Gluten for punishment

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

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.