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Review

Should the Glu Be Ten or Twenty? An Update on the Ongoing Debate on Gluten Safety Limits for Patients with Celiac Disease

1
Pediatric Gastroenterology & Nutrition institute, Ruth Children’s Hospital of Haifa, Rambam Medical Center, Faculty of Medicine, Technion, Haifa 3109601, Israel
2
Department of Paediatrics, University of Otago Christchurch, Christchurch 8140, New Zealand
*
Author to whom correspondence should be addressed.
Gastrointest. Disord. 2020, 2(3), 202-211; https://0-doi-org.brum.beds.ac.uk/10.3390/gidisord2030021
Received: 4 June 2020 / Revised: 18 July 2020 / Accepted: 20 July 2020 / Published: 22 July 2020
(This article belongs to the Special Issue Coeliac Disease)
The only currently accepted and recommended treatment for individuals diagnosed with celiac disease (CD) is a strict life-long gluten-free diet (GFD). While the use of the GFD is well-established, strict adherence to diet is not easy to accomplish. In addition, the administration of a GFD may be compromised by inadvertent exposure to small amounts of gluten. International guidelines define a gluten-free product as one containing less than 20 parts per million (ppm), (20 milligrams of gluten per 1 kg of food) gluten. A number of reports have assessed the safe upper limit for gluten exposure for patients with CD, with general consensus that patients with CD should limit their daily intake to less than 50 mg. View Full-Text
Keywords: celiac disease; gluten; gluten free diet; guidelines celiac disease; gluten; gluten free diet; guidelines
MDPI and ACS Style

Spector Cohen, I.; Day, A.; Shaoul, R. Should the Glu Be Ten or Twenty? An Update on the Ongoing Debate on Gluten Safety Limits for Patients with Celiac Disease. Gastrointest. Disord. 2020, 2, 202-211. https://0-doi-org.brum.beds.ac.uk/10.3390/gidisord2030021

AMA Style

Spector Cohen I, Day A, Shaoul R. Should the Glu Be Ten or Twenty? An Update on the Ongoing Debate on Gluten Safety Limits for Patients with Celiac Disease. Gastrointestinal Disorders. 2020; 2(3):202-211. https://0-doi-org.brum.beds.ac.uk/10.3390/gidisord2030021

Chicago/Turabian Style

Spector Cohen, Inna, Andrew Day, and Ron Shaoul. 2020. "Should the Glu Be Ten or Twenty? An Update on the Ongoing Debate on Gluten Safety Limits for Patients with Celiac Disease" Gastrointestinal Disorders 2, no. 3: 202-211. https://0-doi-org.brum.beds.ac.uk/10.3390/gidisord2030021

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