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If you cannot keep fluids down or show signs of dehydration (dark urine, dizziness, rapid heart rate), contact your prescriber immediately

This puts trash and sewage workers, janitors, housekeepers, household members, and children at risk of being harmed

Social eating situations become harder to navigate

But a 2017 review of commercially available glutenases found that several products failed to adequately degrade the toxic gluten peptides, leaving immunogenic sequences intact.46 The authors concluded these products could be a potential hazard in celiac disease because they might encourage people to relax their gluten-free diet without actually preventing intestinal injury