Healing Process
Understanding recovery timelines and progress
In One Minute
Once you start a strict gluten-free diet, the small intestine begins to heal. Most people notice symptom improvement within days to weeks, but complete intestinal healing can take months to years. Children typically heal faster than adults. Follow-up testing helps monitor recovery. Continued symptoms may indicate inadvertent gluten exposure or other conditions.
The Healing Timeline
Healing happens in stages, and the timeline varies significantly between individuals:
Symptom Improvement
Many people notice digestive symptoms begin to improve. Energy levels may start to increase.
Antibody Levels Drop
Blood antibody levels typically begin to decrease. Most children show significant intestinal healing.
Intestinal Healing
Most adults achieve complete or near-complete healing of the intestinal lining with strict diet adherence.
Complete Recovery
Some adults may take longer to achieve complete healing. Ongoing monitoring is important.
Factors Affecting Healing
Promotes Healing
- 100% gluten-free diet adherence
- Young age at diagnosis
- Nutritional supplementation
- Regular follow-up care
Delays Healing
- Accidental gluten exposure
- Severe initial damage (Marsh 3c)
- Older age at diagnosis
- Other autoimmune conditions
Monitoring Your Progress
Regular follow-up with your healthcare provider is essential. Typical monitoring includes:
- Blood tests to check antibody levels (usually at 3-6 months, then annually)
- Nutritional screening for deficiencies (iron, B12, vitamin D, calcium)
- Follow-up biopsy may be recommended if symptoms persist or to confirm healing
- Bone density testing for adults diagnosed with celiac disease
Healing & Recovery Resources
Authoritative organisations providing evidence-based information and support for coeliac disease.
Guidance on maintaining a strict gluten-free diet for optimal intestinal healing.
United KingdomInformation about the healing process and what to expect after diagnosis.
United StatesItalian coeliac association providing resources on diet management and healing.
ItalyNote: External links are provided for informational purposes. We are not responsible for the content of external websites. Always consult healthcare professionals for medical advice.