Start with your primary care provider. They can order:

  • Blood tests for celiac disease (tTG-IgA, EMA, etc.)

  • Genetic testing (HLA-DQ2 and HLA-DQ8)

  • Referral to a gastroenterologist for possible endoscopy

Step 2: Keep a Detailed Food Diary

Write down:

  • What you eat

  • When you eat it

  • Any symptoms that follow

  • How severe they are

Step 3: Consider an Elimination Diet (Under Guidance)

If testing is negative but symptoms persist, a supervised elimination diet can help identify triggers.

Step 4: Work with a Dietitian

If you do need to go gluten-free, a dietitian can help you do it healthfully—because gluten-free doesn’t automatically mean healthy.

Foods That Contain Gluten

Gluten is found in:

  • Wheat (including spelt, farro, semolina, durum)

  • Barley

  • Rye

  • Triticale (a wheat-rye hybrid)

Hidden sources to watch:

  • Soy sauce (unless labeled gluten-free)

  • Salad dressings

    Salads
  • Soups and broths

  • Processed meats

  • Beer

  • Oats (unless certified gluten-free—they’re often cross-contaminated)

The Bottom Line