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March 08, 2013


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Dawn DeDe Fildes

You bet. It also gets worse if you have your gall bladder removed. Despite having a gluten free diet and limited dairy....

Nancy D. Hall

I have been doing a low carb wheat free diet for several years for diabetes. Then, ibs caused me to try the S.C. D diet, specific carbohydrate diet.

I still have problems. But I have been relying on almond flour bread. What is it about nuts that we should avoid on FODMAPS?


Patsy Catsos

Nuts contain fructans and galactans,neither of which is normally digestable, so they WILL act as FODMAPs. People who are sensitive to this should limit nuts to one handful or the equivalent in flour at a time. Pistachios also contain sugar alcohols, so they tend to be the worst. I think you would find my book very interesting. Though SCD and low FODMAPs have some things in common there are a number of subtle differences that you might find explain your remaining problems.

Nancy D. Hall

Yes, I have your book. I cannot find out whether peaches are allowed. We are in the middle of a visit in Florida. Local peaches are expected today in the market. It would be wonderful to hear from you promptly.

Thank you. Nancy

Patsy Catsos

You can't see your questions until I have a chance to review and publish them. I tried going without this step in the past, but got so many spam posts it was impossible. Peaches are high in FODMAPs and are not allowed on the elimination phase of the diet. You will find them on the the Fructose/Polyol challenge, pg. 63. Enjoy your time in FL.


Hi Patsy!

I was actually wondering about the fact that IBS seems so prevalent in the adult population and yet rarely affects children before their teenage years. Do you have any idea why IBS not only seems to worsen with age but also seems virtually absent from the paediatric population? (with the exception of post-antibiotic IBS which is rather different). I had no GI problems whatsoever until I was about 20, I could eat anything at all, now it's quite a different story! If you have any ideas from an expert viewpoint I'd appreciate them, purely out of curiosity :-)

Patsy Catsos

Well, I have thought about this, and you commented on the post that summarizes my thoughts pretty well as to why IBS might occur at an older age for certain people. I don't have too much more to add, except to say I don't agree that IBS is absent in the pediatric population. Most studies have concluded the prevalence of IBS is very similar in adults and children.

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