It depends on the case; there is no single guideline.
In duodenal biopsies from people with celiac disease, the prolamins of barley (hordein) and rye (secalin) triggered inflammation (IFN-γ) just like wheat gliadin. It supports excluding barley and rye on a gluten-free diet. Ex vivo study, small sample.
View the study (study) →Diet · Highest evidence: Low-moderate · 1 finding
Information, not medical advice. Prescription drugs require a doctor.
Information, not medical advice. Scientific evidence reflects the quality of the studies.