How DPC Can Help Manage Your Celiac Disease

Updated on: February 14, 2025

Direct Primary Care (DPC) for Celiac Disease: Comprehensive, Lifelong Care for Optimal Health

Celiac Disease (CD)—an autoimmune disorder triggered by gluten—requires meticulous dietary management and lifelong monitoring to prevent complications like malnutrition, osteoporosis, and lymphoma. Direct Primary Care (DPC) offers a patient-centered model that prioritizes accessibility, personalized care, and seamless coordination with specialists, aligning with American College of Gastroenterology (ACG) and Academy of Nutrition and Dietetics guidelines to ensure patients thrive on a gluten-free lifestyle.

 


 

How DPC Enhances Celiac Disease Management

  1. Early Diagnosis & Confirmation

    • Symptom Evaluation: Investigate chronic GI issues (diarrhea, bloating), fatigue, or anemia to identify CD.

    • Diagnostic Testing: Order serologic tests (tTG-IgA, EMA) and coordinate endoscopic biopsies for definitive diagnosis.

  2. Medical Nutrition Therapy (MNT)

    • Gluten-Free Education: Provide resources on hidden gluten sources (e.g., sauces, medications) and safe alternatives.

    • Dietitian Collaboration: Create balanced meal plans to address nutrient deficiencies (iron, B12, calcium) and prevent cross-contamination.

  3. Complication Prevention

    • Regular Monitoring: Track intestinal healing via repeat tTG-IgA tests and symptom reviews per ACG guidelines.

    • Bone Health: Screen for osteoporosis/osteopenia with DEXA scans due to calcium/vitamin D malabsorption.

 


 

Benefits of DPC for Celiac Disease Patients

  • 24/7 Accessibility: Direct communication for urgent concerns (e.g., accidental gluten exposure, severe reactions).

  • Personalized Care: Tailored dietary plans, lifestyle coaching, and management of comorbid conditions (e.g., thyroid disorders, type 1 diabetes).

  • Continuity: A trusted provider monitors long-term health, ensuring adherence to gluten-free living and early detection of complications.

  • Cost Transparency: Flat fees cover consultations, dietary counseling, and chronic disease management—no hidden costs.

 


 

Personalized Celiac Disease Management in DPC

  1. Lifestyle & Dietary Strategies

    • Kitchen Safety Coaching: Teach methods to avoid cross-contamination (separate utensils, gluten-free appliances).

    • Grocery/Dining Guidance: Recommend certified gluten-free brands and apps (e.g., Find Me Gluten Free) for safe dining out.

  2. Systemic Health Integration

    • Associated Condition Screening: Monitor for autoimmune thyroiditis, dermatitis herpetiformis, or liver disorders.

    • Mental Health Support: Address anxiety around dietary restrictions or social challenges through counseling referrals.

  3. Family & Genetic Care

    • Genetic Testing: Screen first-degree relatives for HLA-DQ2/DQ8 genes to assess celiac risk.

    • Pediatric Support: Guide parents in managing gluten-free diets for children, ensuring growth and development.

 


 

Why DPC Excels in Celiac Disease Care

  • ACG & Prague Consensus Alignment: Implement regular follow-ups, endoscopic evaluations, and dietary adherence checks as recommended.

  • Holistic Focus: Address physical, emotional, and social challenges of gluten-free living through continuous support.

  • Streamlined Coordination: Partner with gastroenterologists, dietitians, and mental health professionals for cohesive care.

 


 

Final Thoughts
Living with celiac disease demands vigilance, but DPC’s proactive model transforms care into a collaborative, stress-free experience. By combining ACG-aligned monitoring, personalized nutrition therapy, and seamless specialist coordination, DPC empowers patients to prevent complications and reclaim their quality of life.

For those navigating gluten-free diets or worried about cross-contamination, DPC’s accessibility and expertise are transformative. Imagine same-day advice after accidental gluten exposure or a provider who coordinates your dietitian, gastroenterologist, and counselor. With DPC, celiac management becomes a journey of confidence—prioritizing your health without compromise.

Published on: August 14, 2023
Doctors that manage celiac disease
  • Andrew Elliston, Concierge Pediatrics in Manhattan Community Board 1
    Andrew Elliston, MD, FAAP
    Concierge Pediatrics
    Manhattan Community Board 1, New York
    Monthly Subscription Fee: Info Unavailable
    Max Patient In Panel: Info Unavailable
    Telehealth - Pending
    Home Visit - Pending
    Holistic/Lifestyle Med - Pending
    Enlightened me about my condition.
  • Wilson Wang, Concierge Pediatrics in Manhattan Community Board 1
    Wilson Wang, MD, FAAP
    Concierge Pediatrics
    Manhattan Community Board 1, New York
    Monthly Subscription Fee: Info Unavailable
    Max Patient In Panel: Info Unavailable
    Telehealth - Pending
    Home Visit - Pending
    Holistic/Lifestyle Med - Pending
    Enlightened me about my condition.
  • Natalie W. Geary, Concierge Pediatrics in Manhattan Community Board 1
    Natalie W. Geary, MD, FAAP
    Concierge Pediatrics
    Manhattan Community Board 1, New York
    Monthly Subscription Fee: Info Unavailable
    Max Patient In Panel: Info Unavailable
    Telehealth - Pending
    Home Visit - Pending
    Holistic/Lifestyle Med - Pending
    Enlightened me about my condition.
  • Kyon Hood, Concierge Pediatrics in Brooklyn
    Kyon Hood, MD
    Concierge Pediatrics
    Brooklyn, New York
    Monthly Subscription Fee: Info Unavailable
    Max Patient In Panel: Info Unavailable
    Telehealth - Pending
    Home Visit - Pending
    Holistic/Lifestyle Med - Pending
    Dr. Hood is a fantastic doctor who I strongly recommend. He conducts a comprehensive assessment of the patient before taking action.
  • Daniel Silvershein, Concierge Internal Medicine in New York
    Daniel Silvershein, MD
    Concierge Internal Medicine
    New York, New York
    Monthly Subscription Fee: Info Unavailable
    Max Patient In Panel: Info Unavailable
    Telehealth - Pending
    Home Visit - Pending
    Holistic/Lifestyle Med - Pending
    A wonderful internist who brings a skill set to the patient often not seen in doctors these days. Dr. Silvershein is exceptional because he is sensitive and has excellent listening skills. He stands out!!
  • Shanna Levine, Concierge Internal Medicine in New York
    Shanna Levine, MD
    Concierge Internal Medicine
    New York, New York
    Monthly Subscription Fee: Info Unavailable
    Max Patient In Panel: Info Unavailable
    Telehealth - Pending
    Home Visit - Pending
    Holistic/Lifestyle Med - Pending
    I was able to get direct answers to all of my questions. She was extremely patient with me. She gave me all the time I needed with her and was always available to address all my concerns.
  • Ellen Wexler, Concierge Internal Medicine in New York
    Ellen Wexler, MD
    Concierge Internal Medicine
    New York, New York
    Monthly Subscription Fee: Info Unavailable
    Max Patient In Panel: Info Unavailable
    Telehealth - Pending
    Home Visit - Pending
    Holistic/Lifestyle Med - Pending
    I'm the best version of myself, both physically and mentally. She takes the time to learn about your condition and explain how to overcome it.
  • Christina Gallus, Concierge Pediatrics in New York
    Christina Gallus, MD
    Concierge Pediatrics
    New York, New York
    Monthly Subscription Fee: Info Unavailable
    Max Patient In Panel: Info Unavailable
    Telehealth - Pending
    Home Visit - Pending
    Holistic/Lifestyle Med - Pending
    Enlightened me about my condition.
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