Food Intolerance – Natural Food Chemicals
(RPAH elimination diet)
FODMAP Intolerance/Fructose Malabsorption
PLEASE NOTE: contrary to information on many websites, there are no scientifically reliable tests for diagnosing food intolerance. Please read this document for information from the Australasian Society of Clinical Immunology and Allergy (ASCIA).
Gastrointestinal health is a special interest of ours and we help people with irritable bowel syndrome (IBS), fructose malabsorption, FODMAP intolerance, Coeliac Disease, lactose intolerance and natural food chemical sensitivity (salicylates, amines, glutamate).
Zoe has been helping people with the RPAH (or failsafe) elimination diet for almost 10 years and this now accounts for around half her full time practice.
If you have been diagnosed with IBS, or are experiencing bloating, excess wind, gas, abdominal discomfort, constipation or diarrhoea, it is possible you have a food intolerance.
We can help you to work out the specific foods that are the problem and show you how to remove them from your diet without compromising your nutritional intake. You may have already tried eliminating some food groups such as wheat or dairy and be feeling a little better but not 100%. Eliminating whole food groups from your diet is unnecessary and can also be dangerous. By correctly identifying the problem foods, your diet will be less restrictive, easier to follow and your symptoms may fully resolve.
“Food intolerance is all about moderation in the long-term, not complete restriction. You only need to restrict initially to work out what you need to moderate…”
While fructose/FODMAP malabsorption issues tend to produce only stomach and bowel symptoms, natural food chemical intolerance can affect:
The entire gut: stomach and bowel symptoms, reflux, mouth ulcers, nausea
The nervous system: headaches, migraines, mood disturbances, fatigue, sleep issues
Skin: eczema, hives, itchy skin
Airways: sinus issues, hay fever, asthma
If your symptoms involve more than just the gut, then you may be intolerant to one or more of the natural food chemicals along with certain food additives and preservatives.
Natural Food chemical intolerance
(RPAH elimination diet)
Our figureate dietitians are highly experienced in identifying and managing natural food chemical (salicylates, amines and glutamates) and food additive intolerance. We use the Royal Prince Alfred Hospital (RPAH) elimination diet and challenge protocol and can guide you through the process. Zoe has developed a series of recipes and food ideas to make the diet easier to manage and she will provide you with email support throughout the elimination trial and food challenges.
Our dietitians have spent time at Royal Prince Alfred Hospital Allergy Unit in Sydney in order to fully understand the elimination diet and food challenge process.
A word from Zoe…“In order to better understand what is involved in a low food chemical diet, I decided I should try the diet myself. Having done 4 weeks following the moderate approach, and 2 weeks on the strict approach, I can confidently tell my patients that while many foods need to be restricted during the trial period, it is actually not that difficult to do. In doing the trial I developed many quick and easy recipes as well as coming up with a number of practical tips to make it easier for people who have busy lives and families.”
Want to know more?
For more information visit http://fedup.com.au for fact sheets on each of the natural food chemicals and additives and all the various associated symptoms.
You can access more information regarding the RPAH elimination diet by visiting http://www.sswahs.nsw.gov.au/rpa/allergy/resources/foodintol/
It is not advisable to attempt the diet without dietetic supervision due to the complexity of the diet and challenge process. A dietitian can help you work which is the best version of the diet for you and which challenges need to be done.
Do I need allergy testing?
If you suspect gluten or wheat is an issue, you must undergo testing for Coeliac disease before you eliminate gluten. The first step is to see your GP and request the blood test or Coeliac serology. If you have already cut gluten out, you can ask for the Coeliac gene test. Onset of food allergy in adults is rare. Adults with known food allergy, usually nuts and shellfish, will have had the allergy since childhood. Therefore, if you are reacting to certain foods, you may have food intolerance. There are no reliable tests for food intolerance, with dietary elimination and food challenge the only method to identify intolerance. Read this document to see which allergy tests are considered unreliable and therefore a waste of money.
FODMAP intolerance/Fructose Malabsorption
More and more people are testing positive to Fructose Malabsorption (FM). At Figureate, we can help you identify if you have FM and refer you to the appropriate breath testing centers in Melbourne if need be.
If you have received a positive fructose malabsorption breath test, it is important to understand that this is not a diagnosis. You need to undergo the low FODMAP trial, followed by food challenges, to determine if fructose and/or other other FODMAPs are the trigger for your symptoms.
If you have received a negative test result, it is still important to seek help from an accredited dietitian, as it may be the other FODMAPs (fructans, galacto-oligosaccarides, lactose and/or sugar polyols) that are causing your symptoms.
A low fructose, or FODMAP diet plan is not hard to follow and varies from person to person. It is important that you work out your own individual tolerance to the problem foods as what can be a problem for some people may not affect you in the same way. You will be given help working out your tolerance levels and provided with low FODMAP meal plans and low FODMAP versions of our recipes to help get you started. The diet does not need to impact significantly on eating out or travelling, provided you know what you can and can’t tolerate.
Looking for a fructose malabsorption or low FODMAP meal plan? follow this link…
Zoe also spent 8 years co-ordinating the Melbourne based fructose malabsorption support groups, an initiative of Dr Sue Shepherd (Advanced Accredited Practising Dietitian).
We can also help with the correct diagnosis of Coeliac Disease and provide up to date education on a strict gluten free diet.
We help you with the Non-Diet Approach, Pregnancy, Vegetarian Eating
Fructose Malabsorption and Food Intolerance