{"id":6691,"date":"2021-03-29T12:11:16","date_gmt":"2021-03-29T11:11:16","guid":{"rendered":"http:\/\/www.theguthealthdoctor.com\/?p=6691"},"modified":"2023-03-17T14:55:14","modified_gmt":"2023-03-17T14:55:14","slug":"the-low-down-on-the-low-fodmap-diet","status":"publish","type":"post","link":"https:\/\/www.theguthealthdoctor.com\/the-low-down-on-the-low-fodmap-diet","title":{"rendered":"The low-down on the low-FODMAP diet"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Going \u2018low FODMAP\u2019 has boomed in popularity in recent years, yet there\u2019s so much confusion around the diet. And going at it alone can be risky business without a clear action plan.<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"color: #e81067;\"><b>In a nutshell:<\/b><\/span><span style=\"font-weight: 400;\"> The low FODMAP diet can be effective for helping with IBS symptoms, but it\u2019s NOT a panacea or a long-term solution and it\u2019s super important to reintroduce them gradually &#8211; your gut microbes will thank you!<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #e81067;\"><b>First, what exactly are FODMAPs?<\/b><\/span><\/p>\n<p><span style=\"font-weight: 400;\">FODMAP stands for <\/span><span style=\"color: #e81067;\"><b>f<\/b><\/span><span style=\"font-weight: 400;\">ermentable,<\/span>\u00a0<strong><span style=\"color: #e81067;\">o<\/span><\/strong>ligosaccharides, <span style=\"color: #e81067;\"><b>d<\/b><\/span>isaccharides, <span style=\"color: #e81067;\"><b>m<\/b><\/span>onosaccharides and <span style=\"color: #e81067;\"><b>p<\/b><\/span>olyols &#8211; and these are types of carbohydrates that aren\u2019t completely absorbed in the small intestine (where most of our food is usually absorbed). <span style=\"font-weight: 400;\">Instead, they travel down into the large intestine where they draw excess water in and add pressure on the intestinal wall. Here, our gut microbes feast (or \u201cferment\u201d) them too, which can trigger some gut symptoms (like bloating, gas and stomach pain) in some people with IBS. <\/span><span style=\"font-weight: 400;\">This is a totally natural process and they\u2019re by no means inherently \u2018bad\u2019 &#8211; they\u2019re present in a lot of our plant-based foods and many FODMAPs are prebiotics (food that feeds your gut microbes). But if you have a sensitive gut and prone to IBS symptoms, you\u2019re likely to feel the effects on the gut more.\u00a0<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-6706 alignnone\" src=\"https:\/\/www.theguthealthdoctor.com\/wp-content\/uploads\/2021\/03\/Screenshot-2021-03-29-at-12.10.19-300x209.png\" alt=\"\" width=\"669\" height=\"464\" \/><\/p>\n<p><i><span style=\"font-weight: 400;\">Taken from Eat Yourself Healthy &amp; Love Your Gut<\/span><\/i><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #e81067;\"><b>What\u2019s the evidence for reducing FODMAPs for IBS?<\/b><\/span><\/p>\n<p><span style=\"font-weight: 400;\">Unlike the many fad diets out there, the low FODMAP diet has been carefully and specifically developed for people with irritable bowel syndrome (IBS) and importantly it\u2019s backed up by clinical research &#8211; as such, it\u2019s considered a medical diet. <\/span><span style=\"font-weight: 400;\">Dietary strategies have transformed how we can manage IBS, which makes sense as 9 in 10 people with IBS say food triggers their symptoms. If you have IBS, studies show there\u2019s a 70% chance your symptoms will improve with a low FODMAP diet in the short term. <\/span><span style=\"font-weight: 400;\">But that doesn\u2019t mean those magic claims about cutting out perfectly healthy foods to beat gut issues are valid &#8211; there are so many myths about the low FODMAP diet out there, but it\u2019s certainly no panacea for IBS or a cure-all.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #e81067;\"><b>Before you even consider trying a low FODMAP diet\u2026<\/b><\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Is it definitely IBS? If you\u2019re getting gut symptoms and think it might be IBS, it\u2019s super important to check with your GP or physician to rule out any other underlying issues (e.g. coeliac disease) &#8211; so don\u2019t be in a hurry to assume it\u2019s IBS.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">If it is IBS, have you tried any techniques to manage your stress levels? These target the underlying cause: the gut-brain axis (the two-way communication between the gut and brain). <\/span><span style=\"font-weight: 400;\">(There are more mindfulness exercises in my <\/span><a href=\"https:\/\/www.theguthealthdoctor.com\/books\"><span style=\"font-weight: 400;\">book<\/span><\/a><span style=\"font-weight: 400;\"> too)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">If you have a history of disordered eating, it\u2019s really important to see a dietitian for support to get the best care for you personally. Restricting foods can trigger a relapse.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">It\u2019s not just <\/span><i><span style=\"font-weight: 400;\">what <\/span><\/i><span style=\"font-weight: 400;\">you eat but <\/span><i><span style=\"font-weight: 400;\">how<\/span><\/i><span style=\"font-weight: 400;\"> you eat that can have an impact. Try the first-line approaches that\u2019s been shown to have impressive benefits for around 50% of IBS sufferers. This involves limiting spicy food, high-fat fast foods, alcohol and caffeine, alongside spreading fibre intake across the day, going for whole fruits instead of juices or smoothies (1 per sitting) and staying hydrated.<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #e81067;\"><b>I\u2019ve been recommended to try the low FODMAP diet by my GP\/physician &#8211; how does it work?<\/b><\/span><\/p>\n<p><span style=\"font-weight: 400;\">The low FODMAP diet essentially consists of 3 stages: Restrict, Reintroduce, Personalise. <\/span><b><i>But<\/i><\/b><span style=\"font-weight: 400;\"> it\u2019s not an easy diet to follow without the help of a trained dietitian and there isn\u2019t a one-size-fits-all, everyone\u2019s IBS is different!<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Restricting<\/b><span style=\"font-weight: 400;\"> all high-FODMAP foods to give your sensitive gut some down time for 4-8 weeks. It\u2019s really important to make sure you\u2019re still filling your nutrient needs, so try to keep up your plant-based diversity across all the lower FODMAP foods. I\u2019d recommend doing this stage alongside 15 minutes a day of mindfulness exercises and\/or yoga. If you haven\u2019t had any relief after 6 weeks, go back to your usual diet and explore other strategies <\/span><i><span style=\"font-weight: 400;\">(with a specialist dietitian if you can, we\u2019re always here to help at <\/span><\/i><a href=\"https:\/\/www.theguthealthdoctor.com\/the-gut-health-clinic\/\"><i><span style=\"font-weight: 400;\">The Gut Health Clinic<\/span><\/i><\/a><i><span style=\"font-weight: 400;\">).<\/span><\/i><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Reintroducing<\/b><span style=\"font-weight: 400;\"> each of the different FODMAPs one by one. The portions are best to be guided by a dietitian &#8211; as a general guide I recommend starting with around \u2153 of your normal portion and slowly building up from there.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Personalising<\/b><span style=\"font-weight: 400;\"> your diet for the long-term, based on your tolerance level to FODMAP foods. This is essential to give you more flexibility and a more varied diet &#8211; not to mention your quality of life (and social life). The good news is that tolerance tends to improve over time, as you continue with those stress-management techniques targeting the gut-brain axis. Even if you find you don\u2019t tolerate certain foods at first, that\u2019s why it\u2019s a good idea to re-test overtime &#8211; diversity is still the aim of the game.<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #e81067;\"><b>6 things you need to know<\/b><\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Those FODMAP food lists online usually aren\u2019t accurate or complete, so stay away from Dr Google and see a FODMAP trained dietitian instead. If you don\u2019t have access to a FODMAP-trained dietitian or are on the waiting list to see one, you may like to try my \u2018FODMAP-lite\u2019 approach which is a much less risky approach to do on your own. See my book for a step-by-step guide.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">It\u2019s not FODMAP-free. Foods are split into \u2018low\u2019 or \u2018high\u2019 FODMAPs per portion, so the low-FODMAP foods can still contain some.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Portion sizes are key. Reducing the portion size can make a high-FODMAP food low-FODMAP. For example, one cup of cooked wheat pasta is high-FODMAP, but if you just have \u00bd a cup, that\u2019s low.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">FODMAPs are carbs. So it\u2019s safe to say almost zero-carb foods such as eggs, fish and oils are FODMAP-free.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">It\u2019s not gluten-free. Yes it does restrict gluten-containing grains (wheat, barley, rye) but that\u2019s because of the fructans (which is a FODMAP), not the gluten.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">You can still have lactose if you\u2019re confident you\u2019re not lactose intolerant (and even then, you can still enjoy small amounts of up to 50ml per sitting).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Keep up your fibre and calcium intake by enjoying plenty of low FODMAP fibre foods, such as raspberries, strawberries, green beans, spinach, quinoa, oats and flaxseeds; as well as sources of calcium including hard and aged cheese, canned fish with edible bones, calcium-fortified plant-based milks.<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #e81067;\"><b>Why is reintroduction so important?<\/b><\/span><\/p>\n<p><span style=\"font-weight: 400;\">It\u2019s not meant to be an \u2018avoid for good\u2019 diet &#8211; it\u2019s also a way to test your tolerance to different FODMAP foods so you can personalise your diet long-term. <\/span><span style=\"font-weight: 400;\">FODMAP foods nourish your gut microbes and it\u2019s so important not to banish them for good &#8211; the diet can starve your gut bacteria, and we definitely don\u2019t want them to go hungry. That\u2019s why the initial restriction phase should only be done for a maximum of 8 weeks. <\/span><span style=\"font-weight: 400;\">Reintroduction is essential for the best long-term health outcomes and to make sure you\u2019re getting all the nutrients your body needs &#8211; as well as for you to enjoy all the amazing flavours of plant-based diversity again!<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #e81067;\"><b>Still fearing FODMAPs?<\/b><\/span><\/p>\n<p><span style=\"font-weight: 400;\">I know many of you with sensitive guts and IBS may be a little reluctant to reintroduce foods back into your diet &#8211; but in my 11 years of being a dietitian, I\u2019m yet to meet a gut that can\u2019t reintroduce them, and I\u2019ve met thousands! It really is possible for everyone to include these gut-loving FODMAP foods in their diet. The key is to go slowly, at your own pace, to find your own tolerance level that works for you.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Going \u2018low FODMAP\u2019 has boomed in popularity in recent years, yet there\u2019s so much confusion around the diet. And going at it alone can be risky business without a clear action plan. In a nutshell: The low FODMAP diet can be effective for helping with IBS symptoms, but it\u2019s NOT a panacea or a long-term&#8230;<\/p>\n","protected":false},"author":6,"featured_media":6700,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[48,29],"tags":[],"class_list":["post-6691","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-food-or-nutrition","category-gut-basics"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>The low-down on the low-FODMAP diet | The Gut Health Doctor<\/title>\n<meta name=\"description\" content=\"Not sure what the low FODMAP diet is? 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