Sarah Keogh

With adults, we would follow with a biopsy and the biopsy is the camera down endoscopy.

And it's very important.

Again, I'd have patients say, oh, I have the camera down, but sometimes they only went as far as the stomach and they didn't go into the small bowel and take the biopsy.

So, you know, it's really important to make sure they took the four biopsies there when they were doing it.

But for adults, we like to do the biopsy with that and really just confirm it.

So the only treatment at the moment is a strict gluten-free diet and the emphasis on strict.

And what I would, I work obviously the last eight years with the Celiac Society and I do the Celiac Clinic and I would regularly see people who are still having symptoms.

And when we go back in, there's usually just tiny bits of gluten.

And it's a thing that a lot of people miss.

Like if you're celiac, you have to be as strict as if you had a peanut allergy, like tiny, tiny, tiny bits of gluten will be a problem.

So people need a toaster that has never had ordinary bread in it.

You know, if you have fried onion rings in a deep fat fryer, you can't then use that for chips because the oil has gluten in it and the gluten is going on to the chips.

So it's really that's where the difficulty, for example, with eating out is.

And some restaurants are absolutely fantastic and it's definitely worth the conversation.

Travelling can be difficult, you know, accessing things like gluten free food at airports can be a real struggle for a lot of people.

And I think the biggest thing is a lot of people think it's a fad.

They think there was a very big gluten free fad there about 10 years ago.

You know, fans come and go, but like...

I think it's kind of done two things.

The fad did increase the number of gluten free products available, but it also led a lot of people to roll their eyes when someone says I'm celiac because they often equate them as being a lifestyle choice.