Posted on 07/22/2024 9:49:04 PM PDT by ConservativeMind
Two studies may provide hope for patients with irritable bowel syndrome struggling to implement the traditional low-FODMAP diet.
In the low-FODMAP diet, patients with IBS restrict their intake of certain carbohydrates (fermentable oligosaccharides, disaccharides, monosaccharides, and polyols), before gradually reintroducing each to determine sensitivity.
In the first study, participants started on the traditional low-FODMAP restriction diet, but then had different FODMAP foods reintroduced blindly.
The researchers found that patients reacted to an average of two FODMAPs. The data also suggested that individual FODMAPs alone could cause symptoms—as opposed to all the FODMAPs at once.
The most significant, finding however, was that fructans and galacto-oligosaccharides (GOS) were the most likely to worsen symptoms such as abdominal pain and bloating. Fructans are commonly found in onions, garlic, and wheat. Foods containing GOS include legumes and cruciferous vegetables.
"That led to the second study, in which an alternative "FODMAP-simple' diet was developed and implemented," said William Chey, M.D.
FODMAP-simple restricts only fructans and GOS without restricting other FODMAP groups (polyols, lactose, and fructose), while traditional low FODMAP restricts all five FODMAP groups. At the end of that study, FODMAP-simple led to similar reductions as low-FODMAP to key symptoms of IBS.
There are several benefits to simplifying the traditional low-FODMAP approach. Many patients find the diet hard to start, depending on their existing habits and available food. The restriction period of the process can also lead to weight loss and deficiencies in certain nutrients, such as iron and calcium.
"Cost becomes an issue, because the more exclusion you have to do, the more substitutes you'd have to purchase," said Prashant Singh, MBBS.
(Excerpt) Read more at medicalxpress.com ...
“Fructans are commonly found in onions, garlic, and wheat. Foods containing GOS include legumes and cruciferous vegetables.”
that is me.
Onions, and garlic in particular, then mushrooms. But I seem to tolerate some wheat except as pasta
Thank you for this post.
As an IBS sufferer, I love garlic but it doesn’t love me.
For some reason, my symptoms are worse in the morning. Sausage and eggs are rough on my system. I cannot tolerate coffee until later in the afternoon.
What the hell is a foodmap?
“What the hell is a foodmap?”
Fodmap
If you have an Android device there are a number of apps in the Google play store. The one on my phone is Fodmap a to z.
Basically it charts which foods are OK and bad for IBS sufferers.
I think I react to the GOS foods.
I can’t tolerate coffee at all. I think it’s my worst trigger.
Easy way to figure this out...start with carnivore diet (basically no fruit/veg/grains) for awhile. Then start adding things back in...sometimes ppl make things too complicated...imho
Same here.
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