The "relatively rare" in numbers: so far, it's been assumed that about 1% of the population is celiac.

Italy recently started screening kids nation wide. Initial results are showing that of 4.4% of kids are affected. [1]

Celiac disease is massively under-diagnosed and GPs knowledge about the disease is limited. Also, celiac disease might cause issues which are not directly gut related: one might end up with a B12 or iron deficiency, one might get migraines, fatigue, gluten induced ataxia and many many more.

[1] https://celiac.org/2025/09/24/how-research-is-shaping-italys...

Celiac has a very high incidence in northern Spain as well - they attribute it to having a very similar Celtic genetic profile as the Irish.