Thread by @JBrandlerMD

#LowFODMAP Diet, restriction phase x 2 wks done!😅

✅Hardest #GIEmpathyInitiative yet (5 pts!)
✅Worth it b/c 🤯reflections in🧵⬇️

Disclaimer: LFD is🙌for some w/ #IBS but NOT good fit/safe for all

@Gut_BMJ 2021 Network MA on LFD in IBS @alex_ford12399
pubmed.ncbi.nlm.nih.gov/34376515/

1⃣Hardness of diet complexity:
✅❓rhyme/reason to👍vs.👎fruits/veggies
✅#Glutenfree🚫always safe (fillers!)
✅ If packaged you just avoid b/c label reading =😱
✅🙌@KateScarlata_RD for LFD label reading tips gastrogirl.com/626/
✅Apps @MonashUni app ($8), FastFodmap(free)

2⃣Hardness of diet behavior change:
✅Eating out = embarrassing to be "that person" + 😱spice situation
✅NEED coach (dietitian) to guide/remind of goals
✅If eat like🗑️at baseline,❓sustainability ➡️maybe why many patients preferred @NICEComms diet
cghjournal.org/article/S1542-…

3⃣🧠Game + Safety
✅Helped to know 🚫forever diet (but many patients think it is!)
✅God bless #DietitiansWeek2022
✅TOTALLY understand why CONTRAINDICATED if h/o eating disorder
➡️You find <10 safe foods to just stop thinking
✅Binged on dark 🍫
✅Pic: 1000th bowl of @cheerios

4⃣Hardness of logistics
✅Can do w/o 🔨🏦, but limited variety (see @cheerios ⬆️)
✅💯+ amazing looking recipes, but I'm lazy and didn't want my wife to go 🤪
✅Expect to not eat w/ fam, b/c 0⃣children in universe are @LowFODMAP
✅Grocery shopping for 🤨foods w/ ~2 & 4 yo =😱

My #LowFODMAP🔥take:
1⃣Effective but NEEDS motivation (dietitian)
2⃣Knowing not forever = 🧠💪
3⃣ASK about eating disorder hx before Rx
4⃣Find a helpful app
5⃣Prepare household for change

🙌pt. friendly resources/videos/blogs: myginutrition.com/diet.html
katescarlata.com

I wish I was making this up but guess what came in my #Gastroenterology @AmerGastroAssn Journal ToC email today!

🤩Amazing Best Practice Diet recs for #ibs by the amazing @LinChangMD, Dr. Jana Hashash, Laura Manning, and mentor and friend @umfoodoc

gastrojournal.org/action/showPdf…

And the supplemental tables are 💣.com for building an integrative, 21st century GI practice!

@UCLAHealth @MountSinaiNYC @MayoClinicGIHep @emilyhaller_rdn @GetEpicured @gastrogirl @MonashFODMAP @MonashNutrition @GIonDemand @IBS_Maastricht @TuesdayNightIBS @WorldIBSDay @KateScarlata_RD @ibssmart @IBSpatient @JohannahRuddy @RomeFoundation @RomeGastroPsych #GITwitter