<span>I'd say the answer is less absorption of nutrients.
When people with celiac disease eat foods with gluten, their immune system reacts by damaging the villi. <span>Because of the damage, the villi are unable to properly absorb iron, vitamins, and other nutrients.</span></span>
I would say feelings of worthlessness. You can't really see it on their body, but they can tell you if they choose to, so that makes it hidden in my opinion. I hope that helps!