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When symptoms do occur, they include: fatigue abdominal bloating and pain diarrhea pale, foul-smelling, or fatty stools weight loss Problems associated with celiac disease or caused by poor absorption of nutrients include: iron-deficiency anemia bone or joint pain arthritis bone loss tingling or numbness in the hands and feet missed menstrual periods infertility or recurrent miscarriage canker sores inside the mouth Diagnosing celiac disease Celiac disease can be difficult to diagnose because it causes many common symptoms that resemble those of many other intestinal conditions, including irritable bowel syndrome and lactose intolerance

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