Communion under both kinds in Christianity is the reception under both "species" (i.e., both the consecrated bread and wine) of the Eucharist. Denominations of Christianity that hold to a doctrine of Communion under both kinds may believe that a Eucharist which does not include both bread and wine as elements of the religious ceremony is not valid, while others may consider the presence of both bread and wine as preferable, but not necessary, for the ceremony. In some traditions, grape juice may take the place of wine with alcohol content as the second element. In reference to the Eucharist as a sacrifice, Communion under both kinds belongs at least to the integrity and essence, of the rite, and may not be omitted without violating the precept of Christ: "Do this in remembrance of me" (Luke 22:19). This is mentioned implicitly by the Council of Trent (Sess. XXI, c. i; XXII, c. i), and the General Instruction of the Roman Missal states that the people "should share the cup when it is permitted. Then, Communion is a clearer sign of sharing in the sacrifice that is actually being celebrated." Catholicism teaches that Christ is sacramentally (and equally) present under each species, and therefore if a person receives only one species, Christ is fully present and nothing is lacking. In the Early Church, Communion was ordinarily administered and received under both kinds. That such was the practice mentioned by Paul in I Corinthians 11:28. But side by side in the Early Church there existed the custom of communicating in certain cases under one kind alone e.g. when people took home some of the Eucharist after Sunday worship and communicated during the week and also when the Eucharist was brought to the sick. By the Middle Ages, the Church had become, like most of European society, increasingly hierarchical. There was much stress on being holy when receiving Communion, and a greatly heightened appreciation of the sufferings of Christ.