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  • Gluten-related symptoms: Bloating, abdominal discomfort, diarrhoea or other symptoms where gluten sensitivity is being considered.
  • Unclear food-related reactions: Assessment when symptoms appear linked to gluten-containing foods but patterns are inconsistent.
  • Chronic digestive symptoms: Ongoing gut symptoms where gluten-related mucosal immune activity may be relevant.
  • Mucosal immune assessment: Further evaluation where secretory IgA status may add useful clinical information.
  • Follow-up of gluten avoidance: Reassessment in individuals reducing or avoiding gluten.
  • Further dietary investigation: When symptoms persist and gluten remains part of the clinical picture.