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Coeliac Disease

Coeliac disease is an autoimmune condition that leads to damage of the small intestine when minimal amounts of gluten are consumed. This condition affects 1 in 100 people in the UK.


When somebody who has coeliac disease eats gluten, their body ends up attacking itself and damaging the lining of the small intestine and this can cause a very large range of symptoms both inside and outside the gut. This gut damage can also lead to further complications if the gluten free diet is not followed correctly.

Furthermore, not every person will respond the same way to the gluten free diet and some people can have ongoing symptoms despite following the gluten free diet.

Healthy small intestine (left) versus damaged small intestine (right)

Image: Healthy small intestine (left) versus damaged small intestine (right)

It is important to get support from a health professional well versed in coeliac disease to troubleshoot these problems and get to the root cause. 


According to national UK health guidelines, coeliac disease patients should also have an annual blood tests (mainly to check for gut absorption) and an appointment with a health professional as well as check-ups for their bone health. 

How We Can Help: Meet Our Specialist Dietitian


Cristian Costas

Cristian is a registered dietitian specialising in adult coeliac disease. He has worked in acute hospitals for over 5 years and has set up a national award winning dietetic-led coeliac service in the UK, where he is in charge of explaining the diagnosis and dietary management to patients, ordering bloods, assessing their bone health and overseeing their health needs. 

What to Expect From Your Coeliac Disease Consultation 

As a coeliac disease expert, Cristian can explain the diagnosis and the diet in detail if you are newly diagnosed. He can assess your diet and advise if you have ongoing symptoms and help you if you are struggling to follow the gluten free diet (as it can be harder than many think). He can advise on what bloods you may need and can do annual check-ups to ensure everything is going well with your condition. Cristian is also very knowledgeable about bone health and requirements for a coeliac disease diagnosis and can therefore guide you to ensure you get the right tests done in the right way. 


Depending on your needs, you may wish to book a three appointment package at £300, saving £30 or a six appointment package at £510 saving £90. 

Your dietitian can guide you with which package might be right for you during your consultation and it’s always fine to pay for individual appointments as you go.


"Very efficient service, excellent advice, good follow up from consultation. I was given time to go through the various issues I wished to discuss and these were all considered by the Dietitian and addressed. I am very pleased with the service."

"On the basis of the experience and professionalism of the Team outlined in the City Dietitians’ website I was confident that I would be able to access the advice I was looking for and I was correct."

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