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The presence of gluten in the diet is required for the development of coeliac disease. In genetically predisposed individuals, coeliac disease may start from the introduction of gluten in infancy until any age.1 Early exposure to gluten in the diet has been scrutinised, driven by epidemic increases observed in Sweden in the 1980s after changes mainly in the dose of gluten at introduction.2 Observational studies in a high-risk cohort and in a population-based study have indicated that the timing of gluten …
Competing interests None.
Provenance and peer review Commissioned; internally peer reviewed.