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FEAD Reaffirms Gluten-Free Diet as Only Celiac Treatment, Flags Cost and Compliance Gaps

FEAD experts warn that poor adherence driven by higher food costs is worsening outcomes.

Overview

  • Dr. Sergio Farrais of the Spanish Digestive Health Foundation says no validated drug exists and the only effective therapy is a strict lifelong gluten-free diet.
  • Studies cited by FEAD suggest about half of diagnosed patients do not follow the diet correctly, which raises risks such as iron-deficiency anemia and osteoporosis.
  • Maintaining a gluten-free pantry is estimated to add about €1,000 a year to household grocery bills, a burden that grows when more than one family member is affected.
  • The regimen is complex to learn and stick to, and many people lack dietitian support to navigate labels, avoid cross-contact, and make safe food choices.
  • With more than half a million Spaniards living with celiac disease, patient groups argue the cost burden and low adherence warrant government help and better access to dietary care.