I am trying to find some support/explanation for an issue I am having at work. One of my 8th grade boys is autistic; he is fully mainstreamed, can handle the work, but needs support with social interaction, "big" transitions, changes, etc. About 2 months ago he was diagnosed with hypothyroidism and full-blown celiac. He has been gluten-free for about 6 weeks now, and although he isn't growing and gaining weight, he is finally eating full meals and we're hoping he'll continue to make progress. However, in the past four weeks he has started exhibiting behaviors in the classroom that haven't been seen since he was in 2nd grade: blurting, picking (ears, nose, cuticles, etc.), crying, yelling at the teacher, flinging himself on the floor in frustration, etc. VERY uncharacteristic behavior. I am wondering if, now that he is GF, his metabolism and absorption are better and therefore his medications need to be evaluated and adjusted. I realize that he is also dealing with his own medical issues, but his mom relates that he hasn't been emotionally affected by the celiac diagnosis, which is consistent with his autism (unlike his NT 16 yo sister, who has also tested positive and is in denial, crying, doesn't want to go GF, etc.). ANYHOW... has anyone had experience with a celiac diagnosis and its effect on medication levels? Am I barking up the wrong tree here, or should we (the "team") consider requesting a medication eval? Any experience or input would really be appreciated; we are all pretty surprised at these behaviors, and I know the boy is struggling "in the moment." (as he seems to forget about problems when he goes to the next class) And FWIW, I am really proud of the other kids in this class. Nobody has stared, shied away from this boy, or made fun of him. In fact, several of the boys have tried to "help" when he is becoming distressed, making supportive comments, suggesting diversions, etc. Although I wouldn't go so far as saying any of these kids are his true friends (as so many of you parents sadly understand), they are certainly his classmates, he is part of the class, and they are supportive when he struggles. It could be so much worse!