In the previous parts, we discussed the full explanation of this disease, its signs and symptoms, diagnosis methods and other problems related to this disease.. Lifelong elimination of gluten from the diet is the most effective method for definitive treatment of celiac disease.... Gluten refers to a group of proteins found in wheat, rye, and barley, which are very harmful and toxic for people with celiac disease. Eating this substance is not restricted and people should not be exposed to the inhalation of wheat flour suspended particles.... *** ** **Consultation with a nutritionist** A nutritionist familiar with celiac disease can teach people the correct way to switch to a gluten-free diet. What foods to avoid and what foods to add to prevent malnutrition. An experienced dietitian can effectively prescribe vitamin supplements, mineral salts, and other nutritional supplements. They have... Today, gluten-free food products are available in various types in virtual and non-virtual stores and special food sales centers... **General instructions:** - Avoid consuming foods containing wheat, rye, barley, malt, brewer's yeast, semolina (with the exception of refined pure semolina labeled "gluten-free"), yeast derivatives and autolyzed yeast derivatives (with the exception of products labeled "gluten-free"). Million - Natural gluten-free foods include rice, wild rice, corn, potatoes, and other ingredients listed in the table. Consuming fresh corn, fresh potatoes, shelled almonds and eggs, dry lentils, and dry beans are not included in this rule. The listed products are considered safe even if they don't have a label. Dry lentils and beans should be drained after cleaning.. - Alcoholic beverages and distilled vinegars without wine, without process, and all types of vinegar without distilled water and without glue... Flavors containing gluten are added to them.... Malt drinks, including beer, are not considered gluten-free drinks.... It is worth noting that malt vinegar is not among gluten-free items.... - It is difficult or impossible to tolerate dairy products until the intestines are completely healed.... People who have a lactose problem before medical diagnosis They will not have a problem with it after the intestines heal.. Vitamin D and calcium, they are considered the best option to replace lactose products.... It should be noted that rice and almond milk are not at all equal to cow and soy milk in terms of protein.... With the help of gluten-free lactase supplements, you can increase the level of lactose tolerance in people... - Discuss your need for calcium and vitamin D with your doctor. Let them know that they should see a doctor in advance so that their IgA-tTG level can be determined and possible symptoms can be controlled... In the meantime, only use special cereals with a "gluten-free" label. It is not recommended to consume more than 50 grams (about half a cup of dry whole grains or a quarter of a cup of dry whole grains) per day... If you can tolerate this amount, it can be increased to half a cup per day with the doctor's opinion... **Can gluten consumption be avoided?** It is difficult to tolerate a gluten-free diet in asymptomatic patients.... Some experts are against prescribing a gluten-free diet for this group of sufferers.... But based on the following evidence, prescribing a gluten-free diet is necessary for all groups.... If they notice, they suffer from silent malnutrition and this situation will be problematic.. (due to vitamin D deficiency).... This risk can be minimized by eating gluten-free foods.. Eliminating gluten requires making fundamental changes in lifestyle. The life of the affected person and his family.. Over time, people become familiar with a variety of foods, drinks, medicines, supplements and medical foods containing gluten and alternative products.. Preparation for special reception of guests with celiac disease... At the same time, families are advised to be careful about the risk of celiac disease.. First-degree relatives (parents, brothers, sisters, and children) of people with celiac disease should be tested, especially when they develop symptoms. As we explained above, the most common test is a blood test to determine its level. Gastrointestinal and liver diseases in Mashhad have a special board. > > Performing endoscopy and colonoscopy in the office without bleeding and pain and with the most advanced equipment available > > To schedule an appointment, you can call 38704066 (051) and 38704067 every day... > > Office address: Mashhad, Kausar Blvd., between Kausar 2 and 4 - Farabi Building - 2nd floor **Gastroenterologist in Mashhad** ==================================== **\*Gastroenterologist in Mashhad\***