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If you have celiac disease, eating gluten causes inflammation in your intestines. As a result, you may not absorb nutrients properly and may develop nutritional deficiencies. These can progress to problems such as iron-deficiency anemia, osteoporosis and infertility issues.
People who have celiac disease need to know. Because the intestine suffers damage every time gluten is introduced, these people should never eat gluten or even share pots and pans with family members who do eat gluten. That kind of discipline can be hard without a concrete diagnosis.