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Exactly what changes have you made due to fodmaps and what benefits have you gained?
Cheers.
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ibs-d (pseudo)with pain and bloating
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It can be difficult to do incorporate the two diets. For example, low fodmap tells us that only real mayonaise is allowed and full fat butter. But the EFI diet tells us that we should go with the low fat or fat free versions. The EFI diet says winter squash (butternut, pumpkin) or sweet potato and beets and turnips are good SF sources, but the fodmap diet limits them to tiny amounts, not safe enough to be good SF bases. I could go on. I want to incorporate the two, but I am currently overwhelmed and confused as to how to do that. Plus, the email I posted from the journal does not fully support the fodmap. I just want to eat so I don't feel pain...not sure how to incorporate the two without adding so much more anxiety. I'm reading all the ingredients of my current "safe" EFI foods and finding nonsafe fodmap ingredients, such as molasses  And having to throw out my current peanut butter because it contains some unsafe fodmap ingredient.
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What are you gonna do? What is the answer for us? I'm so disappointed after hearing what is actually in the book.
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I have gained remarkable control of my IBS-D that I could not get from the EFI diet alone. I simply removed foods with excess fructose, of course lactose (dairy products), polyols and some fructans/galactans.
However, the FODMAP diet alone without restriction of high insoluble fiber foods does not work. But according to the GI researchers this can be expected in some individuals as witnessed by my previous posting.
The difference for me by adding the FODMAP diet is the difference between night and day for me  I might also mention that a RD in a local hospital that I have been communicating with has had remarkable results with some functional bowel disorder clients particularly those with IBS.
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STABLE: ♂, IBS-D 50+ years - Science of IBS
The FODMAP Approach to Managing IBS Symptoms
Evidence-based Dietary Management of Functional GI Symptoms: The FODMAP Approach
FODMAP Chart & Cheatsheet
The Role of Food & Dietary Intervention in IBS
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It takes a bit of thinking and consideration but it actually very easy to integrate both diets. You need to be patient.
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STABLE: ♂, IBS-D 50+ years - Science of IBS
The FODMAP Approach to Managing IBS Symptoms
Evidence-based Dietary Management of Functional GI Symptoms: The FODMAP Approach
FODMAP Chart & Cheatsheet
The Role of Food & Dietary Intervention in IBS
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did you read the comment I received from the Academy of Nutrition and Dietetics?
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No - I did see it. Please provide a link.
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STABLE: ♂, IBS-D 50+ years - Science of IBS
The FODMAP Approach to Managing IBS Symptoms
Evidence-based Dietary Management of Functional GI Symptoms: The FODMAP Approach
FODMAP Chart & Cheatsheet
The Role of Food & Dietary Intervention in IBS
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so what kind of butter and mayo and yogurt and dairy free cheese or milk or soy sauce substitute can I buy that is safe for both diets?
Looks like I have to throw out my gluten free ginger snaps because they contain molasses? Omg...this is a nightmare!
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Nutrition therapy for IBS (irritable bowel syndrome) is highly individualized and require goals set by the patient and registered dietitian with consistent follow-up for additional interventions as needed.
In a recent article in the American Journal of Gastroenterology(1)the authors stated a number of concerns regarding the FODMAP diet. The first being some of the recommendations are based only on clinical observation. Secondly, the efficacy of different methods of patient education has not been formally evaluated and the education done so far has been by a trained dietitian. The last issue is the safety of long term FODMAP restriction has not been reported and restrictive diets may be a risk for nutritional inadequacies(3).
There is emerging research that the FODMAP diet may be an effective therapy in the management of IBS symptoms. This does not present a cure, rather suggested dietary approach to improve symptoms and quality of life. In addition a one size fits all approach does not work because too many factors can affect each client's food tolerance and adherence to diet modifications. More controlled clinical research is needed in this emerging area of FODMAP and IBS treatment.
1.Gibson PR and Shepard SJ. Food Choice as a Key Management Strategy for Functional Gastrointestinal Symptoms. Am J Gastroentero. 2012; 107: 657-666.
Hope this is helpful.
Wendy Marcason, RD,LDN
Information Specialist, Knowledge Center
Academy of Nutrition and Dietetics
(formerly the American Dietetic Association)
NEW NAME, SAME COMMITMENT TO PUBLIC'S NUTRITIONAL HEALTH.
120 S. Riverside Plaza, Suite 2000
Chicago, Illinois 60606-6995
knowledge@eatright.org
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Are you still IBS-D (more than 3 BMs/Day)? I remember you posting about excess fructose long before posting about fodmaps. We all know about lactose. What foods have you eliminated containing polyols, galactans (were you eating beans before fodmaps?), fructans?
Cheers.
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ibs-d (pseudo)with pain and bloating
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