Newly diagnosed patients with malabsorptive symptoms should adhere to a lactose-free diet for the first few weeks on a gluten-free diet. This time period will allow for healing of the intestinal epithelium and regeneration of intestinal lactase unless the patient has constitutive lactose intolerance in which case the patient should be maintained on a lactose-free diet. Adequate calcium intake must be insured, especially in this latter group of patients, since celiac patients are at risk of osteopenic bone disease . Until their nutritional status is restored, celiac patients may require supplemental nutrients including iron, folate and other vitamins and minerals.
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WHAT IT IS A three-phase plan that has been likened to the low-carbohydrate Atkins program because during the first two weeks, South Beach eliminates most carbs, including bread, pasta, potatoes, fruit and most dairy products. In PHASE 2, healthy carbs, including most fruits, whole grains and dairy products are gradually reintroduced, but processed carbs such as bagels, cookies, cornflakes, regular pasta and rice cakes remain on the list of foods to avoid or eat rarely.