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April 18, 2010

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Gerry Rowland

A very impressive interview.

I was diagnosed with FM via a breath test 6 weeks ago. I've been very restrictive and have had a considerable decrease in symptoms.

Other than the occasional abdominal pain (I'm working on that) I am of the constipation variety. I'm getting about 25 g of fiber with High Fiber oatmeal, Metamucil capsules, and small amounts of allowed fruits and vegetables. I also take Miralax. Results are ok, could be better.

38 g of fiber seems like a mountain.

Patsy Catsos

Thanks for your comment! I agree that 38 grams of fiber per day is a lofty goal--that is the recommended fiber intake for adult men. For women (cant tell from your name, Gerry : ) the recommended fiber intake is 25 grams per day. It can be tricky for people with FM to get enough fiber. Sounds like a good future blog article.

Gerry Rowland

I'm a guy. My brother is Dr. Michael Rowland who practices in Farmington and has done a lot of work with medicine for migrant workers in Maine.

I've ordered your book and read your blog entries. I also have the American Dietetic Association nutrition guide for FM (they still call it Dietary Fructose Intolerance). From the recommendations in the guide, it appears that the authors are aware that the problem is more than just fructose. They even mention fructooligosaccharides, but they never come right out and say FODMAPS.

It seems obvious to me now that this is all IBS and needs to be treated with every possible tool. My body forced me to do FODMAPS because the symptoms would not tolerate various foods. I could have saved myself a month of suffering if I had known . . . Joyce Jefferson is the one who shared your info with the Yahoo FM group.

Gerry
www.desmoinesriver.org

Patsy Catsos

Wow, your post brings up all the semantics problems we have when we talk about malabsorption v. intolerance, fructose/fructooligosaccharides v FODMAPS, lactose or fructose malabsorption (FM) v. IBS and so on.

Im not sure it really matters what we call things. I couldnt agree with you more that whatever you want to call it, symptoms should be treated with every possible dietary tool. Oversimplification by some sources is understandable, because many consumers dont have an appetite for the fine print. Unfortunately, without the FODMAPS big picture, much potential improvement in symptoms is lost.

Maybe Ill meet your brother some day here in Maine.

Patsy Catsos, MS, RD, LD
President-Elect, Maine Dietetic Association
www.ibsfree.net, www.nutritionworks.us

carmen spence

Hi Patsy,

I have had Crohns for over 47 years, with 3 resections,
Chronic diarrhea, and gas, however I have been trying to tolerate the misery of it by taking vitamins etc, vitamin d, and supplments, however I have just purchased your book, and am wondering about the flour that you are suggesting, is that ordinary wheat flour? Also we dont seem to have Cheerios in australia can you tell me what they are please?
Kind regards,

Carmen

carmwoman@gmail.com

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