You need three tests to cover the bases: a SIBO glucose breath test ( not the lactulose test originally recommended by Pimental ), a fructose breath test and a lactose breath test. The SIBO test will tell if a course of specific antibiotics are required. The later will tell you if you are a fructose and/or lactose malabsorber.
Assuming the SIBO test is negative then the other tests will tell you which of five categories in the FODMAP are most pertinent for you to manage GI symptoms.
It is important to remember that the most authors that discuss the FODMAP approach don't discuss the other critical issues that Heather covers fully such as the role of soluble fiber, other GI stimulants such as caffeine and alcohol and problems with dairy. These issues are normally left to one's physician and/or to the dietitian advising you on how to use the FODMAP approach.
At the moment because this approach is so new there are few physicians that know about it and even fewer dietitians that fully understand it and how it integrates with other established dietary principles for managing IBS symptoms.
It is worth while integrating Heather's EFI diet and FODMAP approach as a basic dietary approach for managing IBS symptoms. This approach has been beneficial for me
-------------------- STABLE: ♂, IBS-D 50+ years - Science of IBS
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Re: I think I have Fructose Malabsorption - reading up and i'm confused
