Comments on: Inflammatory Bowel Disease and Diet

By: dkaj

dkaj — Fri, 02 Sep 2016 16:05:01 +0000

Thanks Kate for the followup on the HPMC. Looking back at your post, it looks like it’s the carboxy methylcellulose you were referencing. At this point, we will stay with the HPMC capsules and keep our fingers crossed this is not discovered down the road to be pro-inflammatory. Also, I will keep my eyes open for the polysorbate 80 which I have seen added to some of our local breads.

By: Melanie Taylor

Melanie Taylor — Sat, 06 Aug 2016 11:51:16 +0000

Thank you for a great article, I was unaware of the SCD for Colitis. I have been diagnosed with both IBD (colitis) and IBS and am currently in the middle of an IBD flare. When i crossmatch the eating regime for IBS and ‘eating during a flare’ with IBD I am basically left eating white rice, eggs and bok choy. I was vegetarian but to add more to my diet I have started eating a bit of fish. I try to introduce foods but usually without success. My specialist has suggested I also include turmeric, probiotics and fish oil capsules which is refreshing to have a medic offering ‘alternative’ therapies, he also is not convinced yet as to the benefits of faecal transplants. I have just put a hold on Breaking the Viscious Cycle at my local library so hopefully this will enlighten me without causing more food choice confusion. I will continue to follow your articles with interest. Thank you

By: katescarlata

katescarlata — Tue, 19 Jul 2016 13:00:10 +0000

In reply to dkaj. Not sure Deborah. There are many emulsifiers----not all have been found harmful.

By: dkaj

dkaj — Sun, 17 Jul 2016 17:26:37 +0000

In reply to katescarlata. Thx Kate. So, is the hydroxyproply methycellulose not considered an emulsifiers?

By: katescarlata

katescarlata — Fri, 15 Jul 2016 11:37:32 +0000

In reply to dkaj.

I am not sure fully, Deborah, animal studies shows carboxymethylcellulose (not cellulose) and polysorbate 80, commonly used emulsifiers changes the gut microbiome….in animal studies–changing the species in the gut and increasing pro-inflammatory potential by increasing LPS and flagellin. How this occurs–remains unknown at this time. Leading this research is Andrew Gewirz’s group out of Georgia State University in Atlanta.

By: dkaj

dkaj — Thu, 14 Jul 2016 19:13:01 +0000

Kate, can you tell us why carboxymethylcellulose is inflammatory? Is it the cellulose that’s harsh on the GI tract, salts or another componenet of it? Also, is hydroxypropyl methycellulose (HPMC) safe for Gastritis and/or IBD. Reason why I ask is alot of capsules that meds come in on the market are made from HPMC. I know many of FM mom’s use capsule machines and fill their own probiotics with the powders to avoid all the inactive ingredients in many of the OTC probiotics, supps, and etc. TIA. as always.

By: Nut & Seed Quinoa Salad with Cranberries - The well balanced FODMAPer—Kate Scarlata RDN

Thu, 14 Jul 2016 12:27:13 +0000

[…] Boston on diet for inflammatory bowel disease, to learn more on this topic check out my recent post here. Driving into the city at rush hour is not much fun…but it always feels good to volunteer. […]

By: katescarlata

katescarlata — Wed, 29 Jun 2016 18:33:00 +0000

In reply to Lisa. Yes, the diet has been adapted and applied a bit differently by different practitioners.

By: Lisa

Lisa — Wed, 29 Jun 2016 18:20:43 +0000

Good information, but SCD as defined by Elaine Gottschall does not have 5 phases. There is an intro diet (which can be altered to allow for individual tolerance and availability of the suggested foods), and then a slow introduction of legal foods. There are some legal foods that she recommended avoiding for a period of time or until certain symptoms were no longer an issue. “Phases” have been suggested by various people promoting SCD, but they are not a necessary component of implementing the diet. Lots of people use SCD + low FODMAPS for Crohn’s especially when SIBO (or SBBO) exists.

By: katescarlata

katescarlata — Wed, 29 Jun 2016 17:53:59 +0000

In reply to Beth Rosen, MS, RD, CDN. Not sure Beth but I think probiotic research is still very much in its infancy---but VSL#3 would has the most evidence basis w/ colitis.