Case study: Use of gluten-free staple foods to support adherence to a low FODMAP diet
A female in her late 20s, working in a stressful office-based role, was seen in a private remote dietetic clinic as part of a four-month 1:1 IBS coaching programme

Case studies from real life clinical cases illustrate the overlapping phenomenon of gluten-related disorders – and the related challenges.
Due to the phenomenon of symptomatic overlap, the diagnosis and treatment of gluten-related disorders (GRD) often proves challenging. Real world case studies on coeliac disease, wheat allergy, gluten/wheat sensitivity and irritable bowel syndrome may be helpful in supporting understanding. Ask yourself how you would have approached the situation – and read how other clinicians have shed light on unclear cases.
A female in her late 20s, working in a stressful office-based role, was seen in a private remote dietetic clinic as part of a four-month 1:1 IBS coaching programme
The patient was a woman in her late 30s referred to a telephone outpatient dietetic clinic following a new diagnosis of coeliac disease.
A male patient in his mid 60’s was referred to the Dietetic Led Coeliac Outpatient Clinic for the management of Coeliac Disease with a new diagnosis made based on symptoms of significant weight loss and Marsh 3B villous atrophy and increased lymphocytosis. Coeliac serology results were awaited.
20-year-old female patient with gastrointestinal complaints and concentration problems presents at the nutritional therapy practice in autumn 2023.