Why the FODMAP diet doesn’t work
FODMAP is an acronym for;
Oligosaccharides – which include fructans, galactans or galacto-oligosaccharides
Disaccharides – lactose
Monosaccharides – fructose
Polyols – sorbitol and mannitol
Well you should be.
I’m confused and my job is to help people sort out their gut problems.
One of the reasons that the FODMAP diet doesn’t work is because it’s far too confusing and complicated. It’s a medical version of – you’ve got gut problems just go on this diet. You’d have thought that the medical world would have realised by now that there isn’t a one sized fits all diet for anyone and this is what FODMAP’s tries to do it tries to be a one size fits all. Usually people try a FODMAP diet and they see some improvement but they become disheartened because they are still getting symptoms and their diet is too restricted – and there is no end point.
If you have gut problems the key is to find out the cause, remove only the foods that are necessary to remove and at the appropriate time reintroduce them.
If fermentable foods are problematic it’s likely that you have a SIBO problem and the reduction of fermentable foods for a short amount of time will make a difference – but it’s also necessary to do some work with your gut. Why are the fermentable foods a problem – is it because your migrating motor complex isn’t working too well? Is it because the food is sitting in your gut fermenting and creating gasses when it should be in your large intestine breaking down.
If oligosaccharides and monosaccharides are a problem it’s likely you have some form of fructose malabsorption and if this is the case it’s important to reduce down the fructan/fructose foods in your diet. Do the work repairing the gut and reducing inflammation and then slowly reintroduce the fructose/fructan foods into the diet starting with the lower fructan/fructose foods first.
A FODMAPS diet also doesn’t take into consideration food intolerances/sensitivities, gut dysbiosis, parasites, salicylates or histamine sensitivities which are all common problems that also may be going on.
So – if you’ve tried a FODMAP diet and not seen much success its likely because you have something else going on in your gut. You don’t just have IBS – there is something going on and the cause is yet to be found. That’s where I come in – I help to find the cause of your gut problems.