Gluten for punishment

A patient’s desire to control her painful abdominal symptoms through diet leads to a discussion about non-coeliac gluten sensitivity

Toni, a 53-year old office worker, is recalled to discuss a recent elevated cholesterol result. She is generally well and takes no medications.


Toni has a family history of hypercholesterolaemia and colonic polyps. When asked about her current diet, Toni reveals that for the past three months she has tried to eliminate carbohydrates.

However, because of hunger, she also added extra eggs and “lots of oils”. Toni’s GP explains that these oils are likely contributing to her recent elevated cholesterol results.