, 0.09915731847286224, -0...
Malted\tmilk,\tyogurts\twith\tadded\t“crunchies”\tor\ntoppings.\tSome\tflavored\tmilks\tand\tyogurts.\nCheese\nCheese\t(all\tstyles\tincluding\tblue\tcheese\nand\tGorgonzola),\tprocessed\tcheese\t(i.e.,\nAmerican),\tcottage\tcheese\nSome\tcheese\tspreads\tor\tsauces\nEggs\nAll\ttypes\tof\tplain,\tcooked\teggs\nEggs\tBe...
[ -0.027772704139351845, -0.04780653119087219, 0.025989467278122902, -0.042209070175886154, -0.10188569128513336, -0.03506995737552643, 0.08853395283222198, -0.036227233707904816, -0.036924026906490326, 0.010777754709124565, 0.07676949352025986, -0.06806803494691849, 0.054482601583004, 0.002...
made\twith\twheat\nflour)\nMeat,\nfish,\nshellf\nish,\npoult\nry\nAny\tfresh,\tplain\tuntreated\tmeat,\tfish,\nshellfish,\tor\tpoultry;\tfish\tcanned\tin\nbrine,\tvegetable\tbroth,\tor\twater\nBreaded\tor\tbattered\tmeats.\tSome\tcommercially\ntreated,\tpreserved,\tor\tmarinated\tmeats,\nluncheon\tmeats,\tfish,\tshellf...
[ -0.03615659847855568, 0.0321112722158432, 0.015055034309625626, -0.08040772378444672, -0.07736910879611969, -0.05452852323651314, 0.03534352779388428, -0.056496404111385345, -0.039103586226701736, 0.029615288600325584, 0.06701788306236267, -0.0912945568561554, 0.0642617791891098, -0.023423...
cured\tpoultry\t(check\tlabels)\nBeans\nand\nlegu\nmes\nAny\tplain\tfrozen,\tfresh,\tdried,\tor\tcanned\n(no\tflavorings\n\tor\tsauces\tadded)\tbeans:\ngarbanzo\tbeans,\tkidney\tbeans,\tlentils,\npinto\tbeans,\tedamame,\tlima,\tblack\nbeans,\tetc.\nThose\twith\tadded\tsauces\nSoy\nprod\nucts\nand\nmeat\nanalo\ngs\tor\n...
[ -0.020483218133449554, -0.02734716422855854, 0.01202576607465744, -0.041263457387685776, -0.09312346577644348, 0.01616656593978405, 0.08694636076688766, -0.01207967009395361, -0.0414900965988636, 0.06771761178970337, 0.10001551359891891, 0.018828563392162323, 0.09239917993545532, -0.003184...
analo\ngs\tor\nalter\nnativ\nes\nPlain\ttempeh,\ttofu,\tedamame,\tsome\tmiso\nSeitan;\t3-grain\ttempeh,\ttraditional\tsoy\tsauce\n(contains\twheat),\tmany\tmeat\tanalogs\tand\nimitation\tseafood,\tsome\tmiso\nNuts\nand\nseeds\nAny\tplain\t(salted\tor\tunsalted)\tnuts,\tseeds\nor\n\tnut\tbutters,\tcoconut\nNut\tbutters\...
[ -0.05244376137852669, -0.030101533979177475, 0.02968762442469597, 0.0024817113298922777, -0.0352744534611702, 0.013654736801981926, 0.07900160551071167, -0.018147671595215797, -0.03846988454461098, 0.017872940748929977, 0.10057344287633896, -0.04159004986286163, 0.050386156886816025, -0.01...
Nut\tbutters\twith\tgluten-containing\tingredients\nFruits\nand\njuice\ns\nAny\tplain\tfresh,\tcanned,\tfrozen\tfruits\tor\njuices,\tplain\tdried\tfruit\nDried\tfruit\tdusted\twith\tflour,\tpie\tfilling\tthickened\nwith\tflour\nVegetab\nles\nAny\tplain,\tfresh,\tcanned\tor\tfrozen\nvegetables\tincluding\tcorn,\tpeas,\t...
[ -0.06495390087366104, -0.03400162234902382, 0.029666464775800705, -0.008216499350965023, -0.048822514712810516, 0.008613585494458675, 0.09473088383674622, -0.003449334530159831, -0.013538220897316933, 0.0424494743347168, 0.10425517708063126, -0.012222138233482838, 0.11008071154356003, -0.0...
beans,\tetc.\nVegetables\tin\tgluten-containing\tsauce\tor\tgravy\nSoups\nHomemade\tsoups\twith\tknown\n\tallowed\ningredients\nCheck\tlabels\ton\tall\tcommercial\tsoups\nCondim\nents,\njams,\nand\nsyrup\ns\nKetchup,\tmustard,\tsalsa,\twheat-free\tsoy\nsauce,\tmayonnaise,\tvinegar\t(except\nmalt\tvinegar),\tjam,\tjelly...
[ -0.05837211012840271, -0.012806163169443607, 0.03372523933649063, -0.008465382270514965, -0.07098624855279922, 0.027797088027000427, 0.03980434685945511, -0.008688706904649734, -0.029732447117567062, 0.02720482088625431, 0.11240322887897491, -0.03620625287294388, 0.0749417170882225, -0.084...
malt\tvinegar),\tjam,\tjelly,\thoney,\tpure\nmaple\tsyrup,\tmolasses\nMalt\tvinegar,\tsoy\tsauce,\tmany\tgravies\tand\nsauces,\tmarinades,\tsome\tsalad\tdressings\nSeasoni\nngs\nand\nflavo\nrings\nAny\tplain\therb\tor\tspice;\tsalt;\tpepper;\nbrown\tor\twhite\tsugar;\tor\n\tartificial\nsweetener\t(i.e.,\tEqual,\tSweet-...
[ -0.029870038852095604, 0.00918648298829794, 0.03272588551044464, -0.03455819934606552, -0.09874626994132996, 0.018516385927796364, 0.07428537309169769, -0.010617519728839397, 0.0034038855228573084, 0.004495789762586355, 0.06860919296741486, -0.011514004319906235, 0.060655608773231506, -0.0...
Splenda)\nSeasoning\tmixes\tand\tbouillon\twith\tgluten\ningredients\nFats\nButter,\tmargarine,\tall\tpure\tvegetable\toils\n(including\tcanola),\tmayonnaise,\tcream\nSome\tsalad\tdressings\tand\tsandwich\tspreads
[ 0.005503256805241108, -0.08217882364988327, 0.02626897022128105, -0.009988567791879177, -0.13101355731487274, 0.040625859051942825, 0.09886637330055237, 0.011182015761733055, -0.013740583322942257, -0.0182899571955204, 0.08418499678373337, -0.03409719839692116, 0.007838605903089046, -0.005...
Baking\ningre\ndient\ns\nYeast,\tbaking\tsoda,\tbaking\tpowder,\tcream\nof\ttartar,\tregular\tchocolate\tbaking\tchips\nSee\tgrains\tand\tflours;\tCheck\tlabel\ton\tgrain\nsweetened,\n\tcarob\tor\tvegan\tchocolate\tchips\nBeverag\nes\nCoffee,\ttea,\tpure\tcocoa\tpowder,\tsodas,\nsome\tsoy\tor\trice\tmilks\nMalted\tbeve...
[ -0.012993727810680866, -0.0741843730211258, 0.08014732599258423, -0.007651062216609716, -0.13638411462306976, 0.026483045890927315, 0.10011310875415802, -0.02110063098371029, -0.03004448115825653, 0.01970684342086315, 0.08427781611680984, -0.07480365037918091, 0.02582206018269062, -0.00783...
some\tsoy\tor\trice\tmilks\nMalted\tbeverages,\tsome\tflavored\tinstant\tcoffee\nmixes,\tsome\therbal\tteas,\tsome\tsoy\tor\trice\nmilks\nAlcohol\nWine,\tall\tdistilled\tliquor,\tincluding\tvodka,\ntequila,\tgin,\trum,\twhiskey,\tand\tpure\nliqueurs,\tgluten-free\tbeers,\thard\tciders\nBeer,\tale,\tlager,\tgluten-remov...
[ -0.004059589002281427, -0.05261610820889473, 0.04081147536635399, -0.04321810230612755, -0.1017957255244255, 0.02664639614522457, 0.09124325215816498, 0.01349573116749525, 0.021290313452482224, 0.06644415855407715, 0.10503499954938889, -0.03138226270675659, 0.07679721713066101, -0.01068137...
drink\tmixes\nCandies\nCheck\tlabels—many\tare\tgluten-free\nCandy\tfrom\tbulk\tfood\tbins,\tlicorice\nCD\n,\tCeliac\tdisease.\t\nAdapted\tfrom\tParrish\tCR\tet\tal:\t\nUniversity\tof\tVirginia\tHealth\tSystem\tNutrition\tSupport\tTraineeship\nSyllabus\n,\tCharlottesville,\tVa,\t2010,\tUniversity\tof\tVirginia\tHealth\...
[ 0.023802077397704124, -0.07238461077213287, 0.047306034713983536, 0.008693693205714226, -0.10692767053842545, -0.00271255592815578, 0.07547631114721298, -0.01798928529024124, -0.015163016505539417, 0.0029957816004753113, 0.08802911639213562, -0.09053786844015121, 0.0045889271423220634, -0....
,\tCharlottesville,\tVa,\t2010,\tUniversity\tof\tVirginia\tHealth\tSystem.\nIn\tsome\tindividuals,\trecovery\tmay\tbe\tslow\tor\tincomplete.\tA\tsmall\tpercentage\tof\tpatients\tare\n“nonresponders”\tto\tdiet\ttherapy.\tInadvertent\tgluten\tintake\tis\tthe\tmost\tcommon\toffender,\tbut\tanother
[ 0.007884014397859573, -0.03856275975704193, 0.03984091058373451, -0.03874339163303375, -0.1465449035167694, 0.009092587046325207, 0.06623876839876175, -0.02269105240702629, 0.0006851120851933956, 0.029922345653176308, 0.09374012798070908, -0.041894782334566116, 0.024879081174731255, 0.0041...
coexisting\tdisorder\tmay\tbe\tpresent\t(such\tas\tpancreatic\tinsufficiency,\tIBS,\tbacterial\tovergrowth,\nfructose\tintolerance,\tother\tfood\tallergies\tor\tGI\tmaladies,\tor\tunknown\tcauses).\tFor\tnonresponders,\nintensive\n\tinterviewing\tto\tidentify\ta\tsource\tof\tgluten\tcontamination\tor\ttreatment\tof\tan...
[ -0.0036444051656872034, -0.10021789371967316, 0.000103391932498198, 0.0016783960163593292, -0.08447930216789246, 0.021922199055552483, 0.032421424984931946, 0.052697423845529556, -0.013372327201068401, 0.07172129303216934, 0.12220469117164612, -0.04094955697655678, 0.037656500935554504, 0....
underlying\tdisease\tmay\tresolve\tthe\tsymptoms.\tDiagnosis\tof\t\nrefractory\tceliac\tdisease\n\tis\tmade\twhen\npatients\tdo\tnot\trespond\tor\trespond\tonly\ttemporarily\tto\ta\tGF\tdiet,\tand\tall\texternal\tcauses\thave\tbeen\nruled\tout,\tincluding\tinadvertent\tgluten\tingestion.\tPatients\twith\trefractory\tce...
[ 0.005571509711444378, -0.07530297338962555, 0.03327615559101105, -0.03505236282944679, -0.11000481992959976, -0.012190613895654678, 0.041055090725421906, 0.07200012356042862, -0.005950865335762501, 0.06109762564301491, 0.09477469325065613, 0.01729721762239933, 0.023248974233865738, 0.04319...
respond\tto\tsteroids,\tazathioprine,\n\tcyclosporine,\tor\tother\tmedications\tclassically\tused\tto\tsuppress\ninflammatory\tor\timmunologic\treactions.\nSeveral\tnovel\ttreatments\tfor\tCD\tare\tbeing\tstudied\tfor\ttheir\tpotential\tas\talternative\ttherapies.\nResearchers\tseek\tto\ttreat\tCD\tby\treducing\tgluten...
[ -0.027629084885120392, -0.07181298732757568, 0.048220932483673096, -0.01954221911728382, -0.10197332501411438, 0.0036306208930909634, 0.08842674642801285, 0.07879167795181274, -0.0002649497182574123, 0.03270766884088516, 0.05442679300904274, -0.013754822313785553, 0.04205578193068504, 0.03...
decreasing\tuptake\tof\tgluten\t(by\ttightening\tjunctions\tbetween\tintestinal\tepithelial\tcells),\taltering\tthe\nimmune\tresponse\tto\tgluten,\tor\trepairing\tintestinal\tinjury.\nMedical\tnutrition\ttherapy\nElimination\tof\tgluten\tpeptides\tfrom\tthe\tdiet\tis\tthe\tonly\ttreatment\tfor\tCD\tpresently.\tThe\tdie...
[ 0.06712528318166733, -0.022402770817279816, 0.08777275681495667, -0.04910450056195259, -0.12857317924499512, 0.008040977641940117, 0.08922331035137177, 0.03522873297333717, 0.07062344253063202, 0.06223149225115776, 0.08913000673055649, -0.014053531922399998, 0.06511285156011581, 0.03817354...
dietary\tforms\tof\twheat,\trye,\tand\tbarley,\twhich\tare\tthe\tmajor\tsources\tof\tthe\tprolamin\tfractions.\nIn\tgeneral,\tpatients\tshould\tbe\tassessed\tfor\tnutrient\tdeficiencies\tbefore\tsupplementation\tis
[ -0.010474770329892635, -0.02019350230693817, 0.042060647159814835, -0.010381662286818027, -0.10832764953374863, 0.054411403834819794, 0.07212728261947632, 0.0502651184797287, -0.10766157507896423, -0.022397957742214203, 0.06418515741825104, -0.03923219442367554, -0.057255733758211136, 0.01...
initiated.\tIn\n\tall\tnewly\tdiagnosed\tpatients,\tthe\tclinician\tshould\tconsider\tchecking\tlevels\tof\tferritin,\nfolate,\tvitamin\tB\n12\n,\tand\t25-OH\tvitamin\tD.\tIf\tpatients\tpresent\twith\tmore\tsevere\tsymptoms,\tsuch\tas\ndiarrhea,\tweight\tloss,\tmalabsorption,\tor\tsigns\tof\tnutrient\tdeficiencies\t(e....
[ -0.0016810382949188352, -0.030417311936616898, 0.04420103505253792, -0.02650689147412777, -0.07520683854818344, -0.0052794176153838634, 0.037604089826345444, 0.08786338567733765, -0.061381611973047256, 0.025364762172102928, 0.09969041496515274, 0.004182860720902681, 0.05992797389626503, 0....
neuropathy,\tor\tprolonged\tprothrombin\ttime),\tother\tvitamins\tsuch\tas\tfat-soluble\tvitamins\t(A,\tE,\tK)\nand\tminerals\t(zinc)\n\tshould\tbe\tchecked.\nThe\thealing\tof\tthe\tintestinal\tmucosa\tthat\toccurs\tafter\tinitiation\tof\ta\tGF\tdiet\timproves\tnutrient\nabsorption,\tand\tmany\tpatients\twho\teat\twell...
[ -0.03544112667441368, -0.08724520355463028, 0.03313054144382477, 0.060929927974939346, -0.062314730137586594, -0.014463193714618683, 0.04908932372927666, 0.1160939633846283, -0.09606565535068512, 0.024371227249503136, 0.07562188804149628, 0.011583558283746243, 0.06900562345981598, 0.063917...
supplementation.\tHowever,\tmost\tspecialty\tGF\tproducts\tare\tnot\tfortified\twith\tiron,\tfolate,\tand\tother\tB\nvitamins\tlike\tother\tgrain\tproducts,\tso\tthe\tdiet\tmay\tnot\tbe\tas\tcomplete\twithout\tat\tleast\tpartial\nsupplementation.\tAnemia\tshould\tbe\ttreated\twith\tiron,\tfolate,\tor\tvitamin\tB\n12\n,...
[ -0.04068400710821152, -0.05152953416109085, 0.0389731265604496, -0.022122642025351524, -0.03803781792521477, 0.0034627884160727262, 0.07591921836137772, 0.0452076718211174, -0.06542017310857773, 0.008631942793726921, 0.07782519608736038, -0.01224029716104269, 0.04667351394891739, 0.0044962...
12\n,\tdepending\ton\tthe\tnature\nof\tthe\tanemia.\tPatients\twith\tmalabsorption\tmay\tbenefit\tfrom\ta\tbone-density\tscan\tto\tassess\tfor\nosteopenia\tor\tosteoporosis.\tCalcium\tand\tvitamin\tD\tsupplementation\tare\tlikely\tto\tbe\tbeneficial\tin\nthese\tpatients.\tElectrolyte\tand\tfluid\treplacement\tis\tessen...
[ 0.011024474166333675, -0.05866347998380661, 0.03887154534459114, -0.0028326469473540783, -0.09818363934755325, -0.0309626255184412, 0.08374553918838501, 0.06969527900218964, -0.02511529251933098, 0.017264408990740776, 0.07936348021030426, 0.023788023740053177, 0.03990599140524864, 0.028900...
diarrhea.\nThose\twho\tcontinue\tto\thave\tmalabsorption\tshould\ttake\ta\tgeneral\tvitamin-mineral\tsupplement\tto\tat\nleast\tmeet\tDRI\trecommendations.\tLactose\tand\tfructose\tintolerance\tsometimes\toccur\tsecondary\tto\nCD.\tA\tlow-lactose\tor\tlow-fructose\tdiet\tmay\tbe\tuseful\tin\tcontrolling\tsymptoms,\tat\...
[ -0.0054747783578932285, -0.09917767345905304, 0.05319420248270035, 0.03938421979546547, -0.04867321997880936, -0.025603238493204117, 0.08449631929397583, 0.050464678555727005, -0.0372951366007328, 0.014654956758022308, 0.04883744195103645, -0.01948348991572857, 0.017541373148560524, 0.0229...
the\tGI\ttract\treturns\tto\tmore\tnormal\tfunction,\tlactase\tactivity\talso\tmay\treturn,\tand\tthe\tperson\tcan\nincorporate\n\tlactose\tand\tdairy\tproducts\tback\tinto\tthe\tdiet.\nIn\tgeneral,\tmany\tfruits,\tvegetables,\tnon–gluten\tcontaining\tgrains,\tmeats,\tand\tdairy\tproducts\tare
[ -0.007497208192944527, -0.05517667159438133, 0.06038891151547432, -0.016455838456749916, -0.09155125170946121, 0.004017932340502739, 0.1384790986776352, 0.010418586432933807, -0.004311136901378632, 0.07187657058238983, 0.10097311437129974, -0.0328364260494709, 0.00611133361235261, 0.007478...
safe\tto\teat\ton\ta\tGF\tdiet.\tOats\twere\tonce\tthought\tto\tbe\tquestionable\tfor\tpersons\twith\tCD;\thowever,\nextensive\tstudies\thave\tshown\tthat\tthey\tare\tsafe\tin\tthe\tGF\tdiet\tas\tlong\tas\tthey\tare\tpure,\nuncontaminated\toats\t(\nPinto-Sanchez\tet\tal,\t2017\n).\tHowever,\ta\tvery\n\tsmall\tpopulatio...
[ -0.021928824484348297, -0.010700950399041176, 0.027823034673929214, -0.04016182944178581, -0.05200918763875961, 0.04781317338347435, 0.08741401880979538, 0.031582772731781006, -0.0037768851034343243, 0.022849950939416885, 0.09242194145917892, -0.01434425637125969, 0.07943243533372879, 0.02...
).\tHowever,\ta\tvery\n\tsmall\tpopulation\tof\tpatients\twith\nCD\tmay\tnot\ttolerate\teven\tGF\toats.\tIn\tgeneral,\tpatients\tdo\tnot\tneed\tto\tbe\tadvised\tagainst\tincluding\nGF\toats\tin\ttheir\tdiet\tunless\tthey\thave\tdemonstrated\tintolerance\tto\tGF\toats.\nFlours\tmade\tfrom\tcorn,\tpotatoes,\trice,\tsoybe...
[ 0.009415186010301113, -0.00412331335246563, -0.009440315887331963, -0.05602945387363434, -0.12641793489456177, -0.014601059257984161, 0.08084903657436371, 0.013592125847935677, -0.007694752886891365, 0.045732609927654266, 0.1350918859243393, -0.03851502016186714, 0.03916620463132858, 0.040...
nuts\t(such\tas\talmond\tflour),\tamaranth,\tquinoa,\tmillet,\tteff,\tand\tbuckwheat\tcan\tbe\tsubstituted\n\tin\nrecipes.\tPatients\tcan\texpect\tdifferences\tin\ttextures\tand\tflavors\tof\tcommon\tfoods\tusing\tthe\tsubstitute\nflours,\tand\tnew\trecipes\tcan\tbe\tpalatable\tonce\tthe\tadjustment\tis\tmade.\tBlends\...
[ 0.019323138520121574, -0.04483439028263092, 0.04137197881937027, -0.02238452062010765, -0.12960200011730194, -0.009379532188177109, 0.09817352890968323, -0.017958538606762886, 0.007887889631092548, 0.026939475908875465, 0.10972187668085098, 0.03507997840642929, 0.08469440042972565, -0.0510...
of\tGF\tflour\toften\tresults\tin\tthe\tbest\trecipe\toutcome.\tIn\tGF\tbaked\tgoods,\tgums\tsuch\tas\txanthan,\tguar,\nand\tcellulose\t(from\tnongluten\tgrains)\tcan\tbe\tused\tto\tprovide\tthe\telasticity\tneeded\tto\ttrap\tleavening\ngases\tin\tbaked\tgoods.\nA\ttruly\tGF\tdiet\trequires\tcareful\tscrutiny\tof\tthe\...
[ -0.03349444642663002, -0.04349827393889427, 0.02615194022655487, -0.04035568982362747, -0.06472858786582947, 0.0029206648468971252, 0.11746243387460709, 0.034259550273418427, 0.0010902205249294639, 0.028904415667057037, 0.10633337497711182, -0.03940700739622116, 0.05908195301890373, -0.009...
Gluten-containing\tgrains\tare\tnot\tonly\tused\tas\tprimary\tingredients\tin\tmany\tproducts\tbut\talso\tmay\tbe\nadded\tduring\tprocessing\tor\tpreparation\tof\tfoods.\tFor\texample,\thydrolyzed\tvegetable\tprotein\tcan\tbe\nmade\tfrom\twheat,\tsoy,\tcorn,\tor\tmixtures\tof\tthese\tgrains.\nIn\tthe\tUnited\tStates\n\...
[ -0.03061111830174923, -0.05693681910634041, 0.04312822222709656, -0.013981673866510391, -0.028826886788010597, 0.02396017126739025, 0.0740271583199501, 0.019245466217398643, -0.025304129347205162, 0.003286485793069005, 0.12287943810224533, -0.013719108887016773, 0.05835294723510742, 0.0021...
Food\nand\tDrug\tAdministration\tand\tHealth\tand\tHuman\tServices,\t2013\n).\tThis\tlaw\tstates\tthat\tall\tfood\ncarrying\ta\tGF\tclaim\talso\tmust\tcontain\tless\tthat\t20\tppm\tgluten\t(i.e.,\tbelow\t20\tmg\tgluten\tper\tkg\tof\nfood),\tincluding\tfrom\tcross-contact.\tThompson\tdiscusses\tthe\tlaw\tin\tdetail\t(\n...
[ -0.031059017404913902, -0.007748825941234827, 0.05638086050748825, -0.021144594997167587, -0.09497080743312836, -0.0050619784742593765, 0.09287551045417786, -0.02355862595140934, -0.02443118952214718, 0.014471897855401039, 0.12409718334674835, -0.08394303172826767, 0.041978247463703156, -0...
Thompson,\t2015\n).\tRecent\nstudies\ton\tthe\tgluten\tcontent\n\tof\tlabeled\tGF\tfood\tin\tthe\tUnited\tStates\tshowed\tthat\t95%\tto\t99%\tof\tthe\nproducts\ttested\tcontained\tless\tthan\t20\tppm\tgluten\t(\nSharma\tet\tal,\t2015\n).\nThe\tdiet\tfor\tthe\tperson\twith\tCD\trequires\ta\tmajor\tlifestyle\tchange\tbec...
[ -0.03859923407435417, -0.050155919045209885, 0.03075692057609558, -0.02712489850819111, -0.11957474052906036, 0.031053919345140457, 0.12105996906757355, -0.009030665270984173, 0.017483871430158615, 0.031288210302591324, 0.08333253860473633, -0.047711942344903946, 0.05405042693018913, 0.003...
traditional\tgrains\tin\tthe\tdiet.\tA\ttremendous\tnumber\tof\tfoods\tmade\twith\twheat\t(in\tparticular\tbreads,\ncereals,\tpastas,\tand\tbaked\tgoods)\tare\ta\tcommon\tpart\tof\ta\tWestern\n\tdiet.\tHowever,\tthere\tis\tincreasing\nawareness\tamong\tfood\tcompanies\tand\trestaurants\tof\tthe\texpanding\tdemand\tfor\...
[ 0.020140547305345535, -0.0390566922724247, 0.036574557423591614, -0.015678320080041885, -0.028727956116199493, 0.011690052226185799, 0.05934368446469307, -0.019683528691530228, 0.0016085720853880048, 0.035490356385707855, 0.11314617842435837, -0.056342098861932755, 0.028839893639087677, -0...
businesses\tare\tresponding.\tThe\tindividual\tand\tfamily\tmembers\tshould\tbe\ttaught\tabout\tlabel\treading,\nsafe\tfood\tadditives,\tfood\tpreparation,\tsources\tof\tcross-contamination\t(such\tas\ttoasters,\tcondiment\njars,\tbulk\tbins,\tand\tbuffets),\tand\thidden\tsources\tof\tgluten\t(such\tas\n\tmedications\t...
[ 0.013463945128023624, -0.014373848214745522, 0.02669871225953102, -0.03573450818657875, -0.03984193131327629, -0.010867314413189888, 0.13553032279014587, -0.015248923562467098, -0.02571539394557476, 0.021766196936368942, 0.08606426417827606, -0.013423783704638481, 0.08790986239910126, 0.00...
wafers)\tto\tbe\tcompliant\twith\tthe\tdiet.\t\nBox\t27.8\n\tprovides\tsources\tof\thidden\tgluten\tand\tcross-\ncontamination.\tEating\tin\tcafeterias,\trestaurants,\tbuffets,\tpot\tlucks,\tstreet\tmarkets,\tat\tfriends’\thomes,\nand\tat\tsocial\tevents\tcan\tbe\tchallenging,\tespecially\tinitially.\nBOX\t27.8\nHidden...
[ 0.015520075336098671, -0.008717778138816357, 0.08181112259626389, -0.04299414902925491, -0.09804175049066544, -0.04417629912495613, 0.109880231320858, 0.013784592971205711, -0.017754018306732178, 0.042268555611371994, 0.03843773156404495, -0.07137088477611542, 0.0742754191160202, 0.0092825...
Hidden\tGluten\tExposure\tand\tCross-Contamination\nHidden\tgluten\texposure\nUnfortunately,\tgluten\tis\n\tnot\talways\tobvious.\tReview\tthe\tlist\tbelow\tfor\tsome\t“unsuspected”\nproducts\tthat\tmay\tcontain\tgluten.\n•\t\nOver-the-counter\tand\tprescription\tmedications\nThe\tlabeling\trequirements\tof\tthe\tFood\...
[ -0.02985839545726776, -0.018709475174546242, 0.040838975459337234, 0.007092696148902178, -0.01835932768881321, 0.02780371718108654, 0.1181105524301529, 0.00839435588568449, 0.008093101903796196, 0.04740731045603752, 0.11636712402105331, -0.04080883041024208, 0.05920263007283211, 0.00880053...
(FALCPA)\t\ndo\tnot\n\tapply\tto\tmedications\t(see\t\nBox\t25.7\n\tin\t\nChapter\t25\n).\tCheck\twith\tyour\npharmacist\tor\tcall\tthe\tmanufacturer\tto\tdetermine\twhether\tthere\tis\tany\tgluten\n\tin\tyour\nmedications.\nNote:\tDietary\tsupplements\tare\tcovered\tunder\tFALCPA\tregulations,\tso\twheat\tmust\tbe
[ -0.017604243010282516, -0.023854246363043785, 0.02147999219596386, -0.06910967081785202, -0.05244944989681244, 0.028753409162163734, 0.14023509621620178, 0.026896873489022255, -0.005118301138281822, 0.05925823748111725, 0.10780257731676102, -0.005688047502189875, 0.04150126129388809, 0.028...