11

votes

Elimination Diets: Do they heal? (especially FODMAP)

Answered on August 19, 2014
Created August 12, 2011 at 11:33 AM

If there is a food that bothers you and you eliminate it for say a year and then reintroduce it, will you now:

  1. Be able to eat it without getting bad reactions because you've healed?
  2. react even more because your body is not longer used to it?

Let me first say that I don't think there is one answer to this question. I'm sure it both options are sometimes true.

In some cases, removing a substance from your diet lets you heal. This means that the underlying problem was that there is some sort of damage caused by X. Remove X. Let the sore heal. Now that you don???t have an open sore, so to speak, you can handle small amounts of the offending food. This is the idea behind the GAPS diet.

In another scenario, a person react to X because they don't have enough of something like, for instance, and enzyme to digest it. You remove food X and later re-introdunce. Now you REALLY don???t have the missing enzyme/receptor/whatever after not needing it for a year. Dr. Ayers is against avoiding dairy. He says you should eat a small amount of yogurt daily to build up tolerance.

What about FODMAP foods? Has anyone eliminated them and reintroduced? Did the sensitivity increase or decrease?

Thanks in advance for any insight.

F1b39d4f620876330312f4925bd51900

(4090)

on August 18, 2011
at 06:52 PM

I decided to throw away everything I thought about SIBO to try this. I have been eating the carrots everyday.

2870a69b9c0c0a19a919e54cb3a62137

(1520)

on August 18, 2011
at 05:29 PM

Have you tried separated yolks? I have leaky gut from SIBO and appear to tolerate raw yolks and ghee but no cream for example. I'm not 100% sure myself if it's better to eat the yolks for nutrition or no eggs at all. Same about ghee. Dairy/casein is definitely damaging at this point. FODMAPs seem to be a causative factor for SIBO and I'm on the fence abot whether to eat Ray Peat's carrot salad or not because fructose is a big problem with SIBO.

F1b39d4f620876330312f4925bd51900

(4090)

on August 15, 2011
at 04:18 PM

The only thing that is different is the advice I have been given. The avoidance of dairy and eggs didn't improve my tummy issues in the slightest, so no healing had occurred. Now I am trying them again to see if they have some healing properties that might do the trick. I am not sure what the improved tolerance is all about -it may be the raw milk, it might be that I have been grain free for so long (and wasn't when I was diagnosed). At this point everything is up in the air.

Medium avatar

(3024)

on August 13, 2011
at 08:42 PM

So there is a healing after a break from FODMAPs - at least for you. Good to know.

9d43f6873107e17ca4d1a5055aa7a2ad

on August 13, 2011
at 04:44 PM

Yes. I did VLC for a few months, then gradually reintroduced foods. It's been about three years now and I did an inulin trial recently where I ingested some inulin to see what would happen. Last year I tried it and it destroyed my stomach. But this year...nothing happened. I did have some issues with brassica vegetables and onions though, but I seem to tolerate them now if they are well-cooked.

Medium avatar

(3024)

on August 13, 2011
at 02:32 PM

I was assuming a paleo/WAPf diet. After being Paleo for some time, if you then got rid of all foods that were suspected irritants and reintroduced them to see what caused a problem - what happens? Melissa, did you try to reinstate any FODMAPs? If so, did you find you were more sensitive to them or less. Or did you simply take out FODMAPs forever?

Medium avatar

(3024)

on August 13, 2011
at 05:44 AM

First of all, good luck with what you're doing. I hope you are able to safely eat these foods now. Senneth, can you explain a bit further. You started eating eggs and drinking raw milk and are ok with it. What is different? Did being off eggs and dairy allow you to heal so now you can handle it? Is it the fact that it's raw milk for the first time? What do you chock up the improved tolerance to?

742ff8ba4ff55e84593ede14ac1c3cab

(3536)

on August 12, 2011
at 08:48 PM

Same here. We are all being brainwashed to some extent.

F1b39d4f620876330312f4925bd51900

(4090)

on August 12, 2011
at 08:07 PM

Rob -I was seriously worried to reintro, after all, I am 'allergic' according to my blood results. But what I am starting to think is that I have been seriously brainwashed.

742ff8ba4ff55e84593ede14ac1c3cab

(3536)

on August 12, 2011
at 07:46 PM

I am taking the exact same path as you, and it seems like the addition of whey protein and some goat milk has really improved some of my symptoms. I just don't feel elimination diets are that effective at all, at least in my case they weren't.

559aa134ff5e6c8bcd608ba8dc505628

(3631)

on August 12, 2011
at 04:24 PM

gooood question

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7 Answers

6
F1b39d4f620876330312f4925bd51900

(4090)

on August 12, 2011
at 05:31 PM

In order to correct my leaky gut, I bought into that whole avoidance leads to healing theory. After high IGG bloodwork to Gluten/Dairy/Eggs, I started down that path. At the same time, tried cures and trials of everything from homemade 24hr yogurt, 1000K in a variety of probiotics, every herbal remedy under the sun, and lots more. I even experimented with cutting out all high sulphur (thiol) foods, no nuts, no caffeine, no nightshades. That really doesn't leave that much left to eat.

What did it boil down to? No change at all and some pretty odd blood work and nutritional deficiencies.

After a nutritional consult with the controversial Ray Peat, I have gone against my 'programming' and have been eating eggs and drinking raw milk for the past week and half.

With no reaction. Thats right, no intolerance reaction. (With gluten/soy I get major pain in colon area -lower left, major bloating, major GI disruption, and painful joints)

In fact all my tummy symptoms have been REDUCED by 50% so far. (I won't be trying this with gluten or soy -I don't want those back ever anyway). While there have been other dietary changes recommended by Ray Peat, they were custom to my particular health issues (leaky gut being #1). Am I causing some major lasting damage that I will see in a few weeks down the road? Maybe. Is it worth the risk to try something that is totally opposite of what I have tried and failed at for the past 3.5 years? Hell yes.

EDIT: After having looked at FOODmaps I have eaten that way for months at a stretch during my many food elimination trials.

UPDATE: The eggs had to go. Took 2 weeks to get the reaction I usually get in a day. I am going to re-intro them on a rotating basis, instead of 1 a day. Probably too much at first. I just love them though!

742ff8ba4ff55e84593ede14ac1c3cab

(3536)

on August 12, 2011
at 08:48 PM

Same here. We are all being brainwashed to some extent.

F1b39d4f620876330312f4925bd51900

(4090)

on August 12, 2011
at 08:07 PM

Rob -I was seriously worried to reintro, after all, I am 'allergic' according to my blood results. But what I am starting to think is that I have been seriously brainwashed.

742ff8ba4ff55e84593ede14ac1c3cab

(3536)

on August 12, 2011
at 07:46 PM

I am taking the exact same path as you, and it seems like the addition of whey protein and some goat milk has really improved some of my symptoms. I just don't feel elimination diets are that effective at all, at least in my case they weren't.

Medium avatar

(3024)

on August 13, 2011
at 05:44 AM

First of all, good luck with what you're doing. I hope you are able to safely eat these foods now. Senneth, can you explain a bit further. You started eating eggs and drinking raw milk and are ok with it. What is different? Did being off eggs and dairy allow you to heal so now you can handle it? Is it the fact that it's raw milk for the first time? What do you chock up the improved tolerance to?

F1b39d4f620876330312f4925bd51900

(4090)

on August 15, 2011
at 04:18 PM

The only thing that is different is the advice I have been given. The avoidance of dairy and eggs didn't improve my tummy issues in the slightest, so no healing had occurred. Now I am trying them again to see if they have some healing properties that might do the trick. I am not sure what the improved tolerance is all about -it may be the raw milk, it might be that I have been grain free for so long (and wasn't when I was diagnosed). At this point everything is up in the air.

2870a69b9c0c0a19a919e54cb3a62137

(1520)

on August 18, 2011
at 05:29 PM

Have you tried separated yolks? I have leaky gut from SIBO and appear to tolerate raw yolks and ghee but no cream for example. I'm not 100% sure myself if it's better to eat the yolks for nutrition or no eggs at all. Same about ghee. Dairy/casein is definitely damaging at this point. FODMAPs seem to be a causative factor for SIBO and I'm on the fence abot whether to eat Ray Peat's carrot salad or not because fructose is a big problem with SIBO.

F1b39d4f620876330312f4925bd51900

(4090)

on August 18, 2011
at 06:52 PM

I decided to throw away everything I thought about SIBO to try this. I have been eating the carrots everyday.

1
E12ead3bf63c94b5b619b03722ef554f

on March 19, 2012
at 05:26 AM

I used to have FODMAP intolerance and SIBO and although I still need to be careful with my diet, I have A LOT more flexibility with my food choices than I used to have. I can now enjoy almost any vegetables, including onions, broccoli and asparagus without any problems! SOme of my journey is described on my blog adietitiangonepaleo.

I think that eliminating FODMAPs to allow your gut to heal and your gut flora to rebalance itself can make a BIG difference.

1
9d43f6873107e17ca4d1a5055aa7a2ad

on August 13, 2011
at 02:02 PM

I'm going to concur with Senneth here in that elimination is just part of the equation. I did elimination diets starting my senior year of high school and they never worked. I think paleo/WAPF + removing FODMAPS worked for me because they removed the source of the irritation AND provided me with nutrients I was missing. Both are needed to heal.

Medium avatar

(3024)

on August 13, 2011
at 02:32 PM

I was assuming a paleo/WAPf diet. After being Paleo for some time, if you then got rid of all foods that were suspected irritants and reintroduced them to see what caused a problem - what happens? Melissa, did you try to reinstate any FODMAPs? If so, did you find you were more sensitive to them or less. Or did you simply take out FODMAPs forever?

Medium avatar

(3024)

on August 13, 2011
at 08:42 PM

So there is a healing after a break from FODMAPs - at least for you. Good to know.

9d43f6873107e17ca4d1a5055aa7a2ad

on August 13, 2011
at 04:44 PM

Yes. I did VLC for a few months, then gradually reintroduced foods. It's been about three years now and I did an inulin trial recently where I ingested some inulin to see what would happen. Last year I tried it and it destroyed my stomach. But this year...nothing happened. I did have some issues with brassica vegetables and onions though, but I seem to tolerate them now if they are well-cooked.

1
669790861549f3c6d54d88a65296ed19

(452)

on August 12, 2011
at 01:39 PM

From my own experience I can tell,that lots of food intolerances are born bc of leaky gut.So healing the gutlining&increasing good gutbacteria is key. However some intolerances are related to other metabolic issues from thyroid,liver etc. So healing your gut will help heaps,but it might not overcome everything rightaway.

0
3327924660b1e2f8f8fc4ca27fedf2b2

(2919)

on June 12, 2012
at 06:20 PM

From personal experience, I can vouch that #2 happens before #1, but #1 does happene eventually.

After *re*introducing gluten, I REALLY noticed significant digestive upset. But then once I introduced grains slowly, my body seems to do fine on it now with no symptoms at all. I still don't eat grains regularly for obvious reasons but if I ever wanted to, I don't worry much about the ramifications.

0
0741d01441c7681b052ad0c8459e8601

(20)

on June 12, 2012
at 05:31 PM

elimination of offending foods is one thing, but you have to ADD beneficial bacteria lacking in a sick gut, too. Cooling Inflammation has just posted a very insightful piece about that (I'm in no way affiliated) here: http://coolinginflammation.blogspot.com/2012/06/dr-oz-on-gut-flora-repair.html

0
4781cf8ae1bfcb558dfb056af17bea94

(4359)

on August 12, 2011
at 07:41 PM

I have found that excessive FODMAPS reliably cause me to experience reflux.

Of all the high-FODMAP foods, onions, lactose, and peanuts are the worst.

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