Comments on: Eleanor’s Story

By: katescarlata

katescarlata — Thu, 22 Jun 2017 19:16:52 +0000

Sorry for the late response. All great questions–and really I would say, I would address many of these individually with the patient. As an example, if a patient did not experience full resolution of their symptoms on the low FODMAP diet–I might consider a probiotic (based on their symptom profile), referral back to GI for additional work-up (this could include a number of other tests), and/or consider gut directed hypnotherapy. I would be trying to assess diligently for other dietary triggers etc. It truly needs to be an individualized approach based on numerous factors (family history, symptom profile, past medical history, food symptom diary etc). I am aware of Lee Martin–but I have not personally read his re-introduction guide so can’t comment.

By: Shelley Ivy Hurguy

Shelley Ivy Hurguy — Tue, 20 Jun 2017 03:15:49 +0000

It sounds like such a common theme–we don’t want to re-introduce for fear of re-igniting symptoms. My mom has been on the Low FODMAP diet for 5 months. We waited so long to start re-introducing because the symptoms kept getting better every day but really took 5 months to get to a “good enough” plateau. We have read that the longer you have restricted FODMAPs that the more intense the reactions can be because of the change in the gut bacteria caused by the diet itself. Is the jury still out on the addition of probiotics to help with this issue? Should you start reintroducing FODMAPs sooner than 5 months if the symptoms are still active? So many questions! I loved hearing Eleanor’s story. My mom and I can relate! Thank you for this blog, your books, and all the resources you share. It is really hard to find information about the reintroduction timing and philosophy in general. One resource (in addition to all of Kate’s wonderful stuff) that specifically discusses the re-challenge/introduction philosophy and strategies is “Re-challenging and Reintroducing FODMAPs: A self-help guide to the entire reintroduction phase of the low FODMAP diet” by Lee Martin, MSc, RD. Kate, are you familiar with this? What are your thoughts?

By: Fena Maucieri

Fena Maucieri — Thu, 27 Apr 2017 19:05:22 +0000

Loved Eleanor’s story! Fellow Canadian here who was sick for 6 years until I was diagnosed with diverticulosis and the old-fashioned “no seeds, no nuts” mantra. I cut the seeds and nuts and was still sick and having flare-ups. Finally, my family doctor said “Maybe see a dietitian.” I did and she introduced me to the world of FODmaps. And, I’m happy to say I’ve gone two years without a flare-up that required medication! And, I’m eating seeds and nuts, again! 🙂 Spreading the word to anyone I know who may have similar symptoms. 🙂