Coeliac disease and the gluten-free diet
Coeliac disease requires strict, lifelong gluten avoidance. Done well, it is fully compatible with a varied, enjoyable diet and a normal social life — provided hidden sources and cross-contamination are under control.
Gabriela Ferent — Qualified dietitian · Affiliated with the CNS
Never remove gluten before diagnosis: tests are only interpretable while gluten is still being eaten.
Made by your doctor, before removing any gluten
Reliable avoidance, complete nutrition, social life preserved
Pointers to avoid common mistakes
Systematic label reading and spotting hidden gluten sources.
Organising the kitchen to avoid cross-contamination.
Two habits are enough to cut most accidental exposures.
Never remove gluten before diagnosis
Serology and biopsy are only interpretable while gluten is still being eaten. If you suspect coeliac disease, speak to your doctor before excluding anything: premature avoidance can make diagnosis impossible for months.
What we work on in consultation
A poorly built gluten-free diet is often lower in fibre, iron and B vitamins, and higher in ultra-processed products. We build the opposite: naturally gluten-free, complete and affordable staples.
- Label reading and spotting hidden gluten sources
- Organising the kitchen to avoid cross-contamination
- Complete alternatives: rice, buckwheat, quinoa, pulses, corn
- Restaurants, canteens, travel and family meals
- Nutritional monitoring together with your doctor
This diagram shows the FODMAP protocol, a tool reserved for irritable bowel syndrome and some functional digestive complaints, always under dietetic supervision. It does not apply to food allergies or coeliac disease, and it does not replace medical advice.
What belongs to your physician
Diagnosis, tests and medical treatment remain your doctor's responsibility. Dietetic support adapts to them and, with your agreement, a report is sent to your doctor.
Frequently asked questions about coeliac disease
In coeliac disease, yes: very small repeated amounts can maintain intestinal damage, even without felt symptoms. That is why managing cross-contamination is central.
Rarely. Outside coeliac disease or a documented sensitivity, avoidance shows no demonstrated benefit and often impoverishes the diet. A supervised trial can settle the question.
Ready to start your care pathway?
Book an appointment with Gabriela Ferent — three practices in Luxembourg, consultations with possible CNS coverage on prescription, or privately.
Book an appointment