• Duca RA Jr

Backround: This case study attempts to illustrate the nutritional management of a 38 year old female patient with celiac disease leading to a successful symptom resolution.

Objective: To objectively document, utilizing standard blood laboratory, urine, stool, endoscopy, and tissue biopsy tests, the changes produced by a nutritional intervention. The author attempts to correlate changes in the patient's physical signs and symptoms with the changes in said lab-oratory tests.

Design: One patient was managed in an outpatient natural medicine and nutritional clinic over a period of 15 months. The patient was specifically selected for the study because of the significant improvement in the clinical course of her disease.

Results: Twelve months after the onset of nutritional therapy the patient achieved complete symptom resolution and reversal of pathologic histological changes in the mid-esophagus, body and antrum of the stomach, and duodenum. These changes were confirmed through a pre-therapy and a post-therapy gastro-esophageal endoscopy and esophageal and duodenal tissue biopsies.

Conclusion: One case of celiac disease in a 38 year old woman was successfully treated utilizing the therapeutic armamentum of a nutritionally oriented clinician. It is the author's desire that accumulation of additional case studies in the scientific literature may invite larger randomized controlled studies investigating the efficaciousness of nutritional therapy in the management of celiac disease.

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