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🗓️ 12 February 2024
⏱️ 32 minutes
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New research shows that a long-term low FODMAP diet can be used effectively for IBS. This is huge as there have been many theoretical concerns about using a low FODMAP diet long-term, such as negative impacts to the gut microbiota, nutrition levels, and quality of life.
However, we’ll cover each common criticism and answer them with science.
And if you have any additional questions about low FODMAP that you would like answered in the future, let me know in the comments!
How to Heal Your Gut with the Low FODMAP Diet: https://drruscio.com/low-fodmap/
A Step-By-Step Guide to the Low FODMAP Diet: https://drruscio.com/low-fodmap-diet/
Low FODMAP Downloadable Guide: https://drruscio.com/wp-content/uploads/2020/02/5bStandard-Low-FODMAP-Diet-2020-5.pdf
Monash App: https://www.monash.edu/monash-innovation/news/success-stories/fodmap
How to Build an Elimination Diet Plan for Healing: https://drruscio.com/elimination-diet-meal-plan/
How to Heal Your Gut Without Lab Tests: https://drruscio.com/heal-your-gut-without-labs/
00:00 Intro
00:59 What are FODMAPs?
02:24 New study
04:22 “Low FODMAP hasn’t been studied long-term”
05:26 “Low FODMAP is bad for the gut”
06:36 “Low FODMAP leads to nutrient deficiencies”
09:30 “Low FODMAP is too difficult to do”
11:08 “Low FODMAP leads to food fear”
12:45 The study’s conclusion
13:48 Recommendations
The Long-Term Effects of a Low-Fermentable Oligosaccharides, Disaccharides, Monosaccharides, and Polyols Diet for Irritable Bowel Syndrome Management: https://pubmed.ncbi.nlm.nih.gov/37807975/
Is a low FODMAP diet beneficial for patients with inflammatory bowel disease? A meta-analysis and systematic review: https://pubmed.ncbi.nlm.nih.gov/28587774/
An anti-inflammatory and low fermentable oligo, di, and monosaccharides and polyols diet improved patient reported outcomes in fibromyalgia: A randomized controlled trial: https://pubmed.ncbi.nlm.nih.gov/36091254/
Psychological and Gastrointestinal Symptoms of Patients with Irritable Bowel Syndrome Undergoing a Low-FODMAP Diet: The Role of the Intestinal Barrier: https://pubmed.ncbi.nlm.nih.gov/34371976/
The Relationship between Low Serum Vitamin D Levels and Altered Intestinal Barrier Function in Patients with IBS Diarrhoea Undergoing a Long-Term Low-FODMAP Diet: Novel Observations from a Clinical Trial: https://pubmed.ncbi.nlm.nih.gov/33801020/
Influence of low FODMAP-gluten free diet on gut microbiota alterations and symptom severity in Iranian patients with irritable bowel syndrome: https://pubmed.ncbi.nlm.nih.gov/34261437/
Impact of Saccharomyces boulardii CNCM I-745 on Bacterial Overgrowth and Composition of Intestinal Microbiota in Diarrhea-Predominant Irritable Bowel Syndrome Patients: Results of a Randomized Pilot Study: https://pubmed.ncbi.nlm.nih.gov/36630947/
Effect of diet and individual dietary guidance on gastrointestinal endocrine cells in patients with irritable bowel syndrome (Review): https://pubmed.ncbi.nlm.nih.gov/28849091/
Long-term personalized low FODMAP diet improves symptoms and maintains luminal Bifidobacteria abundance in irritable bowel syndrome: https://pubmed.ncbi.nlm.nih.gov/34431172/
Long-Term Effects of a Web-Based Low-FODMAP Diet Versus Probiotic Treatment for Irritable Bowel Syndrome, Including Shotgun Analyses of Microbiota: Randomized, Double-Crossover Clinical Trial: https://pubmed.ncbi.nlm.nih.gov/34904950/
Long-term impact of the low-FODMAP diet on gastrointestinal symptoms, dietary intake, patient acceptability, and healthcare utilization in irritable bowel syndrome: https://pubmed.ncbi.nlm.nih.gov/28707437/
Long-term irritable bowel syndrome symptom control with reintroduction of selected FODMAPs: https://pubmed.ncbi.nlm.nih.gov/28740352/
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*Full transcript available on YouTube by clicking the “Show transcript” button on the bottom right of the video.
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0:00.0 | Welcome to Dr. Rousho Radio, providing practical and science-based solutions to feeling your best. |
0:15.4 | To stay up to date on the latest topics, as well as all of our prior episodes, make sure to subscribe in your podcast player. |
0:22.9 | For weekly updates, visit Dr. Russo.com. That's dr. r-R-R-U-S-C-I-O.com. |
0:30.6 | The following discussion is for educational purposes only and is not intended to diagnose or |
0:36.0 | treat any disease. Please do not apply any of this information |
0:39.6 | without first speaking with your doctor. Now, let's head to the show. Let's discuss the low fob |
0:45.5 | map diet. Pivotal study was just published looking at both the effectiveness or the efficacy |
0:50.9 | and any potential detriment from the low phobMamp diet in the long term. |
0:57.0 | Now, why this matters is one of the most effective diets for improving gut health is the low FobMap diet. |
1:05.0 | In fact, we have data showing between a 50 to 80% response rate of digestive symptoms with a low phob map diet. |
1:14.8 | And I'll detail this more in a moment. |
1:16.8 | But one of the questions I think understandably so that comes up when discussing the low |
1:22.4 | phobab map diet is could this diet lead to when adher long-term, deleterious effects on the microbiota |
1:31.2 | or potentially development of micronutrient insufficiencies? |
1:36.0 | And thankfully, we have a meta-analysis just recently published that answers these questions for us. |
1:43.0 | So we'll briefly define what the low phobmamp diet is, |
1:47.2 | why you should consider the low phobmep diet, and then unpack the results of this study |
1:51.4 | answering these very important questions. All right, let's jump in. |
1:56.5 | Firstly, what are phobmaps and why should you care? The high-level perspective on this is the more digestive symptoms you have, the more likely it is |
2:07.5 | that high phob-map foods may make your digestion worse. |
2:13.1 | Now, what do I mean by that? |
2:15.2 | Well, we know that in IBS, gas, bloating, abdominal pain, altered bowel function, |
... |
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