Case study: Difficulty concentrating – searching for clues in cases of unclear malabsorption
20-year-old female patient with gastrointestinal complaints and concentration problems presents at the medical nutrition therapy practice in fall 2023.

Practical examples highlight the overlap between gluten- and grain-related disorders (GRDs) and the diagnostic challenges they present.
Diagnosing and managing gluten-related disorders can be challenging because symptoms often overlap. These case studies, covering celiac disease, wheat allergy, non-celiac gluten sensitivity and wheat sensitivity (NCGS), and irritable bowel syndrome, offer practical insights from real-world clinical experience. Think about how you would have approached each case-and read how other healthcare professionals have navigated the complexity of gluten-related disorders in unclear cases.
20-year-old female patient with gastrointestinal complaints and concentration problems presents at the medical nutrition therapy practice in fall 2023.