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%\usepackage{opensans}          % Can't make this work so far. Shame. Would be lovely.
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% Document Info
\author{Michellephillips02}
\pdfinfo{
  /Title (coeliac-disease.pdf)
  /Creator (Cheatography)
  /Author (Michellephillips02)
  /Subject (Coeliac Disease Cheat Sheet)
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\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
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    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
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\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Coeliac Disease Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{Michellephillips02} via \textcolor{DarkBackground}{\uline{cheatography.com/214485/cs/46711/}}}
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\noindent
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  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}Michellephillips02 \\
  \uline{cheatography.com/michellephillips02} \\
  \end{tabulary}
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  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Not Yet Published.\\
   Updated 11th July, 2025.\\
   Page {\thepage} of \pageref{LastPage}.
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  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
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\end{multicols}}




\begin{document}
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% www.emerson.emory.edu/services/latex/latex_169.html
\footnotesize % Small font.

\begin{multicols*}{3}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{What is it?}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Auto-immune} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{T-Cell mediated enteropathy of S.I. CD lasts a lifetime. Consumption of gluten flattens the villi (finger-like projections where a lot of nutrient absorption happens) \& inflammation = nutrient malabsorption} \tn 
% Row Count 6 (+ 5)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Reduces production of enzymes - lactase, sucrase, maltase} \tn 
% Row Count 8 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.4885 cm} x{2.4885 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{S/S}}  \tn
% Row 0
\SetRowColor{LightBackground}
persistent unexplained gastrointestinal symptoms (N/V/D/bloating) & Easy bruising \tn 
% Row Count 4 (+ 4)
% Row 1
\SetRowColor{white}
mouth ulcers & abdominal pain \tn 
% Row Count 5 (+ 1)
% Row 2
\SetRowColor{LightBackground}
steatorrhea (fatty stools) & Delayed growth or weight loss \tn 
% Row Count 7 (+ 2)
% Row 3
\SetRowColor{white}
iron, vitamin B12 or folate deficiency & Dermatitis herpetiform (skin rash) \tn 
% Row Count 9 (+ 2)
% Row 4
\SetRowColor{LightBackground}
Prolonged fatigue & Growth failure \tn 
% Row Count 10 (+ 1)
% Row 5
\SetRowColor{white}
Infertility & Anxiety, poor memory, headache, depressed mood \tn 
% Row Count 13 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{p{0.64701 cm} x{4.32999 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Comorbidities}}  \tn
% Row 0
\SetRowColor{LightBackground}
T1DM & autoimmune thyroid disease \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
IBS & autoimmune liver disease \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\emph{Sjogren disease}} (autoimmune condition affecting moisture-producing glands)} \tn 
% Row Count 4 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Screening}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Blood Test} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Immediate relatives of someone with CD have a 1 in 10 risk} \tn 
% Row Count 3 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Diagnosis}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\emph{Diagnosis made only by a gastroenterologist}}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{1. Keep eating gluten (other test results may not be accurate - min of 6 weeks)} \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{2. Blood screening. tTG-IgA and DGP-IgG antibodies OR tTG-IgA and total IgA level} \tn 
% Row Count 5 (+ 2)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{3. S.I biopsy - gastroscopy/endoscopy} \tn 
% Row Count 6 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Intervention}}  \tn
% Row 0
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\mymulticolumn{1}{x{5.377cm}}{{\bf{Ensure official diagnosis prior to intervention}}} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Only treatment is {\bf{long-term GF diet}}} \tn 
% Row Count 3 (+ 1)
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{0.9954 cm} x{3.9816 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Strategies}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Edu}}: & Label reading. Wheat vs gluten. Cross-contamination, GF certification, "may contain" \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
At home & labelled GF container, separate \seqsplit{spreads/colanders/toasters}, prepare gluten free meals first \tn 
% Row Count 6 (+ 3)
% Row 2
\SetRowColor{LightBackground}
Eating out & Tell staff. avoid foods fried in the same oils, ask them to prepare on a separate board/clean utensils. Take prepared foods with you \tn 
% Row Count 11 (+ 5)
% Row 3
\SetRowColor{white}
Apps & Celiac Australia, Find me gluten free \tn 
% Row Count 13 (+ 2)
% Row 4
\SetRowColor{LightBackground}
Support & Join Facebook groups – recipes and support \tn 
% Row Count 15 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.44333 cm} x{3.53367 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Gluten}}  \tn
% Row 0
\SetRowColor{LightBackground}
wheat & barley \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
rye & oats \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
semolina & malt barley \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
spelt & couscous \tn 
% Row Count 4 (+ 1)
% Row 4
\SetRowColor{LightBackground}
durum & Thickeners 1400-1450 \tn 
% Row Count 5 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Wheat maltodextrin (thickener)} \tn 
% Row Count 6 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.4885 cm} x{2.4885 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{GF Grains}}  \tn
% Row 0
\SetRowColor{LightBackground}
almond meal & quinoa \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
rice & rice noodles \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
rice porridge & rice crackers \tn 
% Row Count 3 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Monitoring}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{At risk nuts: iron, calcium, folate and Vit D} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Review appointment. Every 3-6 months until well. Symptom free = every 1-2 years} \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Bloods: tTG, DGP, total IgA, Thyroid Function tests; liver enzymes} \tn 
% Row Count 5 (+ 2)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{2 years after diagnosis - Duodenal biopsy} \tn 
% Row Count 6 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Every 5 years - Bone density scan - risk of osteopaenia/osteoporosis} \tn 
% Row Count 8 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Oats}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Have a similar protein to gluten called {\bf{avenin}}. Can trigger the same immune response in {\emph{some (5-10\%)}} pts w/ CD} \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Australia \& NZ: Oats can not be labelled GF - can still use {\emph{wheat free uncontaminated, pure}}} \tn 
% Row Count 5 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Coeliac Australia: "{\emph{pure oats are safe and well tolerated by the vast majority of people with CD}}"} \tn 
% Row Count 7 (+ 2)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{"pure oats" =  free of wheat, rye and barley contamination} \tn 
% Row Count 9 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Lactose intolerance}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Common in untreated CD - a brush boarder enzyme} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{GF diet allows lactase production to return to normal and the lactose intolerance to resolve} \tn 
% Row Count 3 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Guidelines \& References}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Montoro-Huguet et al. Iron deficiency in Celiac disease: prevalence, health impact and clinical management. NutrientsLinks to an external site., 2021} \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Ludvigsson et al. Diagnosis and management of adult coeliac disease: guidelines from the British Soc of Gartoenterology} \tn 
% Row Count 6 (+ 3)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Handbook p178} \tn 
% Row Count 7 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}