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How a FODMAP trained dietitian can help

Last updated on Feb 9th, 2017 Authored by Alana Scott     Reviewed by Hannah Hunter (RD)
FODMAP Trained Dietitian

How a FODMAP Trained Dietitian Can Help

The low FODMAP diet is complex and can be confusing, which means it can take a while to get your head around the diet. Luckily for us there are FODMAP trained dietitians who can help us transition onto the diet, with fewer hiccups.

Always remember that the low FODMAP diet is a specialised area of nutrition, therefore, if possible, it is important for you to seek help from a FODMAP trained dietitian (1 2). The low FODMAP diet has been designed to help reduce the gastrointestinal symptoms present in people with irritable bowel syndrome (IBS). This means the low FODMAP diet is not appropriate for healthy individuals who do not suffer from gastrointestinal issues.

Here are the reasons why you should seek help from a FODMAP trained dietitian.

Your dietitian can:

1. Check you have had the appropriate medical tests before starting.

It is important that other serious medical conditions, like coeliac disease or inflammatory bowel disease, are ruled out before you start the low FODMAP diet. These diseases can have similar symptoms to IBS, however they need different treatment plans. This means it is important that you are diagnosed with IBS before you start the low FODMAP diet. Your dietitian can refer you to a doctor or gastroenterologist, for any necessary medical investigations.

2. Tailor the low FODMAP diet to meet your needs.

Based on the severity of your symptoms, your dietitian can determine how strict you need to be, while on the low FODMAP diet (3). Additionally, if you are on other medically prescribed dietary therapies (e.g. for coeliac disease or inflammatory bowel disease), your dietitian can help you tailor the low FODMAP diet to suit your needs.

3. Provide you with tips to help you transition to low FODMAP foods faster.

The low FODMAP diet is complicated and it is easy to make mistakes. Your dietitian can give you some tips and guidelines to help you transition to low FODMAP foods, with fewer hiccups, (especially when it comes to choosing safe processed foods). This means you might be able to gain good symptom control in a shorter period of time.

4. Ensure your diet remains nutritionally adequate.

The low FODMAP diet can be very restrictive during the low FODMAP phase. This means that unless you eat a wide variety of low FODMAP foods, your nutrition can become compromised. Your dietitian can provide you with tips and strategies to make sure you focus on the right food groups, to get enough nutrients (3). If you are vegan or vegetarian it is especially important that you seek a dietitian’s help, as many staple vegetarian foods are high FODMAP. When you remove these high FODMAP foods from your diet, you are at risk of significantly reducing your intake of protein, vitamin B12, zinc, and iron (3). Your dietitian will help you develop some daily eating guidelines, to make sure you get the nutrients you need each day.

5. Check for other dietary triggers.

Some low FODMAP foods may contain other common IBS trigger foods that need to be considered, to gain good symptom control. Other common IBS triggers foods include fatty or fried food, caffeine, alcohol, carbonated drinks, insoluble fibre, resistant starches, and spicy foods (4 5). You can find more information on these trigger foods here. Your dietitian will look at your medical history and food diary, before deciding if any other foods need to be removed from your diet.

6. Help make sure you have the right medical team looking after you.

IBS symptoms can be affected by a number of different factors that include stress and emotional health, physiological factors, as well as diet (3). Your dietitian can help you find the right multi-disciplinary team, to make sure you get a comprehensive treatment plan for your IBS.

Are you ready to take control of your gut symptoms?

YES I WANT TOO!

No thanks, my gut is perfect.

7. Help you accurately test FODMAP food groups.

It is important that you re-challenge and reintroduce the FODMAP foods under the guidance of a dietitian. The dietitian will help you work out the type and amount of FODMAPs you can tolerate, based on your own personal needs and intolerances (2 6 7). This reintroduction phase will help you create a varied diet that limits the FODMAPs you have issues with, and gives you good IBS symptom control (2 6 7). FODMAPs can have a positive prebiotic effect on gut bacteria and gut health, which means it is very important that you try to reintroduce as many high FODMAP foods as possible (2 6 7).

8. Determine a long-term food plan tailored to your needs.

Remember that the strict low FODMAP diet is not a forever diet. Once you have finished re-challenging FODMAPs, your dietitian will help you develop a long term plan that minimizes your IBS symptoms, while maximizing the variety of foods you can eat. This will help ensure that your diet is nutritionally adequate and balanced to achieve long term gut health.

Final Thoughts

A FODMAP trained dietitian can help you successfully identify problematic FODMAP groups, and other food triggers that contribute to your IBS symptoms. Your dietitian can also make sure you have the right team of medical professionals, to help you manage all of your IBS symptoms.

Before booking your appointment with a dietitian, ask them what FODMAP training and experience they have to make sure they can help you with your FODMAP journey.

Low FODMAP Dietitian Databases

Below are some resources to help you locate a FODMAP trained dietitian near you.

Best Low FODMAP Dietitian Directory:

Monash FODMAP 

https://www.monashfodmap.com/online-training/fodmap-dietitians-directory/

 Other Resources:

Australia – Dietitians Association of Australia: www.daa.asn.au

Canada – Dietitians of Canada: http://www.dietitians.ca/Find-a-Dietitian.aspx

Pasty Catso’s (RD) list of FODMAP trained dietitians: http://www.ibsfree.net

Ireland –  Irish Nutrition & Dietetics Institute https://www.indi.ie/find-a-dietitian/nutrition-clinics.html

Kings College London FODMAP Trained Dietitians http://www.kcl.ac.uk

New Zealand –  Dietitian’s New Zealand http://dietitians.org.nz/find-a-dietitian/

UK –  Kings College London FODMAP Trained Dietitians http://www.kcl.ac.uk

           The Association of British Dietitians   https://www.bda.uk.com/improvinghealth/yourhealth/finddietitian

USA – Academy of Nutrition & Dietetics http://www.eatright.org/programs/rdnfinder/

Pasty Catso’s (RD) list of FODMAP trained dietitians: http://www.ibsfree.net

If you are struggling to find a FODMAP trained dietitian, let me know at [email protected] and I will see if I can help you find a suitable one.

Author: Alana Scott

In 2013, Alana was diagnosed with Irritable Bowel Syndrome. She also suffers from coeliac disease, is allergic to nuts and is intolerant to dairy products. This means she understands how difficult it can be to cook with multiple food intolerances. Her exp... Read More

Professional Reviewer: Hannah Hunter (RD)

Hannah Hunter is a UK registered dietitian specialising in adult food allergy and intolerance. She has extensive experience in helping people with IBS and underwent FODMAP training at King’s College London in 2011. Along with fellow dietitian Janet Hopk... Read More

SHOW REFERENCES

1. Monash University. What happens when FODMAPs are malabsorbed?. Monash University. 2015-03-06. Retrieved from:http://www.med.monash.edu/cecs/gastro/fodmap/mal-absorption.html. Accessed on: 2015-03-06. (Archived by WebCite® at http://www.webcitation.org/6Wq4IpSL9)

2. Mansueto, P., Seidita, A., D’Alcamo, A., Carroccio, A. Role of FODMAPs in Patients with Irritable Bowel Syndrome: A Review. Nutrition in Clincial Practice Journal. 2015-02-18. DOI:10.1177/0884533615569886. Retrieved from http://ncp.sagepub.com/content/early/2015/02/17/0884533615569886

3. Yao, CK. Top 5 reasons why you should see a dietitian before inititating a low FODMAP diet.Monash Low FODMAP Blog. 2015-05-21. Retrieved from:http://fodmapmonash.blogspot.co.nz/2015/05/top-5-reasons-why-you-should-see.html. Retrieved on: 2015-08-24. (Archived by WebCite® at http://www.webcitation.org/6b181Kr9T)

4. BPACnz. Irritable bowel syndrome in adults: Not just a gut feeling. Best Practice Journal. 2014: Issue 58. 14-25. Retrieved from http://www.bpac.org.nz/BPJ/2014/February/ibs.aspx

5. NICE. Irritable bowel syndrome in adults: diagnosis and management of irritable bowel syndrome in primary care. National Institute for Health and Care Excellence. 2015. Retrieved from:http://www.nice.org.uk/guidance/cg61/chapter/1-recommendations. Retrieved on: 2015-06-07. (Archived by WebCite® at http://www.webcitation.org/6Z6RJ49TK)

6. Mullin, G., Shepherd, S., Roland, B., Ireton-Jones, C., & Matarese, L. Irritable Bowel Syndrome: Contemporary Nutrition Management Strategies. Journal of Parenteral & Enteral Nutrition. 2014: Volume 38: Number 7. 781-799. DOI: 10.1177/0148607114545329. Retrieved from http://pen.sagepub.com/content/38/7/781.abstract

7. Scarlata, K. Low FODMAP Diet is Not a Forever Diet. Well Balanced. 2014-09-02. Retrieved from:http://blog.katescarlata.com/2014/09/02/low-fodmap-diet-forever-diet/. Retrieved on: 2015-03-21. (Archived by WebCite® at http://www.webcitation.org/6XD0gY6EH)

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It’s meatless Monday! What’s on your dinner menu today? Leave me a comment below 👇

On our menu is a low FODMAP vegan chili.

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End of summer veggies are the best and these roasted eggplants are call my name right now.

These are super simple too - roast the eggplant in oil, salt and pepper until golden and tender. Smother in golden sunshine tahini sauce and sprinkle with toasted seeds.

If you are low FODMAP the 1 small-medium eggplant = 4 servings.

Sunshine tahini dressing:
1 tsp garlic infused oil
1.5 tsp gluten free soy sauce
1 tbsp olive oil
1 tbsp lemon juice
2 tbsp water
3 tbsp tahini
1/2 tbsp pure maple syrup

Place in a jar and shake until well combined.

This recipe is part of our premium FODMAP recipe club (along with 700+ other low FODMAP recipes).

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I'm stuck at the office and I'm staving! Definitely didn't pack enough snacks today... if I could I'd be drinking this right now.

Give me a ❤️ if you want to be drinking this too. Say hello to my low FODMAP strawberry and rhubarb smoothie.

Strawberries and rhubarb make the best smoothie buddies. It might sound like an odd combo but the tanginess of the rhubarb pairs super well with the sweetness from the strawberries to create a refreshing and vibrant drink.

1 serve 👇

🍓140 g (1 cup)fresh or frozen strawberries
🍓60 g (1/4 cup)stewed rhubarb
🍓250 ml (1 cup) low FODMAP milk 
🍓2 tsp pure maple syrup (add to taste) 
🍓1/2 tsp vanilla essence
🍓6 ice cubes (use if you are using fresh strawberries)

METHOD
Slice the strawberries in half, be super careful doing this if they are frozen. Place all the ingredients in the blender. Add the ice cubes if your strawberries aren’t frozen.

Blend until smooth. Taste and add a little bit more sweetener if it’s too tangy. The tanginess will depend on your stewed rhubarb (ours wasn’t sweetened).

Pour into your favourite glass and enjoy! 

FYI this recipe is also in our premium recipe club.

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It’s brunch time! It’s also Valentine’s Day so I thought I’d treat my man to a cooked breakfast. Say hello to my Greek scrambled eggs.
 
Serves 2:

1 medium-sized ripe tomato (diced or grated)
1 tbsp fresh chives (finely chopped)
1 tbsp fresh parsley (finely chopped)
2 tsp garlic infused oil
2 tsp olive oil 
3 eggs (beaten)
Salt and pepper

Fry the diced tomato in the garlic infused oil for 2 to 3 minutes until the liquid reduces. Then add the olive oil, chives and parsley to the pan along with the beaten eggs. Season with salt and pepper. Move the egg mixture gently around the pan for 1 to 2 minutes until the eggs are cooked to your liking.

Serve on toast of your choice (we used gluten free bread). Enjoy!

Do you have a favourite brunch meal? Tell me below 👇

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Who loves eating the rainbow for dinner? 🙌 I do! 

It's hot here at the moment which means rice paper rolls make a refreshing low FODMAP dinner option.

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What's your go-to summer meal?

P.S. You can get the recipe on alittlebityummy.com or follow my profile link.
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I have exciting news! I’m incredibly honoured to announce that I’ve been nominated as a semi-finalist for the 2021 Young New Zealander Of The Year award.

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I also want to say thanks to the team behind the New Zealander of the Year Awards for making these awards possible.

@nzeroftheyear @kiwibanknz 
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