Coeliac disease By January 2004, extremely low-gluten Church-approved hosts had become available in the United States, Italy and Australia. As of July 2017, the Vatican still outlawed the use of gluten-free bread for Holy Communion. The Jewish festival of Pesach (Passover) may present problems with its obligation to eat matzo, which is unleavened bread made in a strictly controlled manner from wheat, barley, spelt, oats, or rye. This rules out many other grains that are normally used as substitutes for people with gluten sensitivity, especially for Ashkenazi Jews, who also avoid rice. Many kosher-for-Passover products avoid grains altogether and are therefore gluten-free.
H-back Lewis, have used Ryan Hewitt, and at times Jake Fisher, as H-backs since 2014. Aaron Hernandez formerly of the New England Patriots, while a nominal tight end, was often featured as an H-back/wide receiver when Rob Gronkowski was also in the game. Chris Cooley also flourished in his role as an H-back in the offense run by the Washington Redskins during the Joe Gibbs era. Teams at high school and collegiate levels sometimes utilize H-back formations, but usually only if they have exceptional talent and depth at the tight end and fullback positions. For example, Brigham Young University is traditionally