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But its important to know that celiac is distinct from those conditions, including gluten intolerance and a wheat allergy, because it's an autoimmune disease in which the immune system attacks the small intestine, leading to malabsorption

Understanding these fundamental effects on digestion helps contextualize why some patients and practitioners consider supplemental digestive enzymes during treatment, though the evidence base for this practice requires careful examination

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This exclusion has been in place since the Part D prescription drug benefit launched in 2006