原本
While it is certainly the case that because of GI problems such as chronic heartburn, difficulty swallowing, etc., dietary changes to minimize these symptoms are very important, there is no research that suggests that diets have any systemic effects in systemic scleroderma. Fads like gluten free are only relevant for the very small portion of patients with celiac disease or true gluten sensitivity, but this will not alter the overall course of the disease.