Coeliac Disease

Coeliac disease is an autoimmune condition where eating gluten (a protein found in wheat, barley, and rye) triggers an immune response that damages the lining of the small intestine. This damage reduces the body’s ability to absorb nutrients properly, which can lead to a wide range of symptoms and long-term health problems if not managed.

Gluten must be completely excluded from the diet to allow the gut to heal and to prevent complications. Even small amounts can cause symptoms and ongoing damage.

Why It Matters

If left untreated, coeliac disease can lead to:

  • Persistent gut symptoms such as diarrhoea, bloating, or abdominal pain

  • Nutrient deficiencies (e.g. iron, calcium, vitamin D, folate, vitamin B12)

  • Fatigue, low energy, and poor concentration

  • Bone health problems such as osteoporosis

  • Fertility issues or complications during pregnancy

  • Increased risk of certain gut-related conditions

A strict gluten-free diet is the only effective treatment — but with the right support, people with coeliac disease can live full and healthy lives.

Who This Service Is For

This service is designed for adults who have:

  • Been newly diagnosed with coeliac disease and need guidance on starting a gluten-free diet

  • Lived with coeliac disease for some time but still struggle with symptoms or uncertainty about their diet

  • Questions about cross-contamination and eating out safely

  • Concerns about nutritional deficiencies or long-term complications

  • Coeliac disease alongside other conditions, where diet may feel even more complicated

If you are unsure whether this service is right for you, please get in touch and we will be happy to advise.

What to Expect in Your Assessment

During your session, your dietitian will:

  • Review your current situation – including symptoms, diet history, medical background, and lifestyle factors.

  • Explain coeliac disease in clear terms – covering what it means for your health and why a gluten-free diet is necessary.

  • Assess your nutritional needs – identifying any possible deficiencies (e.g. iron, calcium, vitamin D) and ensuring your diet supports long-term health.

  • Provide practical education – how to follow a gluten-free diet, avoid cross-contamination, shop safely, and eat out with confidence.

  • Discuss fortified and alternative products – helping you choose affordable and nutritious replacements for gluten-containing foods.

  • Make recommendations to your GP (if appropriate) – e.g. for blood tests, bone health checks, or prescriptions for gluten-free products.

  • Agree a personalised plan – clear, realistic steps to support symptom control, nutrient intake, and a balanced gluten-free lifestyle.

Your plan will be tailored to your needs and, where relevant, can be shared with your wider healthcare team for continuity of care.

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