Jennifer Tow stated: "It makes a lot of sense for the mom to avoid gluten 
while breastfeeding, given that the dad has the condition." While agreeing 
in delaying intro of small amounts of gluten till appropriate timing, I 
disagree with the above statement. In my country we have been started 
screening for celiac disease well before than in the US (as a matter of 
fact I remember the title of an american article reading *Where have all 
the American celiac children gone?* well, they simply did not look for 
them...) and we carry a mathematically calculated incidence of CD of 1:100 
people. I would be very cautious advicing mom avoiding wheat etc when 
there is CD case in the family, since such an advice would represent only 
another barrier to breastfeeding.
M.Ersilia Armeni
pediatrician, IBCLC, Rome

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