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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.
These structures help absorb nutrients. 1  When people with celiac disease eat foods with gluten, their immune system reacts by damaging the villi. 2  Because of the damage, the villi are unable to properly absorb iron, vitamins, and other nutrients.  As a result, a number of symptoms and health problems may occur.