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2026

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Memories Of My Father, Daniel Ezra Subotnik, Joseph E. Subotnik Jan 2026

Memories Of My Father, Daniel Ezra Subotnik, Joseph E. Subotnik

Touro Law Review

No abstract provided.


If I Only Had The Words (To Tell You): Billy Joel Lyrics In Legal And Medical Scholarship, Seuli Bose Brill, Christian H. Brill Jan 2026

If I Only Had The Words (To Tell You): Billy Joel Lyrics In Legal And Medical Scholarship, Seuli Bose Brill, Christian H. Brill

Touro Law Review

Law and medicine are often considered to be among the least accessible professions, partly because of the heavy use of non colloquial jargon. This article examines more than 150 instances in which Billy Joel’s lyrics have been used to improve the accessibility of legal and medical scholarship. Legal and medical professionals have used the words of the “Piano Man” to discuss a variety of topics—everything from civil procedure to property rights and the COVID-19 pandemic to colorectal surgery. Nontraditional communications techniques of this type do not just contribute to the body of legal and medical scholarship; they also help professionals …


Revisiting “Of Arms And The Militia: Gun Regulation By Legislatively Defining ‘Ordinary Military Equipment’”, Edward J. Curtis ,Jr. Jan 2026

Revisiting “Of Arms And The Militia: Gun Regulation By Legislatively Defining ‘Ordinary Military Equipment’”, Edward J. Curtis ,Jr.

Touro Law Review

In 2021, I published an article arguing that semi-automatic rifles and semi-automatic handguns, among other weapons, could be most effectively regulated by defining the “ordinary military equipment” that the states’ militia members were expected to produce in the event they were called to service. I based my argument on the rationale employed by the United States Supreme Court in its 1939 decision in United States v. Miller, which upheld the National Firearms Act of 1934.


Durbin’S Ripple: How Fee Caps Reshaped Banking And Boosted Fintechs: Exploring The Unintended Consumer Impacts And Regulatory Gaps In The Wake Of The Durbin Amendment, Rebecca M. Reeve Jan 2026

Durbin’S Ripple: How Fee Caps Reshaped Banking And Boosted Fintechs: Exploring The Unintended Consumer Impacts And Regulatory Gaps In The Wake Of The Durbin Amendment, Rebecca M. Reeve

Touro Law Review

This Article explores the implications of the Durbin Amendment on consumer protection, financial innovation, and market competition. Initially intended to cap interchange fees and foster cost savings for merchants and consumers, the Amendment’s effects have diverged from its legislative intent. Financial institutions offset lost revenue by increasing other consumer fees, unintentionally spurring a financial technology (fintech) boom as consumers sought low-cost alternatives. This Article examines the administrative rulemaking challenges the Federal Reserve faced in implementing the Amendment, the rise of fintech solutions as a response to shifting bank priorities, and the potential regulatory gaps affecting consumer protection in a rapidly …


The American Dream And The Politics Of Promise: Presidential Rhetoric Against Reality On Inequality, Education, And Assistance Since 2000, Abigail Demonte Jan 2026

The American Dream And The Politics Of Promise: Presidential Rhetoric Against Reality On Inequality, Education, And Assistance Since 2000, Abigail Demonte

Touro Law Review

No abstract provided.


High Stakes And Random Rewards: A Critical Look At Loot Boxes And Illegal Gambling, Brian T. Wersan Jan 2026

High Stakes And Random Rewards: A Critical Look At Loot Boxes And Illegal Gambling, Brian T. Wersan

Touro Law Review

Since their inception in the mid-2000s, loot boxes have been legal and virtually unregulated in the United States. Ever-growing mountains of evidence demonstrate the harms of loot boxes, but their structure has not yet been found to be in violation of any current U.S. gambling law, leading to a complete lack of recovery for victims. Certainly, if people experience harm, a legal avenue providing justice must exist. While other avenues are referenced, this Note ultimately argues that loot boxes can be interpreted by courts to satisfy the elements of, and thus, violate multiple state gambling laws, revealing a path to …


The Proportionality Trap: Why Death Tolls In War Need Not Add Up Equally, Thane Rosenbaum Jan 2026

The Proportionality Trap: Why Death Tolls In War Need Not Add Up Equally, Thane Rosenbaum

Touro Law Review

Imagine a war without battlefields. There are no uniforms. Civilians and combatants are indistinguishable. Homes, schools, hospitals, and religious buildings are used as command and communication centers, and for the warehousing of weapons. Apartment rooftops are launching pads; the civilians who live inside . . . human shields. There are over 300 miles of reinforced tunnels, all outfitted with weapons and passageways for terrorists to take hostages and travel freely. Beyond Proportionality examines Israel’s battles against Hamas and Hezbollah under the laws of war and concludes that its war time conduct was based on military necessity and fought justly. The …


Anatomy Of A Successful College Closure, Kevin P. Mcdonough Jan 2026

Anatomy Of A Successful College Closure, Kevin P. Mcdonough

Touro Law Review

Alarming forecasts of mass closures of colleges and universities in the United States have been part of the higher education landscape for many years now. Unfortunately, such prognosticators have been proven largely correct as college closures have been occurring with increasing regularity. The closure process has been carried out with varying degrees of success. At one end of the spectrum lies the poorly planned, precipitous closure, which often garners the most attention because of its devastating impact on students and their families. This Article examines certain actions and strategies that the leadership of a college compelled to cease operations can …


Unprecedented Leadership For Unprecedented Times: The Ethical Imperative For Transformational Change In American Higher Education, Andrés Acebo Jan 2026

Unprecedented Leadership For Unprecedented Times: The Ethical Imperative For Transformational Change In American Higher Education, Andrés Acebo

Touro Law Review

Many eras quietly yield to another while its institutions continue speaking the language of a world that no longer exists. Such moments expose the widening distance between inherited assumptions and emerging realities, between institutional memory and societal need, between what once served the public well and what the future now requires. American higher education has arrived at such a moment. For more than a decade, its challenges have been described through the language of crisis. The prevailing literature has documented enrollment decline, demographic transformation, fiscal instability, technological disruption, political polarization, declining public confidence, and institutional fragility with increasing sophistication. Yet …


Who’S In Charge Here?: Collegiate Athletics After The House Settlement, Pamela Ko Jan 2026

Who’S In Charge Here?: Collegiate Athletics After The House Settlement, Pamela Ko

Touro Law Review

The House v. NCAA settlement, which was approved in June 2025, paved the way for groundbreaking changes to the National Collegiate Athletic Association (NCAA) and the implementation of its rules and regulations related to athlete rights, including transformative levels and types of student-athlete compensation that have never been permitted in the history of college sports. These changes fundamentally altered the relationship between many Division I student-athletes, educational institutions, athletic conferences, and the NCAA. This Article will discuss both the short and long-term impacts of the House settlement while analyzing both the continuing role of the NCAA and the role of …


Higher Education’S Legal Reckoning: The Institutional Lawyer—More Than A Trend, Jenean Taranto Jan 2026

Higher Education’S Legal Reckoning: The Institutional Lawyer—More Than A Trend, Jenean Taranto

Touro Law Review

Higher education institutions (IHEs) operate in an increasingly complex legal and regulatory environment that has transformed institutional governance, administration, and leadership. Since the enactment of the Higher Education Act of 1965, colleges and universities have experienced growing federal, state, and quasi-regulatory oversight, a phenomenon commonly described as the “lawyerization” of higher education. This process has resulted in expanded compliance obligations, increased litigation risks, and greater reliance on legal expertise within institutional operations. Recent federal actions following the inauguration of President Donald Trump in January 2025— including executive orders, agency guidance, policy memoranda, and related litigation—have intensified regulatory uncertainty and further …


Fourth Amendment Rights In The Age Of Automated License Plate Recognition Cameras, Jessica L. Terkovich Jan 2026

Fourth Amendment Rights In The Age Of Automated License Plate Recognition Cameras, Jessica L. Terkovich

Touro Law Review

Law enforcement technology has evolved to the point of being ever-present, especially in the form of automated license plate recognition cameras. This Article analyzes recent Fourth Amendment challenges to automated license plate recognition camera systems and developments in the technological landscape in the wake of seminal cases discussing the changing expectations of privacy as law enforcement technology evolves. The Article concludes that, as is, automated license plate recognition camera systems are not unconstitutional dragnets and do not perform warrantless searches, though they have potential to raise constitutional issues in the future.


Bi-Level Optimization Of Peer-To-Peer Trading In A Decentralized Energy Market, Marshal Miezah Jan 2026

Bi-Level Optimization Of Peer-To-Peer Trading In A Decentralized Energy Market, Marshal Miezah

Graduate Theses, Dissertations, and Problem Reports (ETD)

Distributed power generation based on rooftop photovoltaic (PV) systems integrated with battery storage emerges as a promising pathway for reducing greenhouse gas emissions and im- proving flexibility in modern power systems. This study develops a bi-level optimization model to examine how prosumers maximize profit through peer-to-peer (P2P) energy trading with consumers and the grid, and how consumers minimize cost by leveraging P2P trading. The bi-level problem is reformulated as a single-level mixed-integer programming (MIP) model using Karush- Kuhn-Tucker (KKT) conditions to improve tractability and preserve market-clearing behavior. For the model validation and case study development, prosumer and consumer data are …


How Regulatory Focus Shapes Adjustment And Performance In The Return-To-Office Era: The Roles Of Change Appraisal, Perceived Organizational Support, And Psychological Safety, Karen Jean Morris Jan 2026

How Regulatory Focus Shapes Adjustment And Performance In The Return-To-Office Era: The Roles Of Change Appraisal, Perceived Organizational Support, And Psychological Safety, Karen Jean Morris

Graduate Theses, Dissertations, and Problem Reports (ETD)

Abstract

The COVID-19 pandemic has significantly transformed workplace norms and employee expectations, marking a notable shift towards remote work. As organizations increasingly encourage a return to physical offices, understanding employee adaptation during this transition has become essential. This dissertation leverages Regulatory Focus Theory to explore how employees' promotion and prevention focus influences their adjustment and performance upon re-entering traditional office settings.

A parallel mediation model is proposed, in which Change Appraisal, Perceived Organizational Support (POS), and Psychological Safety (PS) are identified as key mechanisms linking regulatory focus to employee outcomes. The findings may provide evidence that individuals who exhibit a …


Tinjauan Frasa “Setiap Orang” Dalam Pasal 3 Ayat (1) Peraturan Pemerintah Nomor 56 Tahun 2021 Tentang Pengelolaan Royalti Hak Cipta Lagu Dan/Atau Musik, Fajar Hidayansyah Ilham, Luna Dezeana Ticoalu Jan 2026

Tinjauan Frasa “Setiap Orang” Dalam Pasal 3 Ayat (1) Peraturan Pemerintah Nomor 56 Tahun 2021 Tentang Pengelolaan Royalti Hak Cipta Lagu Dan/Atau Musik, Fajar Hidayansyah Ilham, Luna Dezeana Ticoalu

Jurnal Hukum & Pembangunan

Copyright is one form of legal protection for intellectual works, occupying an important position within the intellectual property law system. The Copyright Law explicitly grants exclusive rights to creators, encompassing both moral rights and economic rights. Economic rights, as stipulated in Article 9 paragraph (1), allow creators to obtain economic benefits from their works, ranging from publication, reproduction, distribution, performance, to communication to the public. This provision shows that creators hold a primary position as legal subjects entitled to protection, while also serving as central actors in the creative industry ecosystem. In practice, the mechanism for copyright protection requires implementing …


Harding University Spring Sing Program 2026 Jan 2026

Harding University Spring Sing Program 2026

Spring Sing

Program for the 2026 Spring Sing performance at Harding University

Theme: Destinations

Host & Hostesses: Miriam Bennett, Callie Disch, Weston Eades, and Isaac Linnett


Ai-Assisted Wheat Spike And Spikelet Detection And Density Mapping Using Multiscale Remote Sensing Data To Support Wheat Grain Yield Forecasting, Hillson Ghimire Jan 2026

Ai-Assisted Wheat Spike And Spikelet Detection And Density Mapping Using Multiscale Remote Sensing Data To Support Wheat Grain Yield Forecasting, Hillson Ghimire

Electronic Theses and Dissertations

Wheat grain yield is determined by the number of spikes per unit area, the number of grains per spike, and kernel weight. However, spike number and spikelets per spike are still measured predominantly through manual counting, a labor-intensive and subjective process that limits phenotyping throughput and selection intensity in modern wheat breeding programs. This thesis develops and evaluates a deep learning framework for automated, high-throughput phenotyping of wheat spike and spikelet traits across complementary imaging scales and implements the framework as a deployable platform. First, two large-scale benchmark datasets with oriented bounding box (OBB) annotations were established, comprising 48,521 spike …


A Wellness Approach To Aging, Retirement, And Suicide Risk: Gerontological Considerations, Seth T. Robinson, Derek J. Lee Jan 2026

A Wellness Approach To Aging, Retirement, And Suicide Risk: Gerontological Considerations, Seth T. Robinson, Derek J. Lee

Adultspan Journal

Suicide risk in older adulthood represents complex interactions between developmental transitions; changing social contexts; and interactions between ecological context and individual perceptions of belongingness, burdensomeness, and hope. This paper presents an integrative,developmentally appropriate framework for conceptualizing and addressing suicide risk in older adulthood, which is grounded in the Indivisible Self model of wellness. Drawing on current empirical knowledge of wellness, suicidality, and older adulthood, this paper presents risk and protective factors associated with older adulthood through life transitions, changing social contexts, and other relevant factors. We present a novel integration of suicide intervention, wellness, and holistic care as a suitable …


Retirement As A Psychosocial Transition: A Social Determinants Of Mental Health Framework For Counseling Practice, Janelle L. Jones, Lauren Robins, Melanie Calhoun, Aaliyah Bond-Richardson, Latesha S. Holloman, Zoe N. Stuckey Jan 2026

Retirement As A Psychosocial Transition: A Social Determinants Of Mental Health Framework For Counseling Practice, Janelle L. Jones, Lauren Robins, Melanie Calhoun, Aaliyah Bond-Richardson, Latesha S. Holloman, Zoe N. Stuckey

Adultspan Journal

Retirement is commonly framed as a normative and voluntary developmental milestone; however, access to a psychologically healthy retirement is unevenly shaped by social, economic, and structural conditions. This conceptual article applies a social determinants of mental health (SDMH) framework to retirement, conceptualizing it as a complex psychosocial transition involving identity change, shifts in purpose and meaning, relational adjustment, and emotional variability. Drawing on interdisciplinary scholarship, the manuscript examines how socioeconomic status, race and ethnicity, gendered work histories, caregiving responsibilities, health status, and access to benefits influence both the ability to retire and the experience of retirement itself. Particular attention is …


The Performance Of Machine Learning Algorithms In Predicting Under-Five Anaemia In Tanzania, Henry Ofori Duah, Derrick Nyantakyi Owusu, Godwin G. Duah, Paul Shidende Jan 2026

The Performance Of Machine Learning Algorithms In Predicting Under-Five Anaemia In Tanzania, Henry Ofori Duah, Derrick Nyantakyi Owusu, Godwin G. Duah, Paul Shidende

College of Nursing Faculty Research and Publications

Aim

Anaemia in children under five remains a major public health concern, contributing significantly to global child morbidity and mortality. With the rise of machine learning (ML), novel opportunities exist to model and predict anaemia more effectively. This study aimed to evaluate and compare the performance of five ML algorithms in predicting anaemia among under-five children in Tanzania.

Methods

We conducted a secondary data analysis using the 2017 Tanzania Malaria Indicator Survey (TMICS). The dataset (n = 5906) was randomly split into training (70%) and test (30%) sets. Five ML algorithms, Linear Discriminant Analysis (LDA), Logistic Regression, Random Forest (RF), …


Evaluating Supplementation Strategies Using Precision Livestock Technologies And Energy Based Models In Developing Beef Heifers Grazing Dormant Rangeland, Kali-Jo Bentz Jan 2026

Evaluating Supplementation Strategies Using Precision Livestock Technologies And Energy Based Models In Developing Beef Heifers Grazing Dormant Rangeland, Kali-Jo Bentz

Electronic Theses and Dissertations

Replacement beef heifer development in extensive grazing systems is challenged by variation in forage quality, supplement intake, and animal behavior, all of which influence the ability to achieve targeted growth prior to breeding. Precision livestock technologies (PLT) enable continuous monitoring of individual animal performance, while energy-based nutritional models support individualized supplementation. However, their application under extensive grazing conditions remains poorly understood. Therefore, the objectives of this thesis were to (1) evaluate heifer utilization of multiple precision livestock technologies and their relationship with animal performance and (2) evaluate the accuracy of an individualized energy-based supplementation model by comparing predicted supplement allotments …


Exploring The Relationship Between Bmi Classification And Levels Of Food Noise, Edmarie Billosillo Jan 2026

Exploring The Relationship Between Bmi Classification And Levels Of Food Noise, Edmarie Billosillo

Loma Linda University Research Reports

Rising rates of obesity in the United States necessitates an understanding of the multitude of factors that contribute to it. Recently, “food noise” has emerged as a topic of interest in this space. The current survey-based observational study aimed to understand the relationship between Body Mass Index (BMI) and levels of food noise. The results indicate a significant association between BMI and food noise levels and a connection between a history of disordered eating and food noise levels. Additionally scores on the Food Noise Questionnaire (FNQ) and the Food Cravings Questionnaire - Trait – reduced (FCQ-R-r) were found to be …


Investigating The Impact Of Seed Cycling On Menstrual Regularity, Dysmenorrhea, And Premenstrual Symptoms, Victoria Llerena, Sumrite Aeri Jan 2026

Investigating The Impact Of Seed Cycling On Menstrual Regularity, Dysmenorrhea, And Premenstrual Symptoms, Victoria Llerena, Sumrite Aeri

Loma Linda University Research Reports

Menstrual irregularities and dysmenorrhea are common in reproductive-age women and can affect quality of life. This study examined whether seed cycling could improve menstrual health in women with irregular cycles or menstrual discomfort. In this single-arm intervention study, women aged 18 - 45 consumed flax and pumpkin seeds during the follicular phase and sesame and sunflower seeds during the luteal phase for three menstrual cycles. Cycle length and symptoms were tracked monthly using smartphone health apps and the Menstrual Health Symptom Questionnaire (MHSQ). Sixteen participants completed the study. Repeated measures across baseline and 1-, 2-, and 3-month follow-ups were analyzed …


Assessing The Scope Of Knowledge And Decision-Making Patterns Regarding Healthy Eating During Pregnancy In Pregnant Female Adults In Southern California, Raegan Soffel Jan 2026

Assessing The Scope Of Knowledge And Decision-Making Patterns Regarding Healthy Eating During Pregnancy In Pregnant Female Adults In Southern California, Raegan Soffel

Loma Linda University Research Reports

While recognizing the link between prenatal nutrition and maternal-fetal health, this investigator-initiated study seeks to identify pregnant women's understanding of prenatal nutrition guidelines and the influences on their dietary choices. Thirty-eight eligible women completed an online, anonymous surveying assessing the scope of knowledge and decision-making patterns of healthy eating during pregnancy. The average knowledge score among the participants was 6.05/14. There was no significant difference in the knowledge scores among pregnancy periods or among total number of pregnancies. Perceptions of nutrition guidance in prenatal care, factors influencing eating behaviors, and primary sources of nutrition information were explored. The findings may …


Comparing Perceived Ideal Protein Intake In Plant-Based Versus Meat-Based Diet Consumers, Gysel Avendano, Saya Iwanaga Jan 2026

Comparing Perceived Ideal Protein Intake In Plant-Based Versus Meat-Based Diet Consumers, Gysel Avendano, Saya Iwanaga

Loma Linda University Research Reports

High-protein diets have gained significant popularity in both social media and public discussion and more recently, a significant rise in protein consumption has been observed. Existing research has reported differences in actual protein intake across dietary patterns, with animal-based diets generally associated with higher total protein intake compared to plant-based diets. This growing focus on protein raises important questions about perceived ideal protein intake and the factors that shape it.

The primary objective is to compare perceived ideal protein intake among Southern California adults consuming meat-based versus plant-based diets. Additionally, we explored the influence of protein-related knowledge, beliefs, values, information …


Early-Life Dietary Habits And Parental Support Among Female Collegiate Soccer Athletes, Christina Uribe, Kate Alvarez, Ryan Harding Jan 2026

Early-Life Dietary Habits And Parental Support Among Female Collegiate Soccer Athletes, Christina Uribe, Kate Alvarez, Ryan Harding

Loma Linda University Research Reports

This study examined the relationship between early-life dietary habits, perceived parental support, and collegiate competition level among female soccer athletes. Current and former NCAA Division I, II, III, and junior college athletes completed an anonymous retrospective survey assessing dietary behaviors, meal patterns, parental nutrition support, and sport-related factors. Of the 112 surveys received, 81 complete responses were included in the analysis. Participants had a mean age of 23.0 ± 3.8 years. Higher levels of collegiate competition were associated with more supportive home nutrition environments during childhood and adolescence. Significant associations were identified for parental encouragement to eat full meals before …


Tb Mortality Declines As Incidence Stalls: Lessons From Who Surveillance Data, Prisana Mandeville, Jan M. Nick, Safiye Sahin, Faye Truax Jan 2026

Tb Mortality Declines As Incidence Stalls: Lessons From Who Surveillance Data, Prisana Mandeville, Jan M. Nick, Safiye Sahin, Faye Truax

Loma Linda University Research Reports

Purposes/Aims: To describe global patterns in tuberculosis (TB) case detection rate (CDR), incidence, and mortality for adults to determine progress indicators for TB. This research will inform policy and support resource allocation for populations living in high-burden and under-detected countries.


On Burden Of Diseases, Prevention, Medical Research And Health Service Delivery: Grampian Case Study, Seshadri S. Vasan, Sudarshan Anand, Miae Lee, Nicholas C. Fluck Jan 2026

On Burden Of Diseases, Prevention, Medical Research And Health Service Delivery: Grampian Case Study, Seshadri S. Vasan, Sudarshan Anand, Miae Lee, Nicholas C. Fluck

Research outputs 2022 to 2026

Burden of diseases measured as disability-adjusted life years (DALYs) per 100,000 people can be mined from public domain data, when they are made available by population health surveillance systems. This can be analysed to allow insightful comparisons with the national average, and to understand differences in trends between the sexes, age groups, time periods, geographic regions, and sub-regions. In this illustrative case study, we have analysed the Scottish burden of disease database to understand what ailed the population of the Grampian region before the COVID-19 pandemic. We have identified that selected cancers, ischaemic heart disease, Alzheimer’s disease and other dementias …


Advances In Survival Analyses: Machine Learning Methods And Model Comparison, Ryan Gately, Dharshana Sabanayagam, Wai H. Lim, Lin Zhu, Farzaneh Boroumand, Shuvo Bakar, Armando Teixeira-Pinto, Germaine Wong Jan 2026

Advances In Survival Analyses: Machine Learning Methods And Model Comparison, Ryan Gately, Dharshana Sabanayagam, Wai H. Lim, Lin Zhu, Farzaneh Boroumand, Shuvo Bakar, Armando Teixeira-Pinto, Germaine Wong

Research outputs 2022 to 2026

This is the second article in a 2-part series on survival analysis. In part 1, we discussed the core concepts and traditional methods used in survival analysis. Part 2 explores the novel approaches to predict survival outcomes and evaluate model performance. To facilitate hands-on learning and practical implementation, the R code used in these analyses is provided in the supplementary materials, along with instructions to help readers apply these methods to their data.


A Randomized Double-Blind, Placebo-Controlled Dose–Response Study To Assess The Gluten Threshold Dose In Celiac Disease, A. James M. Daveson, Emma Craig, Alina Vitak, Robert S. Ware, Jennifer Schafer, Anuj Sehgal, Utpal Bose, Michelle J. Colgrave, Melinda Y. Hardy, Jason A. Tye-Din, Robert P. Anderson Jan 2026

A Randomized Double-Blind, Placebo-Controlled Dose–Response Study To Assess The Gluten Threshold Dose In Celiac Disease, A. James M. Daveson, Emma Craig, Alina Vitak, Robert S. Ware, Jennifer Schafer, Anuj Sehgal, Utpal Bose, Michelle J. Colgrave, Melinda Y. Hardy, Jason A. Tye-Din, Robert P. Anderson

Research outputs 2022 to 2026

Background & Aims: Celiac disease is an immune-mediated enteropathy triggered by gluten ingestion. The effect of very small gluten exposures remains uncertain, contributing to international variations in food-labeling standards. Interleukin 2 (IL2) rises rapidly after gluten ingestion, serving as a biomarker of immune activation. We aimed to identify the lowest gluten dose that elicits a measurable IL2 response and accompanying symptoms in treated celiac disease. Methods: We conducted a randomized double-blind, placebo-controlled adaptive dose–response trial in adults with biopsy-proven celiac disease on a gluten-free diet for >2 years. Participants (n = 51; median age, 52 years; 69% were female) underwent …