content: The many ideas given (eat the inside of sandwiches, eat the top off of canapes, avoid the crust) can give a true celiac serious consequences. Sometimes, a person can eat gluten with no obvious side effects but do great "silent damage" to one's intestines. There are complications to celiac disease such as refractory sprue and collagenous sprue. I have these complications due to not being strict enough when following the gluten free diet.