Wrt food combining I was referring to the general concept of improved digestion/reducing fermentation by eating fruits as a solo meal and combining starches with vegetarian sources of protein/+ veggies and flesh proteins strictly with non starchy veggies. I now have access to a dietician with my family doctor’s health group(here in Ontario) and will explore their knowledge of FODMAPS very shortly. Thanks for your very informative website and amazingly yummy recipes, my family has loved them all!

Dining out can be a bit tricky–no doubt– on the low FODMAP diet. Fat content is likely higher as you suspect, portions are bigger. We might be drinking alcohol or soda which can impact IBS. Lots of variables. When dining out try gluten free pasta with a bit of butter and parm cheese and a salad, grilled plain fish, chicken or steak with a baked potato and a garden salad without onion w/ oil and vinegar are a few options. Avoid commercial salad dressing which are loaded with onion and garlic in many cases, soups which tend to have lots of hidden onions in the broth and added in the soup. Many of my clients have been able to incorporate sourdough white bread–so if that is available and you tolerate it maybe a turkey sandwich might work too. Bring a gluten free bun or ask if they have one and enjoy a plain grilled burger with lettuce and tomato and small dish of lightly salted French fries, as another option.

Not sure what you mean by food combining. I do like all of my clients based on their tolerance to eat a well-balanced diet–with a little bit of every food group. Spacing out fat and fiber in meals tends to help maintain blood sugar and digestion. The other important point–trying a prokinetic can help post antibiotic regimen–what I mean by this is very low dose of erythromycin at night to help with cleansing waves. Poor cleansing of the small intestine common reason pts have issues with recurrent SIBO.

Oh glad you like the handout Barb. 🙂 I tried to come up with an easy format for beginners!