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When the first edition of Celiac Disease For Dummies came out, celiac disease was finally recognized as a common condition worthy of the public’s attention. Up until that point, few had ever heard of celiac disease, and, when it was a subject of discussion, the conversation was typically rife with misconceptions, misapprehensions, and misinformation. Compounding this unfortunate scenario was the fact that celiac disease was little taught in medical schools, and, outside of select healthcare disciplines, was off the medical radar. In more recent years, diagnosis rates of celiac disease have increased, and there’s greater awareness of the gluten-free diet than ever before. Still, even with improved recognition, getting diagnosed with celiac disease often involves a long period of symptoms and a road that includes more than a few detours. After a diagnosis, having celiac disease requires constant treatment and vigilance. It’s a lifelong condition. So if you think that being dealt a celiac disease diagnosis is patently and profoundly unfair, we won’t disagree because you’re right; it is unfair. But here’s the thing: Although having celiac disease is no piece of cake, the wonderful thing — the absolutely … wonderful … thing — is that you can be entirely healthy with your celiac disease. You can live a full, active, long, and productive life with your celiac disease. You can explore the ocean depths or climb the Himalayas. You can work on the city subway or have a top-floor office in the nearest skyscraper. And, as for celiac disease not being a piece of cake, well, actually you can have a piece of cake … so long as it doesn’t contain a protein called gluten. As we look at in detail in this book, avoiding gluten is the key to successfully living with celiac disease. We’ve written this book for people living with celiac disease, and in case you think this phrase is ambiguous, this is by intention because if one member of a family has celiac disease, everyone in the family is very much living with celiac disease. Which is all to say that we hope Celiac Disease For Dummies is helpful whether you’re the one who has celiac disease or you’re reading this book because someone you care about — a child, another family member, or another loved one — has the condition. Throughout this book, when we discuss celiac disease as causing one or another problem, we’re typically talking about untreated or insufficiently treated celiac disease. Celiac disease that is properly treated (by, as you will discover, meticulously following a diet free of gluten) typically causes … nothing! Also, whenever we use the term active celiac disease, we are again referring to celiac disease that is untreated or insufficiently treated, in which case there is still active inflammation in the small intestine. We hope you find this book helpful, interesting, informative, and even entertaining.