Burden of persistent symptoms in treated coeliac disease: cause, aftermath or merely association?

This is particularly important as a recent multicentre secondary care study in the UK identified a worrying trend towards medical inertia, with over one-hird of gastroenterologists of the opinion that a doctor is not required for the management of CD. 3 The long-term follow-up strategy for CD is therefore an important, yet contentious issue with resource implications.

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