Why celiac disease diagnosis disparities matters.

Updated 1 week ago

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The arguments

Systemic underdiagnosis of celiac disease

Celiac disease disproportionately goes undiagnosed among people of colour in the US, driven by structural barriers to healthcare access and low clinical awareness in underserved communities.

Gluten intolerance is widely misattributed

Experts argue that most self-reported gluten intolerance is actually fructan intolerance, and that everyday gut symptoms like bloating are rooted in unrecognised constipation — meaning many people are chasing the wrong diagnosis entirely.

1 show
Brief

Celiac disease and gluten-related conditions remain widely misunderstood and underdiagnosed, with particular concern for healthcare access gaps affecting people of colour in the US. Compounding this, what many people label as gluten intolerance may actually be fructan intolerance — a reaction to carbohydrates in wheat, barley, and rye rather than gluten itself. Gut health experts also highlight that common symptoms like bloating and gas are frequently driven by unrecognised constipation, further muddying the diagnostic picture.

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