Wednesday, January 29, 2014

The Complete Low-FODMAP Diet


The Complete Low-FODMAP Diet: A Revolutionary Plan for Managing IBS and Other Digestive Disorders Paperback – August 13, 2013

Author: Peter Gibson MD | Language: English | ISBN: 1615190805 | Format: PDF, EPUB

The Complete Low-FODMAP Diet: A Revolutionary Plan for Managing IBS and Other Digestive Disorders – August 13, 2013
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  • Paperback: 288 pages
  • Publisher: The Experiment; 1 edition (August 13, 2013)
  • Language: English
  • ISBN-10: 1615190805
  • ISBN-13: 978-1615190805
  • Product Dimensions: 9.2 x 7.5 x 0.6 inches
  • Shipping Weight: 1.7 pounds (View shipping rates and policies)
  • Amazon Best Sellers Rank: #1,774 in Books (See Top 100 in Books)
    • #1 in Books > Medical Books > Medicine > Internal Medicine > Pathology > Diseases > Digestive Organs
    • #1 in Books > Health, Fitness & Dieting > Diseases & Physical Ailments > Irritable Bowel Syndrome
    • #1 in Books > Health, Fitness & Dieting > Diseases & Physical Ailments > Abdominal
"The Complete Low-FODMAP Diet: A Revolutionary Plan for Managing IBS and Other Digestive Disorders" lays out the principles for a diet to control the symptoms of irritable bowel syndrome as well as help for non-responsive celiacs and those with IBD whose symptoms may be aggravated by sensitivity to FODMAPs. The book is written by Sue Shepherd, PhD, an Australian nutritionist who was instrumental in developing the low-FODMAP diet, and by Peter Gibson, MD, a gastroenterologist at Monash University in Australia, which continues to do a lot of research on IBS and the low-FODMAP diet. FODMAP is an acronym for fermentable oligosaccharides, disaccharides, monosaccharides, and polyols, which are all poorly absorbed short-chain carbohydrates. Indigestible sugars, in other words. Lactose, fructose, and polyols are poorly absorbed in many people, while fructans and galato-oligosaccharides are not absorbed by anyone. When they are not absorbed, the sugars are easily fermented by intestinal bacteria, which produces symptoms.

The first part of the book explains the principles behind the low-FODMAP diet. The second part of the book is recipes. There are about 60 pages of substance, followed by 190 pages of recipes and menus that I did not find at all useful. The good news is that the substance of the book is short and easy to digest (no pun intended, ahem). The authors begin by explaining the differences between food allergies, hypersensitivities, and intolerance. IBS symptoms are largely caused by intolerance. They briefly discuss the Rome III diagnostic criteria for IBS before getting into theories about causes and descriptions of common symptoms. Oddly, the authors are dismissive of small intestinal bacteria overgrowth (SIBO) as a cause, though there is now a large body of research on it.
Firstly a disclaimer: this book claims to present a "revolutionary plan for managing IBS and other digestive disorders" and nothing in this review should be viewed as medical advice or a recommendation!

What works for one might not work for another but the book is said to feature the first and only scientifically proven diet of its kind, backed by clinical trials noting that up to three-quarters of affected adults who reduced their intake of FODMAPs -- a set of difficult-to-digest carbohydrates found in wheat, milk, beans, soy and certain fruits, vegetables, nuts and sweeteners -- also saw improvement in their IBS symptoms. Consult with your healthcare provider if in doubt, but perhaps those who suffer from IBS will know what has (or has not) worked for them to date and will be willing to give it a try. At least you are only modifying your food input, rather than mixing bottles of chemicals together and hoping for success.
Right, the boring legals out of the way, what do you get? Before you even can get in the kitchen there is a lot of reading ahead of you - nothing seems to be left to chance. From a look at how food can interact and cause problems with your digestion and common illnesses, one gets introduced to the concept behind a low-FODMAP diet and how you can introduce it to your lifestyle without too much upheaval. Special focus is also given to vegetarians, vegans and those suffering from other illnesses such as diabetes and celiac disease. After a quick look at suggested menu plans and methods for "keeping on track" it is straight down to the recipes. Throughout the book the text seems to be fairly clear, understandable and focussed. Many dietary books could learn from this approach.

The Complete Low-FODMAP Diet: A Revolutionary Plan for Managing IBS and Other Digestive Disorders – August 13, 2013 Download

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