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Showing posts from September, 2011

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Today's Dietician - Not So Sweet: Fructose Malabsorption

Here is a great article from this month's issue of Today's Dietician ... September 2011 Issue Not So Sweet: Fructose Malabsorption  By Lisa S. Brown, PhD, RD, and Nina  Current Today’s Dietitian Vol. 13 No. 9 P. 70 Suggested CDR Learning Codes: 2000, 3005, 5110, 5220, 5290; Level 2 An 87-year-old woman presented with a history of gastric distress. She’d been experiencing chronic diarrhea for the past 30 years, with bouts increasing from a few times per month to several times per week. Previously she’d screened negative for celiac disease and a trial gluten-free diet had no effect. She’d tested positive for lactose intolerance and had been on a low-lactose diet for approximately 10 years, which had been helpful, though symptoms persisted. As a last resort, her doctor sent her to a dietitian who, based on the medical history and symptoms, immediately initiated a low-fructose diet to see whether the client might have fructose malabsorption (FM). Almost immediately, the woman exp

FDA - Hidden HFCS

Hi Guys, I need to ask a big a favor of you!  Could you please write a letter to the FDA demanding that  "High Fructose Corn Syrup" be plainly listed on ingredient labels.  They are currently hiding HFCS under the label "Corn Syrup", saying that it is a GRAS substance (Generally Regarded As Safe).   This is very misleading to Fructose Malabsorbers.  Individuals with FructMal can have  Corn Syrup , which is also called dextrose or glucose.   Corn syrup  in it's pure form does not contain fructose and is totally safe for them.  HFCS, on the other hand, is not safe for them and causes all kinds of trouble - such as tummy upset, constipation, diarrhea, sleep disturbance, mood swings, and can cause Small Intestine Bacterial Overgrowth.   There is a lot of political debate going on right now with HFCS and the Corn Refiners Association wanting to change the name to "Corn Sugar"...further disguising HFCS.  So far the FDA is not going along with CRA's ca

Homemade Vanilla Ice Cream Recipe

A special treat that Tootsie enjoys is our homemade vanilla ice cream!  This recipe has been passed down from Great-Grandma (Nana-Rie) - the sugar content has been modified so that it is more FructMal friendly. Ice Cream 4  eggs 4 tsp vanilla 1/4 tsp salt 2-1/4 C pure cane sugar (we use 1-1/2 cups) 5 C milk 4 C whipping cream Mix all ingredients together & chill for several hours in the refrigerator.  We chill it in the metal container that goes with our ice cream maker.  Follow your ice cream maker's instructions for turning the mixture into ice cream.  Makes 1 Gallon. Tootsie's serving size is about 1/3 of a cup.

Follow-Up Breath Test

We took Tootsie down for a follow-up fructose tolerance test last week to test for SIBO.  She tolerated the test very well this time around.  So well, in fact, that I called down and asked the nurse if she had been given the right solution.  She confirmed that Tootsie had been given fructose.   Wow!  This was a huge change from the past two times she braved the test.  No tummy aches this time, no diarrhea, no vomiting.  No symptoms whatsoever.  Amazing.  We got a call the following day from Dr. L's nurse saying that Toots did not have SIBO and her fructose score was down to 28!  She is still malabsorbing, but the numbers aren't off the charts like they were in July.  We attribute this to a successful treatment with Xifaxan, the introduction of probiotics, and following the low FODMAP diet.  We are thrilled that she has come so far!  However, she is dealing with some constipation this week - we think it is from the high dose of fructose she was given for the test.  We hope it do