{"id":4782,"date":"2023-02-11T16:16:41","date_gmt":"2023-02-11T16:16:41","guid":{"rendered":"https:\/\/121dietitian.com\/?p=4782"},"modified":"2023-03-26T11:11:15","modified_gmt":"2023-03-26T10:11:15","slug":"coeliac-disease","status":"publish","type":"post","link":"https:\/\/121dietitian.com\/?p=4782","title":{"rendered":"Coeliac disease &#8211; how a dietitian can help"},"content":{"rendered":"<h1>COELIAC DISEASE<\/h1>\n<p>How can a specialist dietitian help optimise people diagnosed with coeliac disease?<\/p>\n<p>This is a great question and one that is asked every day by enquiring patients. Here at 121 Dietitian we have helped thousands of people, many diagnosed with coeliac disease. It can be overwhelming to learn of such a diagnosis and it can be difficult to know who to turn to. Thankfully we are the experts in optimizing health for all conditions and we have a <a href=\"http:\/\/www.121dietitian.com\/specialist-areas\/coeliac-disease\/\">dedicated programme<\/a> that takes all the worry and stress away!<\/p>\n<h3><strong>WHAT IS COELIAC DISEASE?<\/strong><\/h3>\n<p>Coeliac disease is an autoimmune disease triggered in those people who are genetically at risk. This trigger causes your immune system to attack your own tissues when you eat gluten. The gastrointestinal tract is the targeted organ for this attack and the consequences are many.<\/p>\n<p>Interestingly 35-40% of the general population have the genes that predispose a person to celiac disease, but only around 1% of the general population develop the autoimmune disorder.<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter wp-image-1584 \" src=\"https:\/\/121dietitian.com\/wp-content\/uploads\/2008\/09\/Coeliac-Disease.jpg\" alt=\"Coeliac Disease\" width=\"551\" height=\"167\" \/><\/p>\n<h3><strong>SYMPTOMS<\/strong><\/h3>\n<p>There are several classical symptoms and a few more not so common, so if you feel you have an issue with Gluten you may find this helpful in getting a diagnosis.<\/p>\n<p>The most well-known symptoms of coeliac disease include<\/p>\n<ul>\n<li>diarrhoea (pale foul smelling fatty stools)<\/li>\n<li>fatigue<\/li>\n<li>bloating<\/li>\n<li>weight loss<\/li>\n<li>stomach ache<\/li>\n<\/ul>\n<h3><strong>Other not so well know coeliac disease symptoms include:<\/strong><\/h3>\n<ul>\n<li>indigestion<\/li>\n<li>constipation<\/li>\n<li>itchy rash<\/li>\n<li>nerve damage (B vitamin deficiencies)<\/li>\n<li>malnutrition &#8211; not getting enough nutrients from food,<\/li>\n<li>infertility problems &#8211;\u00a0 women with coeliac disease can have difficulty becoming pregnant<\/li>\n<li>disorders that affect coordination, speech, and balance (B vitamin deficiencies)<\/li>\n<\/ul>\n<h3><strong>Children with coeliac disease:<\/strong><\/h3>\n<p>have all the above symptoms along with<\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li>nausea and vomiting<\/li>\n<li>may not grow at the expected rate and<\/li>\n<li>may have delayed puberty.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>And some people do not have any notable symptoms and this diagnosis comes as a complete surprise.<\/p>\n<h3><strong>IMPORTANT COELIAC STATISTICS<\/strong><\/h3>\n<ul>\n<li>1 in 100 -people worldwide are affected by coeliac disease<\/li>\n<li>In Europe: Germany, The Scandinavian countries, Ireland, and the United Kingdom population have a higher prevalence of coeliac disease ~ 1000 to 1500 per 100,000 individuals<\/li>\n<li>Women to men ratio 3:1<\/li>\n<li>Of patients diagnosed with Coeliac disease 50% still report symptoms while following a gluten-free diet (this is where 121 Dietitian can help)<\/li>\n<li>Family members 1 in 10 also have coeliac disease<\/li>\n<li>If you are diagnosed with coeliac disease you have a x 2 increased risk of coronary artery disease<\/li>\n<li>You have an increased risk of small bowel cancers x 4.<\/li>\n<\/ul>\n<h3><strong>COELIAC DISEASE TESTING<\/strong><\/h3>\n<p>Coeliac disease diagnosis can be made by your GP. They will take a history of your symptoms and arrange a blood test to check for antibodies that are present in the blood of people with coeliac disease.<\/p>\n<p>You need to keep eating gluten foods otherwise you may have an inaccurate blood test result. If this is +ve you will then be referred to a gastroenterologist to confirm this with an endoscopy and a biopsy. They will also be looking for blunt villi. Villi are finger-like projections in the gastrointestinal tract required for nutrient absorption, and when flattened do not have enough surface area to absorb sufficient nutrients.<\/p>\n<h3><strong>COELIAC DISEASE TREATMENT<\/strong><\/h3>\n<p>As this is an autoimmune disease &#8211; Gluten a protein found in grains is the trigger, coeliac disease is treated with a gluten-free diet. If you have been experiencing symptoms for a while with malabsorption you may need vitamins and minerals to be replaced. A specialist Dietitian who is trained in gastrointestinal diseases is the best person to assist you with optimising your diet and health for the long term.<\/p>\n<h3><strong>COELIAC MEDICAL TREATMENTS<\/strong><\/h3>\n<p>Coeliac disease unfortunately does not have a cure.\u00a0 So a strict gluten-free diet will help control symptoms and prevent long-term complications.<\/p>\n<p>What can often be a problem is when people have none to mild symptoms, or their symptoms go away within a few weeks of the diet, they can continue to eat or sneak some gluten and over time if not addressed serious complications can occur.<\/p>\n<p>Many years ago my patients often presented as very underweight, anaemic, exhausted, and having multiple nutrient deficiencies. Today this is not always the case. Many people are now being diagnosed who come to see me eating an unhealthy poor quality diet. Some carry excess weight and are nutrient deficient from this and less so from malabsorption. The worst for these people is that, if not educated in the right choices, they replace their poor gluten diet with gluten-free processed unhealthy choices.\u00a0 Unhealthy choices lead to the consumption of insufficient nutrients causing the patient to feel poorly and gain further weight.<\/p>\n<p>It is really important to therefore ensure that your gluten-free diet is designed to suit you and is wide in variety, healthy and balanced.<\/p>\n<p>Overall it has been fantastic that there has been an increase in the range of available gluten-free foods in the past 10 years. But the negative to this is that it is now possible to eat a diet full of unhealthy choices instead of focusing on a healthy and varied gluten-free diet.<\/p>\n<p><img decoding=\"async\" class=\"aligncenter wp-image-1585 \" src=\"https:\/\/121dietitian.com\/wp-content\/uploads\/2008\/09\/gluten-free-1024x680.jpg\" alt=\"Coeliac Disease\" width=\"289\" height=\"192\" \/><\/p>\n<h3><strong>WHAT FOODS TRIGGER COELIAC DISEASE?<\/strong><\/h3>\n<p>Foods and fluids that contain Gluten include:<\/p>\n<p>Wheat and derivatives of wheat such as:<\/p>\n<ul>\n<li>Durum<\/li>\n<li>Emmer<\/li>\n<li>Couscous<\/li>\n<li>Semolina<\/li>\n<li>Spelt<\/li>\n<li>Farina<\/li>\n<li>Farro<\/li>\n<li>Kamut<\/li>\n<li>Einkorn wheat<\/li>\n<li>Rye<\/li>\n<li>Barley<\/li>\n<li>Triticale<\/li>\n<li>Malt including, malted milk, milkshakes, malt extract, malt syrup, malt flavouring, malted barley flour, malt vinegar<br \/>\nBrewer\u2019s Yeast<\/li>\n<li>Wheat Starch that has not been processed to remove gluten to below 20ppm<\/li>\n<li>Oats are contaminated in processing and packaging so are not allowed even though they do not naturally contain gluten.<\/li>\n<\/ul>\n<p><strong>GLUTEN FOOD EXAMPLES\u00a0<\/strong><\/p>\n<p>The following are examples of popular foods containing gluten\u00a0 -so these are no longer suitable to eat &#8211; lifelong.<\/p>\n<ul>\n<li>bread<\/li>\n<li>pasta<\/li>\n<li>cereals<\/li>\n<li>cakes and pastries<\/li>\n<li>biscuits or crackers<\/li>\n<li>pies<\/li>\n<li>gravies, stocks and sauces<\/li>\n<li>beer<\/li>\n<\/ul>\n<h3><strong>WHAT HAPPENS IF SOMEONE WITH COELIAC DISEASE EATS GLUTEN?<\/strong><\/h3>\n<p>I advise and treat hundreds of newly diagnosed and refractory Coeliac patients. It is a common fear that when not in control of the cooking they are going to be &#8220;glutaminated&#8221;. When gluten is eaten intentionally or unintentionally symptoms can vary from mild to very unpleasant. Symptoms can be immediate or can take a few hours to develop. It can be a real setback and can take a few days to several weeks to regain full energy and trust in eating again. If this is a repeated occurrence disordered eating can be a side effect.<\/p>\n<h3><strong>WHAT HAPPENS IF COELIAC DISEASE GOES UNTREATED?<\/strong><\/h3>\n<p>People who are autoimmune can be at increased risk of developing other autoimmune disorders like type 1 diabetes and multiple sclerosis (MS). Patients with coeliac disease can have dermatitis herpetiformis (an itchy skin rash), <a href=\"https:\/\/www.youtube.com\/watch?v=jLcSlEc5D8A\" target=\"_blank\" rel=\"noopener\">osteoporosis<\/a>, anaemia, infertility and miscarriage, and neurological conditions like peripheral nerve damage and migraines.<\/p>\n<h3><strong>WHAT ORGAN IS MOST AFFECTED BY COELIAC DISEASE?\u00a0<\/strong><\/h3>\n<p>Your small intestine is the main organ affected by gluten in Coeliac disease. This stops your body from taking in nutrients from food with your villi being flattened.<\/p>\n<h3><strong>WHAT CANCERS ARE ASSOCIATED WITH COELIAC DISEASE?\u00a0<\/strong><\/h3>\n<p>There are 3 types of cancer associated with celiac disease: enteropathy-associated T-cell lymphoma (EATL), non-Hodgkin&#8217;s lymphoma, and adenocarcinoma of the small intestine.<\/p>\n<h3><strong>DOES RICE HAVE GLUTEN?\u00a0<\/strong><\/h3>\n<p>All rice (in its natural form) is gluten-free. This includes <a href=\"https:\/\/121dietitian.com\/shop\/food-and-drink\/wholefood-earth-brown-basmati-rice-1kg-gmo-free-natural-vegan-source-of-fibre\/\">brown rice,<\/a> white rice, wild rice and rice flour. Even Asian or sticky rice, also called \u201cglutinous rice,\u201d is gluten-free, despite its name.<\/p>\n<h3><strong>HOW LONG AFTER NOT EATING GLUTEN CAN YOU SEE A DIFFERENCE?\u00a0<\/strong><\/h3>\n<p>1 month on average, people report feeling better after eating a gluten-free diet. This can vary from person to person. Some people feel better sooner than this, and others can take more than 1 month to get symptom relief. But if you are deficient in other nutrients and vitamins you would need to see a dietitian.<\/p>\n<h3><strong>WHICH PASTAS ARE GLUTEN-FREE?\u00a0<\/strong><\/h3>\n<p>Though traditional pasta is typically made using wheat flour, there are plenty of gluten-free alternatives available.<\/p>\n<ul>\n<li>Gluten-Free Pasta and Noodles<\/li>\n<li>Brown Rice Pasta<\/li>\n<li><a href=\"https:\/\/121dietitian.com\/shop\/food-and-drink\/gluten-free\/king-soba-organic-gluten-free-100-buckwheat-noodles-6-pack-bundle-6-x250g-packets\/\">Soba buckwheat noodles<\/a><\/li>\n<li>Shirataki Noodles<\/li>\n<li>Chickpea Pasta<\/li>\n<li>Quinoa Pasta<\/li>\n<li>Lentil Pasta<\/li>\n<\/ul>\n<h3><b>WHAT VITAMINS AND MINERALS DO PEOPLE WITH COELIAC DISEASE LACK?\u00a0<\/b><\/h3>\n<p>Micronutrient deficiencies most common in coeliac people are iron, folic acid, vitamins B1, B6 and B12, vitamin D, zinc and copper. If untreated, these micronutrient deficiencies can cause neurological complications, psychiatric symptoms, and bone deterioration. We would recommend taking tailored individual advice from our dietitians.<\/p>\n<h3><strong>WHAT CAN YOU EAT IF YOU HAVE COELIAC DISEASE:\u00a0<\/strong><\/h3>\n<ul>\n<li>Dairy products, such as cheese, butter and milk.<\/li>\n<li>Fruits and vegetables.<\/li>\n<li>Meat and fish &#8211; no batter, dusted in flour or breadcrumbs<\/li>\n<li>Potatoes &#8211; red\/sweet<\/li>\n<li>Rice and rice noodles<\/li>\n<li>Nuts and seeds<\/li>\n<li><a href=\"https:\/\/121dietitian.com\/shop\/food-and-drink\/gluten-free\/veggy-duck-white-quinoa-grain-1kg-gluten-free-gmo-free\/\">Quinoa<\/a>, buckwheat, amaranth<\/li>\n<li>beans and pulses<\/li>\n<li>suitable <a href=\"https:\/\/121dietitian.com\/shop\/food-and-drink\/gluten-free\/nature-kitchen-indian-curry-gourmet-spice-seasoning-selection-mix-gift-set-kit-9x-gluten-free-herbs-and-spices-for-cooking-recipes-including-blends-for-vindaloo-korma-masalas-and-more\/\">gluten-free herbs and spices<\/a><\/li>\n<li>Gluten-free flours, including rice, corn, potato flour, coconut, <a href=\"https:\/\/121dietitian.com\/shop\/food-and-drink\/loov-organic-raw-buckwheat-flour-1-kg-gluten-free-flour-not-heat-treated-all-nutrients-preserved-delicious-nutty-flavour-organically-grown-in-nordic-climate-non-gmo\/\">buckwheat<\/a> and almond&#8230;<\/li>\n<\/ul>\n<p>Clever use of the above foods and ingredients and you can make anything and everything again. If you are a patient of 121 Dietitian you will receive plenty of recipes to get you started.<\/p>\n<p><img decoding=\"async\" class=\"aligncenter wp-image-1689 \" src=\"https:\/\/121dietitian.com\/wp-content\/uploads\/2016\/07\/Chocolate-cake-recipe-1-1024x450.jpg\" alt=\"Gluten free dairy free cake\" width=\"286\" height=\"126\" \/><\/p>\n<h3><strong>Gluten Free Chocolate cake\u00a0<\/strong><\/h3>\n<p>One of my favourites and handy for birthdays and celebrations is my gluten-free <a href=\"https:\/\/121dietitian.com\/gluten-free-dairy-free-chocolate-cake\/\">chocolate cake recipe.<\/a> Let me know if you like it too!<\/p>\n<h2><strong>GLUTEN INTOLERANCE<\/strong><\/h2>\n<p>&nbsp;<\/p>\n<h3><strong>How do I know if I&#8217;m gluten intolerant or coeliac?<\/strong><\/h3>\n<p>If you are gluten intolerant, the consumption of gluten can cause bloating and belly pain that may last several hours and as much as it is painful worrying and uncomfortable it doesn&#8217;t usually cause harm to the body.<\/p>\n<p>We at 121 Dietitian provide the gold standard in treating gluten sensitivity or intolerance. So if you are unsure as to what your symptoms are from do get <a href=\"http:\/\/www.121dietitian.com\/contact-us\/\">in touch<\/a> and we can assess and assist you further.<\/p>\n<h3><strong>COELIAC RELATED RESEARCH &#8211; Future ideas&#8230;<\/strong><\/h3>\n<p><strong>Gluten-Sensing Tech May Change Fight Against Celiac Disease<\/strong><\/p>\n<p><strong>Elizabeth Millard May 31, 2022\u00a0 -https:\/\/www.medscape.com\/viewarticle\/974842<\/strong><\/p>\n<p>&#8220;Tortajada-Genaro and his team have come up with a system that detects gluten simply and quickly in food. The test, described in a new paper in the journal Food Control, reveals not just the presence of gluten but also its concentration \u2013 and it involves snapping a picture with your smartphone.<\/p>\n<p>As a bonus, this system may also help in food fraud prevention by exposing meat products tainted with grains, which some manufacturers add to improve texture and reduce costs, he says.<\/p>\n<p>&#8220;The protection of the consumer against foodborne illnesses and fraudulent practices requires cheaper, simpler, and faster methods,&#8221; Tortajada-Genaro says. This new system aims to check all three boxes.<\/p>\n<p>The system works by detecting gluten DNA in food, Tortajada-Genaro says. Typically, a sample must be analyzed in a lab by a specialist, which can take several hours to generate results, he says. But this system, which is similar to an antigen test, can do it in less than 2 hours.<\/p>\n<p>Simply take a food sample, grind it up, and mix it with &#8220;gold nanoparticles,&#8221; tiny gold bits that can trigger chemical reactions. Wait 10 minutes for that gold to pull out the gluten&#8217;s DNA. Then place 3 drops on a plastic slide and snap a picture with your phone&#8221;<\/p>\n<p>Fascinating stuff but as it is only in the research stage it may be a long time till we see this in action!<\/p>\n<h3><strong>Useful Coeliac Disease websites<\/strong><\/h3>\n<p>UK &#8211; <a href=\"https:\/\/www.coeliac.org.uk\/home\/\" target=\"_blank\" rel=\"noopener\">https:\/\/www.coeliac.org.uk\/home\/<\/a><\/p>\n<p>USA &#8211;\u00a0 <a href=\"https:\/\/celiac.org\/\" target=\"_blank\" rel=\"noopener\">https:\/\/celiac.org\/<\/a><\/p>\n<p>Need help optimising the foods you eat or are unsure of how to change your eating habits? please do <a href=\"https:\/\/121dietitian.com\/contact-us\/?_gl=1*126zdk9*_ga*NzgzMjMwOTU5LjE2NzI0ODczODI.*_ga_CZ6KKR5M1M*MTY3MjQ4NzM4Mi4xLjEuMTY3MjQ4Nzc3MC4wLjAuMA..&amp;_ga=2.248695943.1281500522.1672487383-783230959.1672487382\"><u>contact us. <\/u><\/a><\/p>\n<p>We would love to help you or your family and friends with any nutrition-related queries big or small.<\/p>\n<p>In the meantime do please check out our <a href=\"https:\/\/121dietitian.com\/shop\/\">121Dietitian Shop<\/a> for specially selected choices created for you.<\/p>\n<p>If you have enjoyed this blog we would love you to share this with your family and friends on your social media channels.<\/p>\n<p>Why not visit our\u00a0<a href=\"https:\/\/www.youtube.com\/@GillianKilliner\" target=\"_blank\" rel=\"noopener\">YouTube Channel<\/a> for more on keeping your health optimal.<\/p>\n<h3>How can a Dietitian help<\/h3>\n<ul>\n<li><strong>Book a consultation via our <a href=\"https:\/\/my.practicebetter.io\/#\/600081aa2a9c241d748eec95\/bookings\" target=\"_blank\" rel=\"noopener\">Online Portal<\/a><\/strong><\/li>\n<li><strong>About <a href=\"https:\/\/121dietitian.com\/about-121-dietitian\/\">Gillian Killiner\u00a0<\/a><\/strong><\/li>\n<li><strong>Check out our tailored <a href=\"https:\/\/121dietitian.com\/specialist-diet-areas\/\">dietary programmes <\/a><\/strong><\/li>\n<\/ul>\n<p>Gillian x<\/p>\n<pre class=\"ti-widget\"><template id=\"trustindex-google-widget-html\"><div class=\" ti-widget  ti-goog ti-review-text-mode-readmore ti-text-align-left\" data-no-translation=\"true\" data-time-locale=\"%d %s ago|today|day|days|week|weeks|month|months|year|years\" data-plugin-version=\"13.3.2\" data-layout-id=\"4\" data-layout-category=\"slider\" data-set-id=\"light-background\" data-pid=\"\" data-language=\"en\" data-close-locale=\"Close\" data-review-target-width=\"300\" data-css-version=\"2\" data-reply-by-locale=\"Owner's reply\" data-only-rating-locale=\"This user only left a rating.\" data-pager-autoplay-timeout=\"6\"> <div class=\"ti-widget-container ti-col-3\"> <div class=\"ti-reviews-container\"> <div class=\"ti-controls\"> <div class=\"ti-next\" aria-label=\"Next review\" role=\"button\" tabindex=\"0\"><\/div> <div class=\"ti-prev\" aria-label=\"Previous review\" role=\"button\" tabindex=\"0\"><\/div> <\/div> <div class=\"ti-reviews-container-wrapper\">  <div data-empty=\"0\" data-time=\"1679356800\" class=\"ti-review-item source-Google ti-image-layout-thumbnail\" data-id=\"cfcd208495d565ef66e7dff9f98764da\" data-language=\"\"> <div class=\"ti-inner\"> <div class=\"ti-review-header\"> <div class=\"ti-platform-icon ti-with-tooltip\"> <span class=\"ti-tooltip\">Posted on Google<\/span> <trustindex-image data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/icon.svg\" alt=\"Google\" width=\"20\" height=\"20\" loading=\"lazy\"><\/trustindex-image> <\/div> <div class=\"ti-profile-img\"> <trustindex-image data-imgurl=\"https:\/\/lh3.googleusercontent.com\/a\/AGNmyxZD7BCYSD5HyYhqqJ_qkA1VnjEpvbrMzUtvczjo=w40-h40-c-c-rp-w40-h40-mo-br100\" alt=\"Kristen McBurney profile picture\" loading=\"lazy\"><\/trustindex-image> <\/div> <div class=\"ti-profile-details\"> <div class=\"ti-name\"> Kristen McBurney <\/div> <div class=\"ti-date\"><\/div> <\/div> <\/div> <span class=\"ti-stars\"><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 1\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 2\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 3\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 4\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 5\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><span class=\"ti-verified-review ti-verified-platform\"><span class=\"ti-verified-tooltip\">Trustindex verifies that the original source of the review is Google.<\/span><\/span><\/span> <div class=\"ti-review-text-container ti-review-content\"><!-- R-CONTENT -->I cannot recommend Gillian enough. I got in touch after struggling to lose weight due to PCOS and suffering from IBS. Thanks to Gillian, my IBS symptoms have massively reduced, and I have been able to lose a significant amount of weight.  Her warmth makes you feel instantly comfortable and at ease. Gillian\u2019s help and expertise is second to none, and she is always on hand to answer any questions. I am throughly enjoying the plan Gillian created for me and have found it easy to integrate into my everyday life. I am so grateful for the positive impact her plan has had on me.<!-- R-CONTENT --><\/div> <span class=\"ti-read-more\" data-container=\".ti-review-content\" data-collapse-text=\"Hide\" data-open-text=\"Read more\"><\/span> <\/div> <\/div>  <div data-empty=\"0\" data-time=\"1675987200\" class=\"ti-review-item source-Google ti-image-layout-thumbnail\" data-id=\"cfcd208495d565ef66e7dff9f98764da\" data-language=\"\"> <div class=\"ti-inner\"> <div class=\"ti-review-header\"> <div class=\"ti-platform-icon ti-with-tooltip\"> <span class=\"ti-tooltip\">Posted on Google<\/span> <trustindex-image data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/icon.svg\" alt=\"Google\" width=\"20\" height=\"20\" loading=\"lazy\"><\/trustindex-image> <\/div> <div class=\"ti-profile-img\"> <trustindex-image data-imgurl=\"https:\/\/lh3.googleusercontent.com\/a\/AGNmyxZMOPkiycRH3dvJcyHGLyTU9ppNEZ0dNVT7Bogj=w40-h40-c-c-rp-w40-h40-mo-br100\" alt=\"Hannah Crothers profile picture\" loading=\"lazy\"><\/trustindex-image> <\/div> <div class=\"ti-profile-details\"> <div class=\"ti-name\"> Hannah Crothers <\/div> <div class=\"ti-date\"><\/div> <\/div> <\/div> <span class=\"ti-stars\"><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 1\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 2\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 3\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 4\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 5\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><span class=\"ti-verified-review ti-verified-platform\"><span class=\"ti-verified-tooltip\">Trustindex verifies that the original source of the review is Google.<\/span><\/span><\/span> <div class=\"ti-review-text-container ti-review-content\"><!-- R-CONTENT -->Gillian is the greatest. She is compassionate and professional, really helped me to understand my body\u2019s function and how to best support it. Her advice has changed my life.<!-- R-CONTENT --><\/div> <span class=\"ti-read-more\" data-container=\".ti-review-content\" data-collapse-text=\"Hide\" data-open-text=\"Read more\"><\/span> <\/div> <\/div>  <div data-empty=\"0\" data-time=\"1675900800\" class=\"ti-review-item source-Google ti-image-layout-thumbnail\" data-id=\"cfcd208495d565ef66e7dff9f98764da\" data-language=\"\"> <div class=\"ti-inner\"> <div class=\"ti-review-header\"> <div class=\"ti-platform-icon ti-with-tooltip\"> <span class=\"ti-tooltip\">Posted on Google<\/span> <trustindex-image data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/icon.svg\" alt=\"Google\" width=\"20\" height=\"20\" loading=\"lazy\"><\/trustindex-image> <\/div> <div class=\"ti-profile-img\"> <trustindex-image data-imgurl=\"https:\/\/lh3.googleusercontent.com\/a\/AGNmyxbfZCAU7yj5pMDx76qDAibDGdmvhmNOVZqus3zm=w40-h40-c-c-rp-w40-h40-mo-br100\" alt=\"Jay Rafferty profile picture\" loading=\"lazy\"><\/trustindex-image> <\/div> <div class=\"ti-profile-details\"> <div class=\"ti-name\"> Jay Rafferty <\/div> <div class=\"ti-date\"><\/div> <\/div> <\/div> <span class=\"ti-stars\"><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 1\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 2\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 3\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 4\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 5\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><span class=\"ti-verified-review ti-verified-platform\"><span class=\"ti-verified-tooltip\">Trustindex verifies that the original source of the review is Google.<\/span><\/span><\/span> <div class=\"ti-review-text-container ti-review-content\"><!-- R-CONTENT -->I would highly recommend Gillian. Her advice and guidance has been a game changer for me. With so much conflicting and confusing advice on healthy eating, using a professional nutritionalist is a must.<!-- R-CONTENT --><\/div> <span class=\"ti-read-more\" data-container=\".ti-review-content\" data-collapse-text=\"Hide\" data-open-text=\"Read more\"><\/span> <\/div> <\/div>  <div data-empty=\"0\" data-time=\"1672272000\" class=\"ti-review-item source-Google ti-image-layout-thumbnail\" data-id=\"cfcd208495d565ef66e7dff9f98764da\" data-language=\"\"> <div class=\"ti-inner\"> <div class=\"ti-review-header\"> <div class=\"ti-platform-icon ti-with-tooltip\"> <span class=\"ti-tooltip\">Posted on Google<\/span> <trustindex-image data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/icon.svg\" alt=\"Google\" width=\"20\" height=\"20\" loading=\"lazy\"><\/trustindex-image> <\/div> <div class=\"ti-profile-img\"> <trustindex-image data-imgurl=\"https:\/\/lh3.googleusercontent.com\/a-\/ACB-R5Qqq1RJNO9Y_W3SY2kQlmtAN-9NY8EpepMUjCnEFY0=w40-h40-c-c-rp-w40-h40-mo-br100\" alt=\"Emma Lavery profile picture\" loading=\"lazy\"><\/trustindex-image> <\/div> <div class=\"ti-profile-details\"> <div class=\"ti-name\"> Emma Lavery <\/div> <div class=\"ti-date\"><\/div> <\/div> <\/div> <span class=\"ti-stars\"><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 1\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 2\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 3\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 4\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 5\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><span class=\"ti-verified-review ti-verified-platform\"><span class=\"ti-verified-tooltip\">Trustindex verifies that the original source of the review is Google.<\/span><\/span><\/span> <div class=\"ti-review-text-container ti-review-content\"><!-- R-CONTENT -->I could not recommend Gillian enough over the last 3 months - she has turned my life around!\nI was referred to Gillian by my gastro consultant due to suffering from ibs, gastritis and hormonal issues for nearly 10 years. Gillian was very understanding and approachable throughout my time spent with her. Gillian discussed my health, lifestyle and eating habits thoroughly.  She advised an individualised blood check for underlying issues, educated me on supplements and provided numerous information to help aid my recovery.\nThe low foodmap programme I have been following is achievable and can be adapted to anyones lifestyle. As I am a vegetarian I thought this process may be difficult however Gillian reassured me that this would be no issue. She supplied personalised shopping lists, recipes and alternative foods to help heal my gut and overall health.\nContinual support from Gillian was on hand via email when required.\n\nI seen improvements in my symptoms within only weeks of starting the programme and was overwhelmed by the success due to suffering for years!\nI have been spreading the word about Gillian's brilliant work and will continue to do so! Thank you again for all your help!<!-- R-CONTENT --><\/div> <span class=\"ti-read-more\" data-container=\".ti-review-content\" data-collapse-text=\"Hide\" data-open-text=\"Read more\"><\/span> <\/div> <\/div>  <div data-empty=\"0\" data-time=\"1671321600\" class=\"ti-review-item source-Google ti-image-layout-thumbnail\" data-id=\"cfcd208495d565ef66e7dff9f98764da\" data-language=\"\"> <div class=\"ti-inner\"> <div class=\"ti-review-header\"> <div class=\"ti-platform-icon ti-with-tooltip\"> <span class=\"ti-tooltip\">Posted on Google<\/span> <trustindex-image data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/icon.svg\" alt=\"Google\" width=\"20\" height=\"20\" loading=\"lazy\"><\/trustindex-image> <\/div> <div class=\"ti-profile-img\"> <trustindex-image data-imgurl=\"https:\/\/lh3.googleusercontent.com\/a-\/ACB-R5QYNH4Yickt_FXrYqun0OFjR--Z6uFMQD92oh1Q=w40-h40-c-c-rp-w40-h40-mo-ba3-br100\" alt=\"mick lorkins profile picture\" loading=\"lazy\"><\/trustindex-image> <\/div> <div class=\"ti-profile-details\"> <div class=\"ti-name\"> mick lorkins <\/div> <div class=\"ti-date\"><\/div> <\/div> <\/div> <span class=\"ti-stars\"><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 1\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 2\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 3\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 4\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 5\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><span class=\"ti-verified-review ti-verified-platform\"><span class=\"ti-verified-tooltip\">Trustindex verifies that the original source of the review is Google.<\/span><\/span><\/span> <div class=\"ti-review-text-container ti-review-content\"><!-- R-CONTENT -->Strongly recommended.\nThere are not many professionals that can totally change you life for the better but this one one if you follow the advice given.<!-- R-CONTENT --><\/div> <span class=\"ti-read-more\" data-container=\".ti-review-content\" data-collapse-text=\"Hide\" data-open-text=\"Read more\"><\/span> <\/div> <\/div>  <div data-empty=\"0\" data-time=\"1662508800\" class=\"ti-review-item source-Google ti-image-layout-thumbnail\" data-id=\"cfcd208495d565ef66e7dff9f98764da\" data-language=\"\"> <div class=\"ti-inner\"> <div class=\"ti-review-header\"> <div class=\"ti-platform-icon ti-with-tooltip\"> <span class=\"ti-tooltip\">Posted on Google<\/span> <trustindex-image data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/icon.svg\" alt=\"Google\" width=\"20\" height=\"20\" loading=\"lazy\"><\/trustindex-image> <\/div> <div class=\"ti-profile-img\"> <trustindex-image data-imgurl=\"https:\/\/lh3.googleusercontent.com\/a\/AGNmyxb8Al8jjmdpmC3a9JcfdFSHLk0i4iunM3pYXGI9=w40-h40-c-c-rp-w40-h40-mo-br100\" alt=\"Bobby D profile picture\" loading=\"lazy\"><\/trustindex-image> <\/div> <div class=\"ti-profile-details\"> <div class=\"ti-name\"> Bobby D <\/div> <div class=\"ti-date\"><\/div> <\/div> <\/div> <span class=\"ti-stars\"><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 1\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 2\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 3\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 4\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 5\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><span class=\"ti-verified-review ti-verified-platform\"><span class=\"ti-verified-tooltip\">Trustindex verifies that the original source of the review is Google.<\/span><\/span><\/span> <div class=\"ti-review-text-container ti-review-content\"><!-- R-CONTENT -->For 30 years I have suffered with IBS D and  have been unable to find the right specific help. I was introduced to 121 Dietician about 6 weeks ago and like all other services out there I was sceptical. First up was a consultation online which was great considering the many issues I was having going to places. Gillian listened very attentively and understood the many problems I was having.\n\nGillian decided to introduce me to the Low FODMAP diet. Starting out she provided everything (information, shopping lists, recipes etc) to get started. Through the course of the first 6 weeks Gillian was available to answer any questions or concerns.\n\nFollowing the first 6 weeks I'm very happy to say that all the many problems associated with IBS have gone and I'm starting to live a normal life without any stage fright when out and about.\n\nThe next 8 weeks will be the reintroduction stage but based on the knowledge from Gillian in the initial stage I'm very confident that at the end I will have full understanding of all my triggers.\n\nI can't recommend this service enough as most importantly after 30 years of severe symptoms I once again feel healthy and happy. This is a must if you suffer continually from this horrendous condition. I would be confident that this will help anyone who has IBS.\n\nFor me this was the best money ever spent and I can't thank Gillian enough for the difference she has made.\n\nRoy Dornan<!-- R-CONTENT --><\/div> <span class=\"ti-read-more\" data-container=\".ti-review-content\" data-collapse-text=\"Hide\" data-open-text=\"Read more\"><\/span> <\/div> <\/div>  <div data-empty=\"0\" data-time=\"1662249600\" class=\"ti-review-item source-Google ti-image-layout-thumbnail\" data-id=\"cfcd208495d565ef66e7dff9f98764da\" data-language=\"\"> <div class=\"ti-inner\"> <div class=\"ti-review-header\"> <div class=\"ti-platform-icon ti-with-tooltip\"> <span class=\"ti-tooltip\">Posted on Google<\/span> <trustindex-image data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/icon.svg\" alt=\"Google\" width=\"20\" height=\"20\" loading=\"lazy\"><\/trustindex-image> <\/div> <div class=\"ti-profile-img\"> <trustindex-image data-imgurl=\"https:\/\/lh3.googleusercontent.com\/a\/AGNmyxZuZT49o7YBpHdmMweKermYW0XLfjkzPyMkJ4gR=w40-h40-c-c-rp-w40-h40-mo-br100\" alt=\"Jack Kennedy profile picture\" loading=\"lazy\"><\/trustindex-image> <\/div> <div class=\"ti-profile-details\"> <div class=\"ti-name\"> Jack Kennedy <\/div> <div class=\"ti-date\"><\/div> <\/div> <\/div> <span class=\"ti-stars\"><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 1\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 2\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 3\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 4\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 5\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><span class=\"ti-verified-review ti-verified-platform\"><span class=\"ti-verified-tooltip\">Trustindex verifies that the original source of the review is Google.<\/span><\/span><\/span> <div class=\"ti-review-text-container ti-review-content\"><!-- R-CONTENT -->Helped solve stomach issues, had previous been to several people but this was the first dietary intervention that worked<!-- R-CONTENT --><\/div> <span class=\"ti-read-more\" data-container=\".ti-review-content\" data-collapse-text=\"Hide\" data-open-text=\"Read more\"><\/span> <\/div> <\/div>  <div data-empty=\"0\" data-time=\"1651190400\" class=\"ti-review-item source-Google ti-image-layout-thumbnail\" data-id=\"cfcd208495d565ef66e7dff9f98764da\" data-language=\"\"> <div class=\"ti-inner\"> <div class=\"ti-review-header\"> <div class=\"ti-platform-icon ti-with-tooltip\"> <span class=\"ti-tooltip\">Posted on Google<\/span> <trustindex-image data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/icon.svg\" alt=\"Google\" width=\"20\" height=\"20\" loading=\"lazy\"><\/trustindex-image> <\/div> <div class=\"ti-profile-img\"> <trustindex-image data-imgurl=\"https:\/\/lh3.googleusercontent.com\/a-\/ACB-R5QVIcg5OYz4XbWRyvunyFTOULmLL0vHFGSCEXrRRA=w40-h40-c-c-rp-w40-h40-mo-br100\" alt=\"Laura Campbell profile picture\" loading=\"lazy\"><\/trustindex-image> <\/div> <div class=\"ti-profile-details\"> <div class=\"ti-name\"> Laura Campbell <\/div> <div class=\"ti-date\"><\/div> <\/div> <\/div> <span class=\"ti-stars\"><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 1\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 2\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 3\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 4\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 5\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><span class=\"ti-verified-review ti-verified-platform\"><span class=\"ti-verified-tooltip\">Trustindex verifies that the original source of the review is Google.<\/span><\/span><\/span> <div class=\"ti-review-text-container ti-review-content\"><!-- R-CONTENT -->After over 10 years of eating quite poorly, Gillian has completely changed my approach to food. After a consultation and review of my diet, she provided me with a list of easy and quick recipes that are packed full of nutrition. She takes into consideration your lifestyle as well which I really appreciated too. I now have much more energy and actually enjoy preparing meals now, something I never did before. I honestly cannot recommend her enough. Thankyou! :-)<!-- R-CONTENT --><\/div> <span class=\"ti-read-more\" data-container=\".ti-review-content\" data-collapse-text=\"Hide\" data-open-text=\"Read more\"><\/span> <\/div> <\/div>  <div data-empty=\"0\" data-time=\"1650758400\" class=\"ti-review-item source-Google ti-image-layout-thumbnail\" data-id=\"cfcd208495d565ef66e7dff9f98764da\" data-language=\"\"> <div class=\"ti-inner\"> <div class=\"ti-review-header\"> <div class=\"ti-platform-icon ti-with-tooltip\"> <span class=\"ti-tooltip\">Posted on Google<\/span> <trustindex-image data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/icon.svg\" alt=\"Google\" width=\"20\" height=\"20\" loading=\"lazy\"><\/trustindex-image> <\/div> <div class=\"ti-profile-img\"> <trustindex-image data-imgurl=\"https:\/\/lh3.googleusercontent.com\/a\/AGNmyxYC8FafXbzYYnVzafIVKi4vPziXKMdrYVIEHj89=w40-h40-c-c-rp-w40-h40-mo-br100\" alt=\"Chris Arnold profile picture\" loading=\"lazy\"><\/trustindex-image> <\/div> <div class=\"ti-profile-details\"> <div class=\"ti-name\"> Chris Arnold <\/div> <div class=\"ti-date\"><\/div> <\/div> <\/div> <span class=\"ti-stars\"><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 1\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 2\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 3\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 4\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 5\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><span class=\"ti-verified-review ti-verified-platform\"><span class=\"ti-verified-tooltip\">Trustindex verifies that the original source of the review is Google.<\/span><\/span><\/span> <div class=\"ti-review-text-container ti-review-content\"><!-- R-CONTENT -->The overall experience was a very positive one. Gillian certainly had the expertise and people skills to help evaluate and treat my daughters gut issues. The progress was quite instantaneous and over time has made a huge difference to her everyday life. Thanks to Gillian for her work which came at the end of many doctor consultations. In hindsight Gillian should have been the first port of call.<!-- R-CONTENT --><\/div> <span class=\"ti-read-more\" data-container=\".ti-review-content\" data-collapse-text=\"Hide\" data-open-text=\"Read more\"><\/span> <\/div> <\/div>  <div data-empty=\"0\" data-time=\"1648598400\" class=\"ti-review-item source-Google ti-image-layout-thumbnail\" data-id=\"cfcd208495d565ef66e7dff9f98764da\" data-language=\"\"> <div class=\"ti-inner\"> <div class=\"ti-review-header\"> <div class=\"ti-platform-icon ti-with-tooltip\"> <span class=\"ti-tooltip\">Posted on Google<\/span> <trustindex-image data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/icon.svg\" alt=\"Google\" width=\"20\" height=\"20\" loading=\"lazy\"><\/trustindex-image> <\/div> <div class=\"ti-profile-img\"> <trustindex-image data-imgurl=\"https:\/\/lh3.googleusercontent.com\/a\/AGNmyxb6ecTKDRmGpXeFP72azkJni0lg8yq6u2vHfdUw=w40-h40-c-c-rp-w40-h40-mo-br100\" alt=\"Amelia Tyler profile picture\" loading=\"lazy\"><\/trustindex-image> <\/div> <div class=\"ti-profile-details\"> <div class=\"ti-name\"> Amelia Tyler <\/div> <div class=\"ti-date\"><\/div> <\/div> <\/div> <span class=\"ti-stars\"><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 1\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 2\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 3\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 4\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google star 5\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image><span class=\"ti-verified-review ti-verified-platform\"><span class=\"ti-verified-tooltip\">Trustindex verifies that the original source of the review is Google.<\/span><\/span><\/span> <div class=\"ti-review-text-container ti-review-content\"><!-- R-CONTENT -->Gillian is great and her program was just perfect. All the meals were delicious and I always felt satisfied which made it very easy to follow. I would highly recommend, especially the 121 sports program.<!-- R-CONTENT --><\/div> <span class=\"ti-read-more\" data-container=\".ti-review-content\" data-collapse-text=\"Hide\" data-open-text=\"Read more\"><\/span> <\/div> <\/div>  <\/div> <div class=\"ti-controls-line\"> <div class=\"dot\"><\/div> <\/div> <\/div>    <\/div> <\/div> <\/template><\/pre><div data-src=\"https:\/\/cdn.trustindex.io\/loader.js?wp-widget\" data-template-id=\"trustindex-google-widget-html\" data-css-url=\"https:\/\/121dietitian.com\/wp-content\/uploads\/trustindex-google-widget.css?1787721886\"><\/div>\n<p>[instagram-feed]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>COELIAC DISEASE How can a specialist dietitian help optimise people diagnosed with coeliac disease? This is a great question and one that is asked every day by enquiring patients. Here at 121 Dietitian we have helped thousands of people, many diagnosed with coeliac disease. It can be overwhelming to learn of such a diagnosis and it can be difficult to know who to turn to. Thankfully we are the experts in optimizing health for all conditions and we have a dedicated programme that takes all the worry and stress away! WHAT IS COELIAC DISEASE? Coeliac disease is an autoimmune disease triggered in those people who are genetically at risk. This trigger causes your immune system to attack your own tissues when you eat gluten. The gastrointestinal tract is the targeted organ for this attack and the consequences are many. Interestingly 35-40% of the general population have the genes that predispose a person to celiac disease, but only around 1% of the general population develop the autoimmune disorder. SYMPTOMS There are several classical symptoms and a few more not so common, so if you feel you have an issue with Gluten you may find this helpful in getting a diagnosis. The most well-known symptoms of coeliac disease include diarrhoea (pale foul smelling fatty stools) fatigue bloating weight loss stomach ache Other not so well know coeliac disease symptoms include: indigestion constipation itchy rash nerve damage (B vitamin deficiencies) malnutrition &#8211; not getting enough nutrients from food, infertility problems &#8211;\u00a0 women with coeliac disease can have difficulty becoming pregnant disorders that affect coordination, speech, and balance (B vitamin deficiencies) Children with coeliac disease: have all the above symptoms along with nausea and vomiting may not grow at the expected rate and may have delayed puberty. And some people do not have any notable symptoms and this diagnosis comes as a complete surprise. IMPORTANT COELIAC STATISTICS 1 in 100 -people worldwide are affected by coeliac disease In Europe: Germany, The Scandinavian countries, Ireland, and the United Kingdom population have a higher prevalence of coeliac disease ~ 1000 to 1500 per 100,000 individuals Women to men ratio 3:1 Of patients diagnosed with Coeliac disease 50% still report symptoms while following a gluten-free diet (this is where 121 Dietitian can help) Family members 1 in 10 also have coeliac disease If you are diagnosed with coeliac disease you have a x 2 increased risk of coronary artery disease You have an increased risk of small bowel cancers x 4. COELIAC DISEASE TESTING Coeliac disease diagnosis can be made by your GP. They will take a history of your symptoms and arrange a blood test to check for antibodies that are present in the blood of people with coeliac disease. You need to keep eating gluten foods otherwise you may have an inaccurate blood test result. If this is +ve you will then be referred to a gastroenterologist to confirm this with an endoscopy and a biopsy. They will also be looking for blunt villi. Villi are finger-like projections in the gastrointestinal tract required for nutrient absorption, and when flattened do not have enough surface area to absorb sufficient nutrients. COELIAC DISEASE TREATMENT As this is an autoimmune disease &#8211; Gluten a protein found in grains is the trigger, coeliac disease is treated with a gluten-free diet. If you have been experiencing symptoms for a while with malabsorption you may need vitamins and minerals to be replaced. A specialist Dietitian who is trained in gastrointestinal diseases is the best person to assist you with optimising your diet and health for the long term. COELIAC MEDICAL TREATMENTS Coeliac disease unfortunately does not have a cure.\u00a0 So a strict gluten-free diet will help control symptoms and prevent long-term complications. What can often be a problem is when people have none to mild symptoms, or their symptoms go away within a few weeks of the diet, they can continue to eat or sneak some gluten and over time if not addressed serious complications can occur. Many years ago my patients often presented as very underweight, anaemic, exhausted, and having multiple nutrient deficiencies. Today this is not always the case. Many people are now being diagnosed who come to see me eating an unhealthy poor quality diet. Some carry excess weight and are nutrient deficient from this and less so from malabsorption. The worst for these people is that, if not educated in the right choices, they replace their poor gluten diet with gluten-free processed unhealthy choices.\u00a0 Unhealthy choices lead to the consumption of insufficient nutrients causing the patient to feel poorly and gain further weight. It is really important to therefore ensure that your gluten-free diet is designed to suit you and is wide in variety, healthy and balanced. Overall it has been fantastic that there has been an increase in the range of available gluten-free foods in the past 10 years. But the negative to this is that it is now possible to eat a diet full of unhealthy choices instead of focusing on a healthy and varied gluten-free diet. WHAT FOODS TRIGGER COELIAC DISEASE? Foods and fluids that contain Gluten include: Wheat and derivatives of wheat such as: Durum Emmer Couscous Semolina Spelt Farina Farro Kamut Einkorn wheat Rye Barley Triticale Malt including, malted milk, milkshakes, malt extract, malt syrup, malt flavouring, malted barley flour, malt vinegar Brewer\u2019s Yeast Wheat Starch that has not been processed to remove gluten to below 20ppm Oats are contaminated in processing and packaging so are not allowed even though they do not naturally contain gluten. GLUTEN FOOD EXAMPLES\u00a0 The following are examples of popular foods containing gluten\u00a0 -so these are no longer suitable to eat &#8211; lifelong. bread pasta cereals cakes and pastries biscuits or crackers pies gravies, stocks and sauces beer WHAT HAPPENS IF SOMEONE WITH COELIAC DISEASE EATS GLUTEN? I advise and treat hundreds of newly diagnosed and refractory Coeliac patients. It is a common fear that when not in control of the cooking they are going to<\/p>\n","protected":false},"author":4,"featured_media":1585,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[5,155],"tags":[1308,1309,922,1310,924,116,1404,1409,965,1410,923,1405,52,149,1407,1408,1406],"class_list":["post-4782","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","category-health","tag-celiac","tag-celiac-diet","tag-coeliac","tag-coeliac-diet","tag-coeliac-recipe","tag-dietitian-belfast","tag-dietitian-uk","tag-gluten-containing-foods","tag-gluten-free-chocolate-cake","tag-gluten-free-foods","tag-gluten-free-recipe","tag-gluten-intolerance","tag-gluten-free","tag-private-dietitian-northern-ireland","tag-symptoms-of-gluten-intolerance","tag-symptoms-of-wheat-intolerance","tag-wheat-intolerance"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.7 (Yoast SEO v28.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Coeliac disease - how a dietitian can help | 121 Dietitian<\/title>\n<meta name=\"description\" content=\"How can a dietitian optimise people diagnosed with coeliac disease? 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