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Dietary Supplements in Celiac Disease

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Celiac Disease

Part of the book series: Clinical Gastroenterology ((CG))

Abstract

Celiac disease (CD) is an immune-mediated disorder that occurs in genetically predisposed individuals who ingest gluten. Gluten is a dietary protein found in wheat, barley, and rye. In the susceptible person, this gluten-containing diet can lead to the development of an autoimmune enteropathy, causing malabsorption of carbohydrates, proteins, fats, and critical vitamins and minerals. Deficiencies of key nutrients in celiac disease occur due to malabsorption, poor dietary intake, and lack of fortification of gluten-free foodstuff. This chapter reviews the data regarding common dietary supplements that may enhance a healthy gluten-free lifestyle, including iron, B-complex vitamins, fat-soluble vitamins, trace metals and minerals, fiber, and probiotics. Special attention is given to dietary supplements that promote bone health, pregnancy, and fertility, and alleviate symptoms in refractory celiac disease (RCD). Clinicians must maintain a high index of suspicion for these nutritional deficiencies, as they may present with a myriad of symptoms that closely mimic other disorders. If diagnosed early, the nutritional complications of long-standing celiac disease can be completely avoided by strict adherence to the gluten-free diet and appropriate dietary supplements.

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  1. Department of Pediatric Gastroenterology, University of Southern California Keck School of Medicine, Intern’s and Resident’s Building Room 124, 2020 Zonal Avenue, Los Angeles, CA, USA

    Michelle Maria Pietzak M.D.

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  1. Michelle Maria Pietzak M.D.
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Correspondence to Michelle Maria Pietzak M.D. .

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  1. Department of Medicine, UMDNJ-Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA

    S. Devi Rampertab

  2. Department of Gastroenterology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA

    Gerard E. Mullin

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Pietzak, M.M. (2014). Dietary Supplements in Celiac Disease. In: Rampertab, S., Mullin, G. (eds) Celiac Disease. Clinical Gastroenterology. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4614-8560-5_11

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  • DOI: https://doi.org/10.1007/978-1-4614-8560-5_11

  • Published:

  • Publisher Name: Humana Press, New York, NY

  • Print ISBN: 978-1-4614-8559-9

  • Online ISBN: 978-1-4614-8560-5

  • eBook Packages: MedicineMedicine (R0)

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