Celiac Self Test

Gluten Sensitivity Self Test


I. Check the symptoms you have had at least once a week during the past three months:

 ͟͟͟͟͟͟   Gas, bloating, stomach pain and/or cramping
͟͟͟͟   Diarrhea
͟͟͟͟   Constipation
͟͟͟͟   Joint pain
͟͟͟͟   Numbness or tingling in your arms or legs
͟͟͟͟   Itchy and/or dry skin lesions
͟͟͟͟   Constant unexplained fatigue
͟͟͟͟   Frequent headaches or migraines
͟͟͟͟   Trouble concentrating

II. Check if you have been diagnosed with any of the following:

͟͟͟͟   Irritable Bowel Syndrome (IBS)
͟͟͟͟   Eczema or unexplained Dermatitis
͟͟͟͟   Fibromyalgia
͟͟͟͟   Chronic Fatigue Syndrome
͟͟͟͟   Depression or Anxiety disorders
͟͟͟͟   Ulcerative Colitis or non-ulcer Dyspepsia

III. Check if you have any of the following:

͟͟͟͟   Lactose Intolerance
͟͟͟͟   Osteopenia and/or osteoporosis
͟͟͟͟   Peripheral Neuropathy
͟͟͟͟   Non-Hodgkin’s Lymphoma
͟͟͟͟   Small Intestinal Cancer
͟͟͟͟   Anemia (iron deficiency)
͟͟͟͟   Infertility
͟͟͟͟   Psychiatric Disorders (Schizophrenia, Bipolar disorder, ADHD, Autism, etc.)
͟͟͟   Autoimmune disorders (Thyroiditis, Type I diabetes, SjÖgren’s Syndrome, liver disease, Addison’s disease, Multiple Sclerosis, Lupus, Rheumatoid Arthritis) or an immediate family member with an autoimmune condition    such as Celiac Disease or any of the above


If one or more lines in section I and II were checked along with any one of the conditions in section III, you may benefit significantly from being tested for Celiac Disease and gluten sensitivity.

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