A patient presents with symptoms that are suspicious for celiac disease. Which of the following risk factors does NOT warrant further evaluation?

Choice A reason: Type 1 diabetes is an autoimmune condition associated with increased risk of celiac disease, warranting evaluation. Choice B reason: Down syndrome is a genetic condition associated with higher prevalence of celiac disease, indicating evaluation is appropriate. Choice C reason: Having a first-degree relative with celiac disease significantly increases risk, making further assessment necessary. Choice D reason: Obesity alone is not a recognized risk factor for celiac disease and does not indicate the need for routine screening unless other symptoms are present.