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If you are not yet on a gluten-free diet, continue to follow a normal diet, including gluten. If you have been on a gluten-free diet for a few weeks or more, you should start a “gluten challenge” under the guidance and care of a health professional. A gluten challenge is the reintroduction of gluten into the diet. For current blood tests, you will usually have to go on a gluten challenge for about three months. If you experience symptoms immediately after reintroducing gluten, you and your doctor may consider reducing the gluten challenge (one week or two weeks) followed by an endoscopic biopsy. Ask your doctor for more information.

If you want to find out about medical supervision, check out our article on this topic: Medical supervision in celiac disease.

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