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May 06, 2009

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Marie Valentino-Cook

Hi Patsy,
I just bought your book.There are so many foods not listed. Where do I find the list of what foods we can eat? Can we eat chocolate?

I'm so excited.
thanks, marie

Patsy Catsos

Marie, you'll find the lists of foods you can eat on pages 44-55 of the book. Excellent questions. I plan to build my next blog posting around them, so check back, or subscribe to this blog's feed, for more in-depth answers!

Candie Schaal

Hi Patsy,

I just bought your book and it has been a lifesaver. I have a few questions: 1. What kind of yogurt can I have? Do you know what organic milled sugar is?

2. Is balsamic vinegar safe? I would love to mix some with olive oil for a salad dressing? I was under the impression that it wasn't safe.

Thanks,
Candie

Steve

Hi Patsy,

I like the way you've simplified the confusion over ingredients that are not allowed on the elimination phase in relation to their volume/weight in a specific product.

I have recently reintroduced some fructans (predominantly wheat; bread & pasta) and seem to be tolerating these OK so far.

To the best of my knowledge, correct me if I'm wrong, the volume/amount of fructans you would ingest in a portion of pasta (e.g 100 grams) would far exceed the volume of fructans in say a few cloves of fresh garlic?

However, the addition of the fresh garlic, with say onions, in addition to the pasta would likely push you over the safe limit of fructans to consume in one sitting/day.

In relation to 'condiments', what are your thoughts on the suitability of garlic infused olive-oil as a substitute for fresh garlic?

Kind Regards

Steven

Patsy Catsos

Your line of thinking is right on target. During the elimination phase, to keep things simple, we try to avoid onions, garlic, and pasta completely (during this phase, garlic oil would be fine, as long as youre not eating the flesh of the garlic). But after the challenge phase, when you are trying to work out how much FODMAPS you can handle, you have to think about both the quantiy of FODMAPS in the food AND how much of it we eat.

For example, if you compare the FODMAPS in 100 grams (about 3 ounces) of garlic v. 100 grams of onion, the garlic has 50% more fructans in it. But, when was the last time you ate 3 ounces of garlic? Because we tend to eat just a smidge of garlic in our food, but might eat several ounces of grilled or sauteed onions, we are more likely to consume problematic amounts of FODMAPS from onions.

As you note, its the big picture overall FODMAPS content of the meal, considering pasta, garlic and onions, that counts. You might have decent luck with a small portion of white pasta (1 cup), and a sauce that contained, say, a tablespoon of onion, 1/4 teaspoon fresh garlic, and fresh tomatoes.


Steve

Many thanks for your response. I truly appreciate the time and effort you’ve dedicated to providing a research/evidence based study into the effects of diet on IBS. Particularly when some/majority of GPs advice, where diet is concerned, is minimum or outdated. I think you’re FODMAP approach to diet is a key component in the management of IBS symptoms. I’ve personally found it a useful tool, combined with complementary dietary, medication and lifestyle adaptations in the fight to control my IBS symptoms.

I don’t know if you’ve seen this already, it probably doesn’t tell you anything you don’t already know, but I found it informative and I guess other professionals and patients may be interested.

Many Thanks,

Steven

http://www.researchchannel.org/prog/displayevent.aspx?rID=26275&fID=1698

Patsy Catsos

Thanks, Steve, and hey! I wouldn't be averse to seeing a copy of your appreciative comments as a review on Amazon.com if you haven't done so already :)

Steve

Hi,

Ha! I may have already done so, as there's a good chance that's where I purchased your book. I'll have a look, and if I've not done so I would be happy to add my comments as a review.

Best Wishes

Steven

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