A patient who is a “potential celiac” has positive serology (including the highly specific anti-Endomysium antibodies), possibly has symptoms, and has a negative biopsy. A potential celiac may or may not be put on a gluten-free diet, though we typically lean toward recommending the diet even in those potential celiacs who have no symptoms. Early data indicates that, left untreated, celiac disease will develop in the majority of cases. June, 2017