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.
Sacramental bread Lutherans, continue to use unleavened wafers like the Roman Catholics, and some use matzo. Reformed Christians use rolls which are broken and distributed to symbolize their belief that Christ is . Among those who use the unleavened wafers, there is a great deal of variation: some are square or triangular rather than round, and may even be made out of whole wheat flour. The Church of Jesus Christ of Latter-day Saints (Mormons) has no strict rules on the type of bread used for sacramental purposes. Latter-day Saint scriptures state: "For, behold, I say unto you, that it mattereth not what