It can often be challenging to eliminate all sources of gluten.  A dietician 
who is knowledgeable about the celiac diet may be helpful in tracking down 
any hidden sources of gluten- sometimes things such as vitamin supplements 
or medications that are not gluten-free could be causing a problem or there 
could be a cross-contamination problem.  A useful reference is "Gluten-Free 
Diet: A Comprehensive Resource Guide" by Shelly Case, R.D. (revised edition 
published 2006).  Has this patient been on the celiac diet for very long? 
Sometimes it can take awhile for the GI system to heal.  Or, there could be 
something other than celiac contributing to this woman's symptoms?

I don't recall having seen any information about lactation worsening 
symptoms in a treated celiac patient.  I have heard anecdotal reports from a 
couple of mothers who said that their untreated celiac disease worsened upon 
weaning and that is when they were eventually diagnosed.  They speculated 
that the hormonal changes associated with lactation may have helped reduce 
the severity of their symptoms.

An Italian research group, C. Ciacci et al., studied celiac patients during 
pregnancy and postpartum.  The study is published in the Am J Gastroenterol 
(1996) vol 91(4): 718-22.  The authors report that breastfeeding duration 
was lower in patients who were not on a GF-diet, but not in treated celiac 
patients.

Suzanne Nurse (recently diagnosed CD patient)
La Leche League Leader 

             ***********************************************

To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]

The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(R)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html