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June 15, 2009

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Lynn

Hi Patsy,

First of all, I want to say that I love this website. It is the most comprehensive and easiest to understand. Thank you for sharing your knowledge with us. My question is this: would raw cacao nibs be allowed in the elimination phase of the FODMAPS diet? I make a shake that has two scoops of rice protein, 12 oz of rice milk, 1 T of virgin coconut oil, 1 banana, and a handful of raw cacao nibs. Assuming the cacao nibs are okay, would the shake itself be okay on the elimination diet?

Patsy Catsos

I would say no to the cacao nibs during the elimination phase of the diet. 1 ounce of cacao nibs has 5-9 grams of fiber, and thats a lot! Without knowing more details about whether the fiber in cacao nibs is highly fermentable and/or osmotically active, it wouldnt be prudent to include nibs during the elimination phase. My guess is you could test them during the fructans challenge.

Jen

Hello Patsy,
Thank you for all the good information. Would coconut oil be OK? I know you wrote that all plant-derived oils are OK, but not coconut milk. How about coconut water?

Thanks.

Patsy Catsos

Coconut oil should be OK. Coconut water...according to USDA Nutrient Database for Standard Reference does have 1.1 grams of fiber and 2.61 grams of sugar. No details about the type of fiber or sugar, so until I know more I would say not allowed on the basic elimination diet.

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