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Coeliac Disease

Coeliac disease is an autoimmune disease that is characterised by damage done to a part of the wall of the small intestine called the villi.
The trigger for the immune system to cause this damage comes from eating a protein found in certain grains, called Gluten.

What we know about Coeliac disease now is very different than what was known five or even 10 years ago.

Coeliac disease used to be thought of as a disease of childhood, accompanied by failure to thrive or significant weight loss, diarrhoea and abdominal pain.
We now know that it can affect any person, at any age, and the symptoms are extremely diverse and can affect any area of the body.

Most people with coeliac disease suffer from symptoms outside the gut. These include symptoms such as migraines and headaches, poor immunity and regular infections, neurological issues such as tingling arms and legs or ataxia (unsteady gait), skin problems and rashes and feeling tired all the time.

In fact, only 1 in 8 people with Coeliac Disease have gut-related symptoms, and many are overweight at the time of diagnosis.

As a person with Coeliac Disease , I have observed two great problems within the coeliac community.


It is very difficult to get a diagnosis.

For every one person with a diagnosis of Coeliac disease in the UK, there are seven who have the disease but haven’t been diagnosed yet.

In the USA it’s estimated that 90 – 95% of people with Coeliac disease are undiagnosed.
The average time from symptom onset to diagnosis is roughly 10 years, and most people have seen a minimum of 5 different doctors about their on going health problems during this time.


A large group of people, who have been diagnosed with Coeliac Disease, don’t get well with the Gluten-Free Diet alone.

For some, removing all traces of gluten from the diet is enough to transform their health. But for many others people with coeliac disease, just going gluten free is not enough.

Some people continue to suffer with roughly the same symptoms they had before diagnosis, and to add insult to injury, others actually develop new symptoms as well.

There is a lot of healing and repair that may need to take place throughout the body, on top of the villi growing back.

People with Coeliac disease may suffer from Small Intestinal Bacterial Overgrowth (SIBO) or imbalances in the bacteria in the gut.

There may be other food intolerances and inflammatory reactions to foods that can occur as well as gluten.

There may also be additional autoimmune diseases present or developing that are not being investigated becasue everything is being attributed to Coeliac disease.

I also find that despite the NICE guidelines being clear, most people with Coelaic Disease are not followed up very well after their diagnosis.

Becasue I have Coeliac disease myself, working with people with Coeliac Disease is especially important and enjoyable for me.

If you are struggling to get a diagnosis, or still suffering with your health after diagnosis, please do get in touch.

Read my article about Grieving Gluten.

Read my article about Setbacks in the Path to Recovery.

Read my article about my ‘No Stone Left Unturned’ approach to health restoration.

Read my article about why your history is so important to help us understand how to move you forwards now.

Sign up to my newsletter to download my comprehensive e-book on Coeliac Disease.

Robyn Puglia

My mission in life is to share my knowledge in order to help people heal. I love to unravel the health stories and the biochemistry to get to the heart of the problem, and to help support nutritional and lifestyle changes that have the ability to transform people’s health. I have seen incredible changes in the health of my clients, and I hope to do the same for you.

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Essential Reading

Do you have symptoms even on the gluten free diet?

Have you…

Assessed for additional food reactions?


Assessed your gut microbiome and considered SIBO?


Been checked for thryoid antibodies or any other autoimmune diseases?


Had follow up nutrient testing for deficiencies?


Had a Vitamin D test, and had it retested annually?


Had a bone density scan? 


Had follow up endoscopy and bloods to make sure you’re healing? 


Checked your inflammatory markers? 


Checked your white blood cells and immune cells for elevations or deficiencies?


Check for chronic viruses such as EBV? 

“I first saw Robyn 6 years after my coeliac diagnosis. I was exhausted and despite strictly following the gluten free diet, not really feeing any better than before my diagnosis. I feel like Robyn really listened to me and understood how I was feeling, including my frustration. She wrote to my GP and helped me to get some extra medical testing, and it turned out I also had Hashimotos, not just Coeliac disease by itself. We’ve worked with my diet and also various lifestyle interventions and I finally feel like I have my health back and feel like myself again. It’s such a relief! I’m so grateful to Robyn and and her team and I feel lucky to have found them.”


Book an Appointment

Do you still have symptoms even though you’re on the Gluten Free Diet?

Not sure if you are even Gluten Sensitive or Coeliac?

We’d love to help you!

Click here to book an appointment, ask questions or see my FAQs.