Nutrient deficiencies are common for  people with celiac disease for two reasons. One is that gluten destroys the lining of the intestines, the villi, that absorbs nutrients in food. The second reason is that a lot of processed gluten free products like breads, pastas, etc, lack the vital nutrients our body needs! An exception to these processed products are vitamin and mineral fortified foods like cereals, which have added nutrients that were lost in processing.

The most common nutrient deficiencies in celiac patients include iron, calcium, magnesium, vitamin D, fiber, and B vitamins, particularly B12 and folate. Supplements are often introduced and included in addition to a balanced diet initially. However, some individuals may need long term supplement use to ensure that they are receiving proper amounts of the recommended nutrients. When taking nutritional supplements it is important to consult with a dietitian or doctor about which supplements are labeled safe and free of gluten. Some over the counter supplements or herbal remedies can include harmful substances that may be overlooked because of the lack of FDA regulation.  There are many reputable companies that make gluten free vitamin and mineral supplements. They include: Nature Made vitamins, Pioneer Nutritionals, Country Life vitamins, and Kirkman Labs.

Whenever possible, people with celiac disease should strive to get as many nutrients as possible from the foods they eat.