Celiac disease occurs in about 1% of people in most populations. The time taken to make the diagnosis may go to years or more than 10 years. The disease affects people of all ages. The disease has many clinical manifestations, ranging from severe malabsorption to minimally symptomatic or non-symptomatic presentation. Presentations can be, persistent unexplained abdominal or gastrointestinal symptoms, failure of growth, prolonged fatigue, unexpected weight loss, severe or persistent mouth ulcers, unexplained iron, Vitamin B12, or folate deficiency, type 1 diabetes, autoimmune thyroid disease, irritable bowel syndrome. Other presentations can be, infertility, epilepsy, arthritis, and hypothyroidism. 2 studies done in UAE in pre marriage adults showed a prevalence of 2.3% in our practice in our centre ACDS centre we came across a variety of presentations including, reflux esophagitis, anemia,allergy,hypothyroidism,epilepsy,after bariatric surgery,transaminitis. Over 150 cases of celiac disease seen over the last 7 years the majority of cases were missed by clinicians. Awareness campaigns are needed to raise awareness.