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Pages: 1 | 2 | 3 | 4 | 5 | 6 | (show all) frustration with fodmap diet info already       #368885 - 12/31/12 01:39 PM Edit Reply Quote Cyndy Reged: 03/05/05 Posts: 1301 Been on the computer researching this diet for two solid days...haven't even gotten dressed. I have put in an order for IBS Free at Last and have joined a Fodmap FB. On that site, they give updates on what foods have changed since the writing of the book I just bought. What the hell did I just buy the book when the rules change daily? Come on...first it's only 1/2 cup green beans allowed, now supposedly, you can eat any amount? It is impossible and anxiety provoking to try to be on that diet when the rules change every so often. Have no clue what veggies are allowed, how many nuts are okay, ect. The rules keep changing. And now only half cup of sweet potato and turnips? this is making my IBS flare up and I'm not even eating anything off limits. What have I gotten myself obsessed with. What do I do to make sure I am eating clean and safe? Print     Remind Me     Notify Moderator     Re: frustration with fodmap diet info already       #368886 - 12/31/12 02:25 PM Edit Reply Quote Syl Reged: 03/13/05 Posts: 5499 Loc: SK, CANADA Since you are easily frustrated again let me suggest you find a dietitian in your area that can advise you. Contact the The Academy of Nutrition and Dietetics in Chicago at 800-877-1600 or e-mail them knowledge@eatright.org and ask for the name of someone in your area. -------------------- 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 Print     Remind Me     Notify Moderator     Re: frustration with fodmap diet info already       #368887 - 12/31/12 02:44 PM Edit Reply Quote Cyndy Reged: 03/05/05 Posts: 1301 I can't call until after the holidays. Syl, how do you do it? How do you keep up with all the changes? Or do you just stick with the first three links in your sig and forget about everything else and not eat anything but your "staple" meals? Dieticians cost close to 150 dollars a visit. I can't afford that. And I can't find anyone near me so far with the resources I have found...like the link on Patsy Castsos website. I just want to feel better. My tummy is in knots today. Print     Remind Me     Notify Moderator     Re: frustration with fodmap diet info already       #368888 - 12/31/12 03:02 PM Edit Reply Quote Syl Reged: 03/13/05 Posts: 5499 Loc: SK, CANADA Yes - start with one source. Get the book you were going to buy. I believe it has a step by step guide. Jumping around from information source to information source seems to give you anxiety. Stop! Also, use the information in my signature until you get the book. This is the information I used for the first 2 years I used the diet. -------------------- 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 Print     Remind Me     Notify Moderator     Re: frustration with fodmap diet info already       #368889 - 12/31/12 03:06 PM Edit Reply Quote Cyndy Reged: 03/05/05 Posts: 1301 the problem is that The Monash institute has already made changes that aren't reflected in the book I just ordered. Even the cheat sheet in your signiture is a bit outdated now. Things have changed (at least some of the veggies). Is your cheat sheet still a good source to follow? I know artichokes are not allowed, even though the chart says they are. And only 1/2 cup of sweet potato, turnips are allowed. And it doesn't address chard or butternut squash at all. What is a silverbeet? I have to try and relax. Thanks for you continual support. Truly appreciated. Print     Remind Me     Notify Moderator     Re: frustration with fodmap diet info already       #368890 - 12/31/12 03:45 PM Edit Reply Quote Syl Reged: 03/13/05 Posts: 5499 Loc: SK, CANADA The changes are minor. You can follow the change in Catsos updates page . The information in my signature is plenty good enough for the moment. Relax - you don't need answers to all of your questions right now. -------------------- 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 Print     Remind Me     Notify Moderator     Re: frustration with fodmap diet info already       #368891 - 12/31/12 05:00 PM Edit Reply Quote Cyndy Reged: 03/05/05 Posts: 1301 I check the update page too often. Thanks, though. I am trying to learn all this because the pain has been so disabling. I'm not getting anywhere, though. Were you aware that your cheat sheet says artichokes are okay? Print     Remind Me     Notify Moderator     Re: frustration with fodmap diet info already       #368898 - 01/01/13 05:09 AM Edit Reply Quote Syl Reged: 03/13/05 Posts: 5499 Loc: SK, CANADA Ah - yes - there is an updated version of the cheatsheet with artichokes moved to the unfriendly section. Apparently there were a couple of other mistakes too. I have updated my link. Thanks for the heads up -------------------- 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 Print     Remind Me     Notify Moderator     Re: frustration with fodmap diet info already       #368900 - 01/01/13 11:06 AM Edit Reply Quote Cyndy Reged: 03/05/05 Posts: 1301 Eggplant is considered low fodmap. Do you know about rutabaga? Print     Remind Me     Notify Moderator     Re: frustration with fodmap diet info already       #368901 - 01/01/13 11:36 AM Edit Reply Quote Syl Reged: 03/13/05 Posts: 5499 Loc: SK, CANADA Kate Scarlata who wrote the first article in my signature has also produce a check list. She says rutabaga (swede) is IBS friendly. -------------------- 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 Print     Remind Me     Notify Moderator     Re: frustration with fodmap diet info already       #368902 - 01/01/13 11:37 AM Edit Reply Quote Cyndy Reged: 03/05/05 Posts: 1301 thank you. Did you see that eggplant is okay? Happy New year. I'm done with all this today. Print     Remind Me     Notify Moderator     Re: frustration with fodmap diet info already       #368903 - 01/01/13 11:43 AM Edit Reply Quote Syl Reged: 03/13/05 Posts: 5499 Loc: SK, CANADA Scarlata's has eggplant on the safe list. Hopefuly 2013 will bring some relief from your IBS symptoms -------------------- 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 Print     Remind Me     Notify Moderator     Re: frustration with fodmap diet info already       #368905 - 01/01/13 01:11 PM Edit Reply Quote capricorn1942 Reged: 10/06/03 Posts: 248 You can get a free version of the Kindle which runs on a PC here: http://www.amazon.com/gp/feature.html?ie=UTF8&docId=1000426311 You can get the kindle version of the book IBS Free At Last! as an almost immediate download for $4.97 here: http://nookibooks.com/ Cheers. -------------------- ibs-d (pseudo)with pain and bloating Print     Remind Me     Notify Moderator     Re: frustration with fodmap diet info already       #368906 - 01/01/13 02:38 PM Edit Reply Quote Cyndy Reged: 03/05/05 Posts: 1301 oh, thanks...wish I had known this before I put in an order for the softcover book. Do you have this book? Is it helping you? easy to understand? Print     Remind Me     Notify Moderator     Re: frustration with fodmap diet info already       #368907 - 01/01/13 02:41 PM Edit Reply Quote Cyndy Reged: 03/05/05 Posts: 1301 I'm praying for that. I can't take the pain much longer. For your information web page Print     Remind Me     Notify Moderator     Re: frustration with fodmap diet info already       #368911 - 01/02/13 07:18 AM Edit Reply Quote capricorn1942 Reged: 10/06/03 Posts: 248 Is corn ok? The cheat sheet says no but the book recommends corn flakes for breakfast. Cheers -------------------- ibs-d (pseudo)with pain and bloating Print     Remind Me     Notify Moderator     Re: frustration with fodmap diet info already       #368912 - 01/02/13 07:21 AM Edit Reply Quote capricorn1942 Reged: 10/06/03 Posts: 248 Here is the 7 day meal plan in the book: Day 1 Breakfast 1 C. corn flakes 1 C. lactose-free skim milk ½ ripe banana Snack Small handful almonds Lunch 2 slices wheat- and rye-free bread 2 oz. turkey Lettuce and fresh tomato 2 T. real mayonnaise ½ C. fresh blueberries ½ C. baby carrots Snack ½ C. lactose-free cottage cheese 8 cherry tomatoes Dinner 4 oz. baked salmon Medium baked potato 1 ½ T. sour cream 2 C. raw baby spinach ½ C. slivered red bell pepper 1 t. olive oil 1 T. balsamic vinegar Beverages Water or tea, as desired; 1 C. of coffee per day Day 2 Breakfast 1 C. cooked oatmeal/porridge 1 C. lactose-free skim milk ½ ripe banana Morning Snack 1 oz. rice crackers 1 hard-boiled egg 2 T. half-and-half for coffee Lunch 2 skillet-warmed corn tortillas 3 oz. tuna 2 T. light mayonnaise Lettuce and tomato 1 small orange ½ C. baby carrots Afternoon Snack 1 oz. low-fat cheddar cheese 8 cherry tomatoes Dinner 3 oz. grilled turkey burger 1 oz. cheddar cheese 1 C. brown rice 2 C. mixed salad greens 1 t. olive oil 1 T. balsamic vinegar 2 peanut butter cookies (recipe) Evening Snack ½ C. grapes Beverages Water or tea, as desired; 1 C. of coffee per day Day 3 Breakfast 1 C. cooked oatmeal/porridge 1 C. lactose-free skim milk 1 ½ t. sugar for coffee Morning Snack ½ C. blueberries ½ C. lactose-free cottage cheese Lunch 3 oz. grilled chicken 1 C. grilled zucchini 2 T. slivered almonds Medium baked potato 1 t. butter Afternoon Snack Granola bar (recipe) Dinner 1 C. rice pasta 4 oz. roast pork tenderloin 2 t. olive oil 2 C. celery and carrots, stir fried Soy sauce 1 small orange Evening Snack 2 T. almonds Beverages Water or tea, as desired; 1 C. of coffee per day Day 4 Breakfast 1 C. sliced, cooked potatoes 2 t. butter 1 egg 1/3 C. orange juice Morning Snack ½ C. plain instant oatmeal/porridge 2 T. slivered almonds 1 C. lactose-free skim milk Lunch 2 slices wheat- and rye-free bread 2 oz. turkey Lettuce and tomato 2 T. real mayonnaise ½ C. blueberries ½ C. baby carrots Afternoon Snack ½ C. lactose-free cottage cheese 1 C. peeled cucumber slices Dinner 2 skillet-warmed corn tortillas 4 oz. grilled steak ½ C. sautéed red pepper strips 2 t. olive oil ½ C. chopped fresh tomato 1 ½ T. sour cream Evening Snack Granola bar (recipe) Beverages Water or tea, as desired; 1 C. of coffee per day Day 5 Breakfast 1 C. corn flakes 1 C. lactose-free skim milk ½ ripe banana Morning Snack 3 plain rice cakes 1 oz. cheddar cheese Lunch 1 oz. baked potato chips 2 C. mixed salad greens ½ C. mixed cucumber and green peas 3 oz. turkey 1 T. olive oil 2 T. balsamic wine vinegar Afternoon Snack ½ C. lactose-free cottage cheese ½ C. blueberries Dinner 1 baked pork chop 1 C. brown rice 2 t. butter ½ C. green peas ½ C. red pepper strips Evening Snack 1 oz. rice crackers Small handful peanuts Beverages Water or tea, as desired; 1 C. of coffee per day Day 6 Breakfast 1 C. corn flakes 1 C. lactose-free skim milk 2 T. slivered almonds Morning Snack ½ C. strawberries 1 oz. rice crackers 1 hard-boiled egg Lunch 1 serving Pork Fried Rice (recipe) ½ C. canned pineapple chunks Afternoon Snack 1 oz. cheddar cheese ½ C. baby carrots Dinner 4 oz. grilled chicken 1 C. Quinoa Salad (recipe) 1 small orange Evening Snack Small handful peanuts Beverages Water or tea, as desired; 1 C. of coffee per day Day 7 Breakfast 1 C. cooked, sliced potatoes 2 t. butter 1 egg ½ C. baby spinach 1/3 C. orange juice Morning Snack 2 slices toasted wheat- and rye-free bread 2 t. butter 1 C. lactose-free milk Lunch 1 serving Pork Fried Rice (leftover from yesterday) ½ C. strawberries Afternoon Snack 2 slices lean deli roast beef ½ medium red bell pepper, strips Dinner 3 oz. grilled chicken 1 C. brown rice 2 C. mixed salad greens 2 T. slivered almonds 1 t. olive oil 1 T. balsamic wine vinegar Evening Snack ½ C. strawberry sorbet, sugar sweetened Beverages Water or tea, as desired; 1 C. of coffee per day Cheers. -------------------- ibs-d (pseudo)with pain and bloating Print     Remind Me     Notify Moderator     Re: frustration with fodmap diet info already - bump       #368913 - 01/02/13 08:09 AM Edit Reply Quote capricorn1942 Reged: 10/06/03 Posts: 248 Is corn ok? The cheat sheet says no but the book recommends corn flakes for breakfast. Cheers -------------------- ibs-d (pseudo)with pain and bloating Edited by capricorn1942 (01/02/13 08:11 AM) Print     Remind Me     Notify Moderator     Re: frustration with fodmap diet info already       #368914 - 01/02/13 08:28 AM Edit Reply Quote Syl Reged: 03/13/05 Posts: 5499 Loc: SK, CANADA I believe the only restriction is sweet corn because it contains polyols that make it sweet. Other corn and corn flakes are okay. -------------------- 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 Print     Remind Me     Notify Moderator     Re: frustration with fodmap diet info already       #368915 - 01/02/13 08:38 AM Edit Reply Quote capricorn1942 Reged: 10/06/03 Posts: 248 How can you tell if corn flakes are made with other than sweet corn? Cheers. -------------------- ibs-d (pseudo)with pain and bloating Print     Remind Me     Notify Moderator     Re: frustration with fodmap diet info already       #368916 - 01/02/13 09:34 AM Edit Reply Quote capricorn1942 Reged: 10/06/03 Posts: 248 When I pose the question "Are corn flakes made from sweet corn", all web site answers say yes. Yet the book recommends corn flakes. Seems like fodmaps info is very unreliable. Cheers. -------------------- ibs-d (pseudo)with pain and bloating Print     Remind Me     Notify Moderator     Re: frustration with fodmap diet info already       #368917 - 01/02/13 09:55 AM Edit Reply Quote Syl Reged: 03/13/05 Posts: 5499 Loc: SK, CANADA When I am in doubt about the crediblity of a source I always go the primary source like the first two links in my signature. The second article was written by the researchers who developed the diet. The first link was written by a dietitian trained by those authors. Both say list corn under the "Suitable alternative low-FODMAP food source". Thus corn flakes looks okay. HOWEVER, there could be varieties of sweet corn that are high in polyols. I have not been able to find a definitive source that says corn flakes are made from sweet corn. I suspect it depends on the manufacture. If you eat Kelloggs then perhaps you might call customer hotline to find out for sure. Since the advent of this diet many individuals have prepared their version of the diet which frequently contains errors. I don't pay attention to corn because of its high insoluble fiber content - it is not on my list of safe foods -------------------- 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 Print     Remind Me     Notify Moderator     Just FYI, this meal plan would kill me. It is not IBS safe just because it's FODMAPS free. -nt-       #368918 - 01/02/13 10:18 AM Edit Reply Quote Heather Reged: 12/09/02 Posts: 7799 Loc: Seattle, WA -------------------- Heather is the Administrator of the IBS Message Boards. She is the author of Eating for IBS and The First Year: IBS, and the CEO of Heather's Tummy Care. Join her IBS Newsletter. Meet Heather on Facebook! Print     Remind Me     Notify Moderator     Re: frustration with fodmap diet info already       #368919 - 01/02/13 10:22 AM Edit Reply Quote capricorn1942 Reged: 10/06/03 Posts: 248 If you check my earlier post giving the 7 day meal plan from the book, this is the baseline diet recommended to start with and to be added to on a trial and error basis. If it is loaded with IF, how can one of the authorities on fodmaps for IBS recommend it? This is very disappointing and borders on randomness. Exactly what changes have you made due to fodmaps and what benefits have you gained? Cheers. -------------------- ibs-d (pseudo)with pain and bloating Print     Remind Me     Notify Moderator     Re: frustration with fodmap diet info already       #368920 - 01/02/13 10:22 AM Edit Reply Quote Cyndy Reged: 03/05/05 Posts: 1301 Regarding cornflakes...this is what the author of IBS Free at Last says on her facebook page. IBS-Free at Last also commented on their Wall post. IBS-Free at Last wrote: "I have never read the book Wheat Belly, so I can't really comment. As for wheat and FODMAPs and breakfast cereals. Original, plain Cheerios Brand in the US have wheat STARCH in them, which has the FODMAPs refined out of it so it is OK as a low FODMAP ingredient. Corn flakes is not a brand, so must check ingredients. For example, Erewhon corn flakes (Attune foods sends me samples) do not have any wheat ingredients in them. I just checked the Kellogg's site and their corn flake ingredients now look OK, too. But other brands might add wheat flour or high fructose corn syrup." So it seems that kellogs is okay. Print     Remind Me     Notify Moderator     Regarding the fodmap diet       #368921 - 01/02/13 10:25 AM Edit Reply Quote Cyndy Reged: 03/05/05 Posts: 1301 This is an email I got while trying to find an RD knowledgable in Fodmap. "We do not have a list of dietitians that use the FODMAP approach.. We do have a Find a Registered Dietitian on our website but it does not list FODMAP dietitians. You would need to call the dietitians and ask if they have used the FODMAP diet. 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. So, I am really confused and unsure about things now...as if I needed more confusion with this diet. It is insane and so difficult. Print     Remind Me     Notify Moderator     Re: Just FYI, this meal plan would kill me. It is not IBS safe just because it's FODMAPS free. -nt-       #368922 - 01/02/13 10:29 AM Edit Reply Quote Cyndy Reged: 03/05/05 Posts: 1301 I agree, Heather!!! The shopping list for the elimination diet includes lots of salads, cucumbers, red peppers, lactaid milk and lactaid yogurts, celery, bean sprouts, butter, sour cream, cheddar cheese, orange juice, pork loin, pork chopes, steak... I guess for some of us, we are just suppose to take the foods that also are in conjunction with EFI diet??? Thanks for pointing this out. Print     Remind Me     Notify Moderator     Re: frustration with fodmap diet info already       #368923 - 01/02/13 10:34 AM Edit Reply Quote Cyndy Reged: 03/05/05 Posts: 1301 This diet would kill me. And note, since this meal plan was created, changes have already been made. For example, you are only allowed one stick of celery per day, now. It is very confusing, always changing, and this diet would kill me. I am sort of disappointed that I got involved in this fiasco and actually spent money and ordered this book. I cannot follow this elimination diet and I know that this book is already out of date. So, what do we do? Just trying to get free from pain here! Print     Remind Me     Notify Moderator     Re: frustration with fodmap diet info already       #368925 - 01/02/13 10:58 AM Edit Reply Quote Cyndy Reged: 03/05/05 Posts: 1301 why the limit on bananas? I thought a whole banana was okay? And the limit on strawberries? They aren't low fodmap? Print     Remind Me     Notify Moderator     Everyone seems to miss an important point ....       #368926 - 01/02/13 11:04 AM Edit Reply Quote Syl Reged: 03/13/05 Posts: 5499 Loc: SK, CANADA made by the researchers who did the origianl clincal tests. They state clearly in the second reference in my signature "If adherence was strict, attention may be needed to modify intake of resistant starch and insoluble and soluble fiber. Other dietary triggers such as food chemicals may need to be considered, as should potential factors such as caffeine, fat, meal size and regularity." However, the EFI diet alone can be problematic for many individuals due to fact that is does not restrict FODMAPs. Integrating the FODMAP with the EFI diet can give better results for many individuals. -------------------- 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 Print     Remind Me     Notify Moderator     Re: Everyone seems to miss an important point ....       #368927 - 01/02/13 11:23 AM Edit Reply Quote capricorn1942 Reged: 10/06/03 Posts: 248 Exactly what changes have you made due to fodmaps and what benefits have you gained? Cheers. -------------------- ibs-d (pseudo)with pain and bloating Print     Remind Me     Notify Moderator     Re: Everyone seems to miss an important point ....       #368928 - 01/02/13 11:27 AM Edit Reply Quote Cyndy Reged: 03/05/05 Posts: 1301 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. Print     Remind Me     Notify Moderator     Capricorn??       #368929 - 01/02/13 11:29 AM Edit Reply Quote Cyndy Reged: 03/05/05 Posts: 1301 What are you gonna do? What is the answer for us? I'm so disappointed after hearing what is actually in the book. Print     Remind Me     Notify Moderator     Re: Everyone seems to miss an important point ....       #368930 - 01/02/13 11:31 AM Edit Reply Quote Syl Reged: 03/13/05 Posts: 5499 Loc: SK, CANADA 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. -------------------- 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 Print     Remind Me     Notify Moderator     Re: Everyone seems to miss an important point ....       #368931 - 01/02/13 11:33 AM Edit Reply Quote Syl Reged: 03/13/05 Posts: 5499 Loc: SK, CANADA It takes a bit of thinking and consideration but it actually very easy to integrate both diets. You need to be patient. -------------------- 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 Print     Remind Me     Notify Moderator     Re: Everyone seems to miss an important point ....       #368932 - 01/02/13 11:37 AM Edit Reply Quote Cyndy Reged: 03/05/05 Posts: 1301 did you read the comment I received from the Academy of Nutrition and Dietetics? Print     Remind Me     Notify Moderator     Re: Everyone seems to miss an important point ....       #368933 - 01/02/13 11:41 AM Edit Reply Quote Syl Reged: 03/13/05 Posts: 5499 Loc: SK, CANADA No - I did see it. Please provide a link. -------------------- 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 Print     Remind Me     Notify Moderator     Re: Everyone seems to miss an important point ....       #368934 - 01/02/13 11:44 AM Edit Reply Quote Cyndy Reged: 03/05/05 Posts: 1301 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! Print     Remind Me     Notify Moderator     Re: Everyone seems to miss an important point ....       #368935 - 01/02/13 11:50 AM Edit Reply Quote Cyndy Reged: 03/05/05 Posts: 1301 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 Print     Remind Me     Notify Moderator     Re: Everyone seems to miss an important point ....       #368936 - 01/02/13 12:00 PM Edit Reply Quote capricorn1942 Reged: 10/06/03 Posts: 248 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. -------------------- ibs-d (pseudo)with pain and bloating Print     Remind Me     Notify Moderator     Re: Everyone seems to miss an important point ....       #368937 - 01/02/13 12:07 PM Edit Reply Quote Syl Reged: 03/13/05 Posts: 5499 Loc: SK, CANADA I am very familiar the the article Marcason refers to. The authors of the article raised points 1-3. They have raised similar points in previous articles. These type of comments are expected in any research article as the authors are suppose to report potential problems and difficulties as a matter of normal practice. She is correct that there are very few trained RD. This problem is slowly being overcome with prestigous organizations such as King's College London who is putting on course for registered dietitician in the UK. This happened after the UK conducted extensive clinical trials on this dietary approach. What Marcason forgot to report was the conclusions of the article which are "Simple concepts of how food might trigger functional GI symptoms have led to at least one efficacious dietary approach that is effective in the majority of patients with FBD [Functional Bowel Disorders]. The evidence base for the low FODMAP diet is strong, provided dieticians with the skills to implement it are available. Other approaches, most of which are, at least theoretically, complementary to the low FODMAP diet, are being actively pursued in clinical practice, if not always in scientific enquiry. There is a real need for biomarkers or other clinical predictors to enable individualization of the dietary approach, particularly as many diets require the use of elimination diet methodologies. Gastroenterologists can no longer ignore specific dietary intervention for patients with functional gut symptoms." -------------------- 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 Print     Remind Me     Notify Moderator     Is molasses safe for fodmap diet?       #368938 - 01/02/13 12:07 PM Edit Reply Quote Cyndy Reged: 03/05/05 Posts: 1301 what about apple cider vinegar? Print     Remind Me     Notify Moderator     Re: Everyone seems to miss an important point ....       #368939 - 01/02/13 12:13 PM Edit Reply Quote Syl Reged: 03/13/05 Posts: 5499 Loc: SK, CANADA Now I have 2 well-formed BMs a day unless I eat an unsafe food or I get stressed or ill. I have eliminated all of the high FODMAP foods in the table from the second reference except wheat. I seem to be able to tolerate a fair amount of wheat with no problems. Apparently that is not particularly unusual. Many people don't have to eliminate all high FODMAP foods. That is why the approach has a re-introduction phase. My improvements were obvious with 2-3 weeks. -------------------- 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 Print     Remind Me     Notify Moderator     syl, do you know? Please       #368940 - 01/02/13 12:23 PM Edit Reply Quote Cyndy Reged: 03/05/05 Posts: 1301 Print     Remind Me     Notify Moderator     Re: Is molasses safe for fodmap diet?       #368941 - 01/02/13 12:31 PM Edit Reply Quote Syl Reged: 03/13/05 Posts: 5499 Loc: SK, CANADA Molasses - check the cheat sheet in my signature. Scarlata has a comments about apple cider vinegar at the bottom of her blog here. -------------------- 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 Print     Remind Me     Notify Moderator     Re: Everyone seems to miss an important point ....       #368943 - 01/02/13 12:48 PM Edit Reply Quote capricorn1942 Reged: 10/06/03 Posts: 248 Which of the foods in this table were you eating regularly before fodmaps? Did you pick up any new foods from the suitable foods portion of the table? Cheers. -------------------- ibs-d (pseudo)with pain and bloating Print     Remind Me     Notify Moderator     Re: Everyone seems to miss an important point ....       #368944 - 01/02/13 01:08 PM Edit Reply Quote Syl Reged: 03/13/05 Posts: 5499 Loc: SK, CANADA I must admit that I did it so long ago I don't recall all the details. Foods I use to eat but don't any more include garlic, onions, beans (except small amounts of humus), apples, pears, mangoes, watermelon, dried fruits, artichokes, asparagus, peas, avocado and mushrooms. I have not been able to increase consumption of insoluble fiber foods. I have been able to eat some lean red meats about once a week with no difficulty. -------------------- 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 Print     Remind Me     Notify Moderator     Thank you Heather!!!!! nt       #368945 - 01/02/13 02:28 PM Edit Reply Quote Gerikat Reged: 06/21/09 Posts: 1285 Print     Remind Me     Notify Moderator     Re: Is molasses safe for fodmap diet?       #368946 - 01/02/13 02:30 PM Edit Reply Quote Cyndy Reged: 03/05/05 Posts: 1301 so is that a yes to both?????? Another source told me no to both. Print     Remind Me     Notify Moderator     to make things more confusing       #368948 - 01/02/13 04:53 PM Edit Reply Quote Cyndy Reged: 03/05/05 Posts: 1301 ...it says popcorn is a safe snack. Print     Remind Me     Notify Moderator     how's it going, capricorn?       #368971 - 01/07/13 05:45 PM Edit Reply Quote Cyndy Reged: 03/05/05 Posts: 1301 Still doing this diet? Print     Remind Me     Notify Moderator     the past and the present       #368983 - 01/09/13 07:27 AM Edit Reply Quote Susie1985 Reged: 05/04/11 Posts: 211 Heather mentions somewhere that if your IBS is stable, you can get away with a bit of cheating. I have found that this is true with regard to IF (even then never wholegrains, but from fruit and veg). But I am so sensitive to fat that each individual meal must contain no more than 20-25% of kcal coming from fat, otherwise I feel the rather unpleasant effects in due course (half a day- a day later). As for FODMAPs, green beans, chives, beansprouts, bokchoy, which are all apparently FODMAP friendly give me around a thousand times more gas than the pure humble white sourdough bread. Butter is said to be incredibly low in lactose, I feel even the tiniest, smallest, almost negligable amount however. Some apples, such as Granny Smith are supposed to have equal amounts of fructose and glucose, yet I have problems from them too. (I'm much more sensitive to lactose than fructose though) I can eat venison, ie red meat naturally low in fat. Beef (or pork), even if v lean and actually not too fatty overall as part of a meal is still a huge problem for me, perhaps it's the protein. All these have not really changed over the course of years for me, not got better or worse. -------------------- now: stable through EFI+FODMAP dieting (no lactose/no fructose/some fructans and some polyols) before: IBS-D(pseudo-diarrhoea), bloating, often unbearable pain esp from too much fat: Apr 2007- Dec 2010 FODMAPs: http://www.todaysdietitian.com/newarchives/072710p30.shtml [I've tried VSL#3 -> I could tolerate v good amounts of IF (even with less SF), it worked great (but overall I find it too expensive)] Print     Remind Me     Notify Moderator     Re: the past and the present       #368984 - 01/09/13 11:38 AM Edit Reply Quote Cyndy Reged: 03/05/05 Posts: 1301 I don't understand your post at all. Can you clarify? Print     Remind Me     Notify Moderator     Re: the past and the present       #368986 - 01/09/13 01:04 PM Edit Reply Quote Susie1985 Reged: 05/04/11 Posts: 211 It was in response to what one could eat/ate before FODMAPs. A bit far-fetched, sorry, but thought I'd share my experience. In sum, I don't think what you can tolerate really changes over time. You have to figure out what you can and can't eat and then afterwards stick with those foods. at least in my experience. -------------------- now: stable through EFI+FODMAP dieting (no lactose/no fructose/some fructans and some polyols) before: IBS-D(pseudo-diarrhoea), bloating, often unbearable pain esp from too much fat: Apr 2007- Dec 2010 FODMAPs: http://www.todaysdietitian.com/newarchives/072710p30.shtml [I've tried VSL#3 -> I could tolerate v good amounts of IF (even with less SF), it worked great (but overall I find it too expensive)] Print     Remind Me     Notify Moderator     Pages: 1 | 2 | 3 | 4 | 5 | 6 | (show all)

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