Taming Stomachs With Fodmap Diet Spurs $8 Billion Market

Navigating the low-FODMAP diet

I honestly nearly fell off my chair because it looked just too good to be true, said Shepherd, who now employs 13 dietitians in a practice that sees about 4,000 people a year. I still pinch myself at how successful it is and how big its become. Its literally gone global. The research drew attention to the role of diet in medicine and gastroenterological diseases especially, said Josh Butt, a gastroenterology fellow at Monash. Slow Diffusion The diet has gained popularity in the U.S. since Gibson and Shepherd spoke on the topic at the American College of Gastroenterology annual meeting a year ago, said Patsy Catsos, a dietitian and author in Portland , Maine , who keeps a list of more than 90 dietitians who feel comfortable delivering the diet. Nutritionists here in the U.S. are thrilled with the diet, happy to have something to offer their patients that has scientific backing and good results, said Barbara Bradley Bolen, a clinical psychologist in Farmingdale and Northport, New York , who has written two self-help books on irritable bowel syndrome. Some gastroenterologists are recommending the diet to their IBS patients, Bolen said.This is a big deal, as traditionally, mainstream medicine has downplayed the role that diet has played in IBS, she said. Theres a slow diffusion of knowledge among physicians about food intolerance, said Peter Green, director of the Celiac Disease Center at Columbia University in New York. Green, a physician, typically tries to rule out gluten, fructose and other intolerances, as well as bacterial overgrowths, he said. If theyre excluded, well say, Theres this new diet thats come out of Australia, and well give them the Fodmap diet, Green said. Typical Meals A typical days meals might include a poached egg with spinach plus a banana for breakfast, followed by a ham and salad sandwich on gluten-free bread for lunch, and a dinner of grilled chicken, baked potato with sauteed spinach and capsicum, seasoned with the green part of a spring onion, salt, pepper, olive oil and pine nuts. Lactose-free yogurt with blueberries, or peanut butter on a celery stick may serve as suitable snacks, according to the Digestive Health Foundation in Melbourne . Because it avoids foods with high-fructose corn-syrup, it can be difficult to procure appropriate products in the U.S. where the ingredient is widespread, he said, in everything from jelly to ketchup. from this source http://www.bloomberg.com/news/2012-10-28/taming-stomachs-with-fodmap-diet-spurs-8-billion-market.html

IBS? Could be the FODMAPs

Lactose, the primary sugar found in milk and dairy-based foods. As people age, many experience a decrease in the production of the enzyme required to digest lactosecalled lactase. The result is lactose intolerance, which causes gas, cramping, and diarrhea , when more lactose is eaten than one can comfortably digest. As is the case with fructose intolerance, there is also a breath test that can diagnose lactose intolerance. Sugar alcohols like sorbitol, which are found naturally in stone fruits and pears, but also appear in sugar-free or diet foods and drinks, and mannitol, found in vegetables like mushrooms and snow peas. Other examples of sugar alcohols include xylitol (in sugar-free gum, mints, and candy), erythritol, and generally any other sweetener ending with an "ol." Sugar alcohols taste sweet but are not well-absorbed, which accounts for their caloric advantage over regular sugar. Unfortunately, this poor digestibility can be a double-edged sword for some. Fructans, a type of carbohydrate naturally found in onions, garlic, artichokes, and wheat. In packaged foods, you're most likely to encounter a fructan called inulin (aka chicory root extract). It's an added fiber found in energy bars, granola bars, cereals, granolas, and even some yogurts to provide texture or increase the product's fiber content. Galacto-oligosaccharides is a fancy term that refers to a type of carbohydrate found in beans and legumes. It's the reason beans have their gassy reputation. If one or more FODMAPs is responsible for your digestive woes, it's important to bear in mind that the effect of FODMAPs are both cumulative and dose-dependent. In other words, a susceptible person will have his or her own individual threshold of tolerance, and once that threshold is exceeded, symptoms appear. So, for example, if you are fructose intolerant and also react to sugar alcohols, you may be able to tolerate a small portion of fructose-rich fruit in an otherwise low-FODMAP breakfast. And you may also tolerate half of a Vitaminwater Zerowhich contains erythritolwith your otherwise low-FODMAP dinner 10 hours later. redirected here http://health.usnews.com/health-news/blogs/eat-run/2012/08/28/ibs-could-be-the-fodmaps

X What is this? Sponsored content is written by Global News' without any editorial influence by the sponsor. If you'd like to learn more... A sensitive digestive system and the list of shouldnt eats that comes with it can be a pain. I often grapple with how to eat right for my system without getting swallowed up by food restrictions and feeling like a social outcast. Story continues below It was restriction exhaustion that made me hesitant to do research on the low-FODMAP diet, even though its said to be a successful way to manage irritable bowel syndrome. What are FODMAPs? In short, theyre a group of short-chain carbohydrates that are common triggers of bloating, gas and other stomach problems. A 2010 Australian study showed cutting out or restricting these particular carbs was an effective approach to the management of patients with functional gut symptoms. The Canadian Digestive Health Foundation also recently created a FODMAPs fact sheet targeted at those with IBS. FODMAP stands for Fermentable Oligosaccharides, Disaccharides, Monosaccharides And Polyols a grouping that includes lactose, fructose and sugar alcohols. Certain fruits, vegetables, grains, sugars and other foods that fall under one of these categories are limited on the low-FODMAP diet. As nutritionist Monica Reinagel writes , the diet is effective because it eliminates several categories of compounds which, together, are responsible for a large share of digestive drama. Solets talk about the restrictions, shall we? The main to-avoids in the low-FODMAP diet include most legumes and dairy products, wheat, high-fructose corn syrup, artificial sweeteners and select fruits and vegetables (broccoli, onions, apples and peaches are a few examples). Some non-gluten grains are allowed, including rice and oats. Lactose-free milk, eggs, maple syrup and olive oil are also on the safe list. (Visit this website for a full list of foods you should limit.) Similar to an elimination diet, the low-FODMAP diet can be tested for a certain period of time (usually around 4-6 weeks) and foods can be re-introduced slowly to help you determine specific causes of digestive upset. go here now http://globalnews.ca/news/864962/navigating-the-low-fodmap-diet/