Based on an analysis of bowel
symptoms recorded using the Gastrointestinal
Symptom Rating Scale, researchers reported that despite the use of a gluten free diet — universally indicated for coeliac disease (CD)-- a proportion of their cohort still presented
with «persistent
symptoms» and it is within this cohort they were aiming to see whether: «abnormal intestinal microbiota may be
associated with persisting gastrointestinal
symptoms in treated celiac disease patients... [found] higher relative abundance of Proteobacteria and a lower abundance of Bacteroidetes and Firmicutes.»
In the first few days, the sequelae of clinical
symptoms associated with detoxification hamper the ability to rule out depression and other Axis I disorders, although medical
records may confirm previous major depressive episodes.