Celiac disease is complicated. Because it has a genetic component, it 
makes a lot of sense for the mom to avoid gluten while breastfeeding, 
givven that the dad has the condition. It also makes sense to avoid 
giving the child gluten when solids are introduced. There are a variety 
of tests both for the presence of celiac disease and for the presence 
of the gene, some are more invasive than others, some require prolonged 
exposure before they can be accurate. Another thing is that one can be 
gluten intolerant without ever developing celiac diease. Gluten allergy 
is the most common in the world, and it is likely that a very high 
percentage of Lactnet memebers from the US themselves have it and do 
not know it. As LCs , we need to be aware of the frequency of this 
condition, as it can be implicated in many cases of gut damage in 
infants, breastfeeding or not.
Jennifer Tow, IBCLC, CT, USA

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