Table 2.

Use of the gluten contamination elimination diet.

Indications for Use	Not for Use
Diagnosis of celiac disease is confirmed.	Diagnosis of celiac disease is not confirmed.
Patient has been on a gluten-free diet for 12 months.	Patient has non-celiac gluten sensitivity.
Patient has been seen by a dietician to review the diet for possible gluten exposure.	Patient has not been on a gluten-free diet for 12 months.
Patient has Marsh 3 damage on repeat small intestinal biopsy with or without elevated celiac antibodies.	Patients has Marsh 2 damage on repeat endoscopy in the presence of normal serology and no signs or symptoms associated with CD.
Proper education, support, and follow-up can be provided over the next 3 months.	Patient has Marsh 0-1 damage on repeat small intestinal biopsy with or without elevated celiac antibodies.
May consider use on a case by case basis for patients with persistent symptoms, elevated serology, and Marsh 2 damage on repeat small intestinal biopsy.