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| Acknowledgments | |
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| A Note from the Authors | |
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| Introduction: What's Wrong with Me? | |
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| Is The Food You Eat Eating You? | |
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| Normal Digestion | |
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| The Gastrointestinal (GI) Tract | |
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| Digestion | |
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| The Mouth | |
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| The Stomach | |
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| One-Way Street | |
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| The Pancreas | |
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| The Liver | |
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| The Small Intestine | |
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| Absorption | |
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| Transport | |
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| Gluten: The Problem Protein | |
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| The Colon (Large Intestine) | |
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| When Normal Goes Pathological | |
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| In Summary | |
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| The Digestive Tract in Flames: Celiac Disease | |
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| Celiac Disease | |
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| What Is Gluten? | |
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| What Goes Wrong: The Role of Inflammation | |
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| What Is Tissue Transglutaminase (tTG)? | |
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| The Intestinal Battlefield | |
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| The Digestive Tract in Flames | |
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| How Does Celiac Disease Affect You? | |
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| Severe or "Classic" | |
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| Atypical Celiac Disease | |
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| Silent Celiac Disease | |
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| Every Body Reacts Differently | |
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| Intestinal Problems | |
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| The Manifestations of Malabsorption | |
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| Systemic Inflammatory Reactions and Autoimmune Diseases | |
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| Malignancies | |
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| How Do I Know If I Have It? The Diagnosis of Celiac Disease | |
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| Food Allergy versus Gluten Intolerance versus Food or Gluten Sensitivity | |
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| The Diagnosis | |
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| Latent Celiac Disease | |
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| Blood Tests | |
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| Sensitivity and Specificity | |
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| IgA Endomysial Antibodies (EMA) | |
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| IgA Tissue Transglutaminase (tTG) | |
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| IgA and IgG Antigliadin Antibodies (AGA) | |
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| Selective IgA Deficiency | |
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| Laboratory Differences | |
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| False Negatives/False Positives | |
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| Endoscopy and Biopsy (the Gold Standard for Diagnosis) | |
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| How Specific Is a Biopsy | |
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| Skin Biopsy | |
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| Gluten Challenge | |
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| Blood Dot Test | |
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| Fecal Test | |
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| Saliva Testing | |
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| Breath Tests | |
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| The Future of Testing | |
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| Differential Diagnosis: Why Is Celiac Disease Underdiagnosed? | |
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| What Is the Differential Diagnosis of Celiac Disease? | |
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| You Think You Are Sick, the Doctor Does Not | |
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| Finding a Doctor | |
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| Finding the Right Umbrella | |
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| Why Do People Get Celiac Disease? | |
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| A Brief History | |
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| The Crucial Pieces of the Puzzle | |
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| A Genetic Primer-Fitting the Groove | |
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| The Swedish Epidemic | |
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| What We Know | |
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| We Are Not There Yet | |
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| Related Conditions and Complications | |
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| Neurological Manifestations | |
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| The Nervous System 101 | |
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| Peripheral Neuropathy | |
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| Nerve Conduction Studies (EMG) | |
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| Ataxia | |
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| Epilepsy | |
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| Cerebral Calcifications: A Recognition Factor for Celiac Disease | |
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| Migraines | |
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| Other Neurological Conditions | |
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| Paralysis | |
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| What Causes Neuropathies in Celiac Disease? | |
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| The Effect of the Gluten-Free Diet | |
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| Malignancy | |
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| The Relationship of Malignancies and Celiac Disease: What Is the Risk? | |
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| What Causes the Cancers? | |
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| Management Issues | |
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| The Effect of the Gluten-Free Diet | |
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| Should I Be Screened for Cancers? | |
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| Osteoporosis | |
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| Bones 101 | |
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| Remodeling the Skeleton | |
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| The Reservoir Runs Dry | |
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| Are You at Risk? | |
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| What Causes Bone Loss in Celiac Disease? | |
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| Management Issues | |
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| Tests | |
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| The Effect of the Gluten-Free Diet | |
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| Diet and Supplements | |
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| Bone Resorption Agents | |
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| Parathyroid Hormone (PTH) | |
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| Exercise | |
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| Depression | |
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| What Is Depression? | |
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| What Causes Depression in Celiac Disease? | |
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| Nutrient Malabsorption-Folic Acid | |
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| The Effect of the Gluten-Free Diet | |
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| The Bottom Line | |
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| Dermatitis Herpetiformis and Other Skin Diseases | |
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| What Is Dermatitis Herpetiformis? | |
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| How Do I Know If I Have It-Tests for Dermatitis Herpetiformis | |
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| Where Does It Come From-Pathogenesis | |
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| Dermatitis Herpetiformis and Other Diseases | |
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| Brusing | |
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| Management Issues | |
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| Systemic Drugs | |
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| Topical Creams | |
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| What Triggers Dermatitis Herpetiformis? | |
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| The Effect of the Gluten-Free Diet | |
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| Hiding in Plain Sight | |
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| Other Skin Conditions | |
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| Diabetes | |
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| What Is Diabetes? | |
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| What Causes Type 1 Diabetes (IDDM)? | |
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| Diabetes and Celiac Disease | |
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| Management Issues | |
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| Lifestyle and Compliance Issues | |
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| Will I Get Better on a Gluten-Free Diet? | |
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| To Test or Not to Test | |
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| Infertility | |
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| What Causes Infertility? | |
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| The Relationship to Celiac Disease: Effect on Females | |
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| The Relationship to Celiac Disease: Effect on Males | |
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| What Causes Infertility in Celiac Disease? | |
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| The Effect of the Gluten-Free Diet | |
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| Next Steps | |
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| Autoimmune and Other Related Conditions | |
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| What Causes Autoimmune Disease? | |
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| Which Comes First? | |
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| Thyroid Disease | |
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| Sjogren's Syndrome | |
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| Addison's Disease | |
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| Autoimmune Liver Disease | |
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| Cardiomyopathy | |
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| Alopecia Areata | |
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| Lupus | |
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| Rheumatoid Arthritis | |
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| Fibromyalgia | |
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| Aphthous Stomatitis | |
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| Multiple Sclerosis (MS) | |
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| Attention-Deficit/Hyperactivity Disorder (ADHD)/Autism Spectrum Disorder (ASD) | |
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| Dental Enamel Defects | |
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| Raynaud's Syndrome | |
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| Genetic Disorders | |
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| A Final Word | |
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| Understanding and Treating Celiac Disease: Medical Management | |
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| What You Need to Know-and Do-After Diagnosis | |
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| Treating the Patient, Not the Refrigerator | |
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| Dietary Counseling About the Gluten-Free Diet | |
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| Assessment of Nutritional Deficiencies | |
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| Medication Assessment | |
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| Bone Density Determination | |
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| Pneumovax Vaccination | |
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| Screening of Family Members | |
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| Monitoring of Blood Antibody Levels | |
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| Repeat of Biopsy | |
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| Screening for Malignancies | |
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| General Health Measures | |
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| Why Symptoms Persist-I'm on the Diet and Not Getting Better | |
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| Lactose Intolerance | |
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| Pancreatic Insufficiency | |
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| Bacterial Overgrowth | |
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| Microscopic Colitis | |
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| Refractory Sprue | |
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| Skin Manifestations | |
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| How Soon Will I Get Better? | |
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| Follow-Up Testing | |
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| Follow-Up Blood Tests | |
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| Follow-Up Biopsy | |
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| Family Testing | |
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| High-Risk Group Testing | |
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| Genetic Testing | |
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| Video Capsule Endoscopy | |
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| The Diet: Do You Eat to Live or Live to Eat? | |
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| What Living Gluten-Free Really Means: The Basics | |
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| How Much Is Too Much? | |
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| Grain Science | |
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| Cross Contamination | |
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| Basic Rules for Avoiding Cross Contamination | |
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| Are You Getting Good Information? | |
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| Reading Labels | |
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| The 2004 Labeling Law | |
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| Labels 101 | |
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| Ingredients and Additives Worth Understanding | |
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| Gluten-Free Labels by 2008 | |
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| Testing for Gluten in a Product | |
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| Labels-The Next Steps | |
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| Questions That Remain | |
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| Cooking Without Gluten | |
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| Cooking Styles | |
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| Cooking Gluten-Free | |
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| Eating in the Real World | |
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| Restaurants | |
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| "Back-Home" Techniques | |
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| A Brief Sauce Primer | |
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| Other People's Homes | |
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| Hospital Stays | |
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| Travel | |
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| Family Occasions | |
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| Holidays-Dealing with the Urge to Splurge | |
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| Banquets and Wedding Bell Blues | |
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| The Medicine Cabinet and Cosmetics | |
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| Prescription Drugs | |
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| Vitamins, Minerals, and Other Supplements | |
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| Wheatgrass | |
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| Toothpaste | |
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| Cosmetics | |
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| Eating Naked | |
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| Is Your Gluten-Free Diet Keeping You Healthy? | |
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| Cholesterol/Triglycerides | |
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| Children at Risk | |
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| Living with | |
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| Dealing with Children and Young Adults Who Have Celiac Disease | |
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| Factors That Affect Successful Adaptation | |
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| Parental Attitudes | |
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| The First Five (Birth to Five Years Old) | |
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| Six Ups (Six to Eleven Years Old) | |
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| Twelve Ups (Twelve to Eighteen Years Old, Adolescents) | |
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| Adolescents with Celiac Disease and Type 1 Diabetes (IDDM) | |
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| Young Adults (College and Up) | |
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| Road Rules | |
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| Adults: Coping with Change | |
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| Reactions to the Diagnosis | |
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| Dealing with "Forbidden Fruit" | |
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| Passing the Pizza Test | |
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| Helpful Hints | |
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| Research: Finding a Cure | |
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| Potential Therapies | |
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| Designer Drugs | |
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| "First, Do No Harm" | |
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| Myths and Unexplored Areas | |
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| Myths Surrounding Celiac Disease | |
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| Unexplored Areas | |
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| A Guide to Ingredients | |
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| Explanation of Grains | |
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| Books and Articles of Interest | |
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| Medical Contact Information | |
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| National Support Groups | |
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| Publications and Resources | |
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| Glossary | |
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| Index | |