By rray, 4 May, 2023 Referral to dietitian after CD dx is mandatory w subsequent visits as needed to reinforce GFD education adherence
By rray, 4 May, 2023 General goals of monitoring after CD dx o control of sx if present o GFD adherence o normal growth development in children w CD o preventive care e g vaccines DXA o monitoring of seroconversion to negative serology o active surveillance of comorbidity esp
By rray, 4 May, 2023 Additional considerations o Referral to a dietitian is mandatory after CD dx w subsequent visits as needed to reinforce GFD education and adherence o Additional tests to consider at time of CD dx CBC ALT AST vitamins A D E B12 Cu Zn folic acid ferritin Fe
By rray, 4 May, 2023 Pneumococcal vaccination suggested C L o Vaccination against pneumococcal infxn is safe and effective in CD pts o Vaccination is recommended for all adults 65 yo and smokers 19 64 yo and in adults w certain underlying conditions
By rray, 4 May, 2023 Consumption of gluten free oats is recommended S M 1 o Eating oats seems safe for most CD pts but may be immunogenic in subset o Heterogeneity in oat tolerance may be related to differences in origin harvesting and quantity of oats consumed o Intervals fo
By rray, 4 May, 2023 There s insufficient evidence to recommend for against probiotics for CD tx EvGap VL o Dysbiosis is a feature of CD but its role in pathogenesis and symptomatology is uncertain o Despite widespread use of probiotics their benefit in CD isn t established
By rray, 4 May, 2023 Routine use of gluten detection devices in food or biospecimens isn t recommended C L o Interview w dietitian w GFD expertise is standard of care in assessing diet adherence o Gluten detection technologies may not distinguish between clinically significan
