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This condition is known as refractory coeliac disease (RCD), defined as malabsorption due to gluten-related enteropathy (villous atrophy or elevated intraepitheal lymphocytes) after initial or subsequent failure of a strict gluten-free diet (usually 1 year) and after exclusion of any disorder mimicking coeliac disease.
He was best known for his research on the opioid peptides in casein and gluten. He also did important work on cancer. In 1972, he delivered his PhD thesis at the University of Oslo: “An investigation into the nature and function of anionic acids, peptides, and acid-soluble proteins from brain tissue”.
India is a federal constitutional republic governed under a parliamentary system consisting of 28 states and 8 union territories. [1] All states, as well as the union territories of Jammu and Kashmir, Puducherry and the National Capital Territory of Delhi, have elected legislatures and governments, both patterned on the Westminster model.
The test may be performed in people with suspected gluten-related disorders in very specific occasions and under medical supervision, for example in people who had started a gluten-free diet without performing duodenal biopsy. Gluten challenge is discouraged before the age of 5 years and during pubertal growth.
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