LIGS

Diet & Nutrition

Diet & Nutrition

Gluten is the protein part of wheat, rye, barley, and other related grains. Some people cannot tolerate gluten when it comes in contact with the small intestine. This condition is known as celiac disease. In patients with gluten sensitivity or celiac disease, gluten injures the lining of the small intestine. This injury can result in weight loss, bloating, diarrhea, gas, abdominal cramps, and/or vitamin and mineral deficiencies. When patients totally eliminate gluten from their diet, the lining of the intestine has a chance to heal, and their symptoms improve as a result. Removing gluten from the diet is not easy. There are many gluten-free alternatives available.

Food Group Do Not Contain Gluten May Contain Gluten Do Contain Gluten
Thickening agents Gelatin, arrowroot starch, corn flour, germ or bran, potato flour, potato starch flour, rice bran and flour, rice polish, soy flour, tapioca, sago None Wheat starch, all flours containing wheat, oats, rye, malt, barley, or graham flour, all-purpose flour, white flour, wheat flour, bran, cracker meal, durham flour, wheat germ
Condiments Gluten-free soy sauce, distilled white vinegar, olives, pickles, relish, ketchup Flavoring syrups (for pancakes or ice cream), mayonnaise, horseradish, salad dressings, tomato sauces, meat sauce, mustards, taco sauce, soy cause, chip dips) None
Seasonings Salt, pepper, herbs, flavored extracts, food coloring, cloves, ginger, nutmeg, cinnamon, bicarbonate of soda, baking powder, cream of tartar, monosodium glutamate Curry powder, seasoning mixes, meat extracts Synthetic pepper, brewer’s yeast (unless prepared with a sugar molasses base), year extract (contains barley)
Prescription Products None All medicines, check with pharmacist or pharmaceutical company None
Meat or meat substitutes 100% meats (no grain additives), seafood, poultry (breaded with pure cornmeal, potato flour or rice flour), peanut butter, eggs, dried beans or peas, pork Meat patties, canned meat, sausages, cold cuts, bologna, hot dogs, stew, hamburger, chili, commercial omelets, soufflés, fondue, soy protein meat substitutes Croquettes, breaded fish, chicken loaves made with bread or breadcrumbs, breaded or floured meats, meatloaf, meatballs, pizza, ravioli, any meat or meat substitute. Rye, barley, oats, gluten stabilizers
Breads & grains Cream or rice, cornmeal, hominy, rice or wild rice, gluten-free noodles, rice wafers, pure corn tortillas, specially prepares breads, made with corn rice, potato, soybean, tapioca, arrowroot, carob, buckwheat, millet, amaranth and quinoa flour Packaged rice mixes, ready-to-eat cereals containing malt flavorings, cornbread Wheat, barley, rye
Fats & oils Butter, margarine, vegetable oil, shortening, lard Salad dressings, non-dairy creamers, mayonnaise Gravy and cream sauces thickened with flour
Fruits Plain, fresh, frozen, canned or dried fruit, all fruit juices Pie fillings, thickened or prepared fruit, fruit fillings None
Vegetables Fresh, frozen or canned vegetables, white and sweet potatoes, yams Vegetables with sauces, commercially prepared vegetables and salads, canned baked beans, pickles, marinated vegetables, commercially seasoned vegetables Creamed or breaded vegetables, those prepared with wheat, rye, oats, barley, or gluten stabilizers
Snacks & Desserts Brown and white sugar, rennet, fruit whips, gelatin, jelly, jam, honey, molasses, pure cocoa, fruit ice, carob Custards, puddings, ice cream, ices, sherbet, pie fillings, candies, chocolate, chewing gum, cocoa, potato chips, popcorn Cakes, cookies, doughnuts, pastries, dumplings, ice cream cones, pies, prepared cake and cookie mixes, pretzels, bread pudding
Beverages Tea, carbonated beverages (except root beer), fruit juices, mineral and carbonated waters, wines, instant or ground coffee Cocoa mixes, root beer, chocolate drinks, nutritional supplements, beverage mixes Postum, ‘Ovaltine’, malt-containing drinks, cocomalt, beer, ale
Soups Those made with allowed ingredients Commercially prepared soups, broths, soup mixes, bouillon cubes Soups thickened with wheat flour or gluten-containing grains, soup containing barley, pasta, or noodles

Although your body needs cholesterol, having too much cholesterol can lead to serious health issues, including coronary artery disease and other heart diseases. One of the remedies for lowering high cholesterol is following a low cholesterol diet. This includes limiting your diet to 30% of calories from fat and consuming less than 300mg/day of cholesterol. Place close attention to the number of mg found in animal products as many are found to contain high amounts of cholesterol, including egg yolks, shrimp, whole milk dairy products, and liver and other organ meats.

How to help lower your cholesterol:

  • Limit foods with cholesterol
  • Eat plenty of soluble fiber (whole grain cereals such as oatmeal, fruit, and legumes)
  • Eat lots of fruits and vegetables.
  • Eat fish that are high in omega-3 fatty acids.
  • Limit salt
  • Limit alcohol
Type of FoodFoods AllowedFoods to Avoid
Milk & CheeseSkim or 1% milk (liquid, dry, or evaporated), nonfat or low-fat yogurt, low-fat cottage cheese (1-2%), low-fat cheese (labeled no more than 6g fat per ounce).Whole milk, regular evaporated condensed or chocolate milk, whole milk yogurt, imitation products, most non-dairy creamers, whipped toppings.
Fish, Meat & PoultryFish, tuna packed in water, poultry without skin, baked, boiled, broiled, or roasted. LEAN, well-trimmed beef, lamb, port or veal.Fatty meats, organ meats, spareribs, regular cold cuts, sausage, hot dogs, bacon.
EggsWhites (2 whites = 1 whole egg in recipes), cholesterol-free egg substitutes.Egg yolks, try not to have more than 3-4 a week, including what is used in recipes.
Breads & CerealsHomemade baked goods using vegetable oils sparingly, and no egg yolks or whole milk. Whole-grain breads, pasta, rice, hominy grits.Commercial baked goods; pies, cakes, doughnuts, pastries, croissants, muffins, biscuits, high-fat crackers, and cookies.
Vegetables & FruitsAny fresh, frozen, canned, or dried fruits and vegetables.Vegetables prepared in butter, cream, or other sauces.
Fats & OilsBaking cocoa, unsaturated vegetable oils such as olive, rapeseed (canola), corn, sesame, soybean, sunflower. Margarines made from one of the oils listed above. Mayonnaise or salad dressing made with one of the oils listed above, seeds, nuts.Chocolate! Butter, coconut oil, palm oil, palm kernel oil, lard, bacon fat.
DessertsFruit ices, sherbert, angel food cake, Jello, frozen low-fat yogurt, and cakes, cookies, and muffins made with fat and cholesterol-modifying recipes.Pastries, ice cream, cookies, cheesecake.
SnacksGraham crackers, rye crisp, soda crackers, melba toast, bagels, fruit, English muffins, ready-to-eat cereals, air-popped popcorn, pretzels.Snack crackers, corn chips, potato chips, tortilla chips, cheese puffs, French fries.

A lactose-free diet means eating foods that do not contain lactose- a sugar that is found in most milk products. Some people cannot properly break down lactose or makes lactose that does not work properly. Some can eat small amounts of lactose without having symptoms, while others have to avoid it completely. 

Low Lactose Diet- Generally eliminates only milk and cow products. However, some can tolerate milk in small amounts (2 oz) throughout the day or as part of a meal. Some can tolerate small amounts of yogurt. These patients can experiment to find a level of lactose they can tolerate. It is generally better tolerated with a meal than by itself. Some people can build up their tolerance by gradually introducing lactose-contained foods.

Lactose-Free Diet– All lactose products must be eliminated, including foods that are prepared with milk, both at home and in commercially packaged foods. These people may be able to use 100% lactose-free milk or soy milk. Labels should always be read carefully.

Lactose Digestive Aids and Products- Many people can drink milk in which the lactose has been partially or completely broken down. 

If you are suffering from mild to moderate constipation (having a bowel movement fewer than three times per week), constipation can be treated at home by making some changes to your diet. The most essential change is to eat a well-balanced diet with plenty of fiber. Fiber and water help soothe the process to pass stool through the colon. Some foods high in fiber include fruits, legumes, whole-grain bread, and cereals.

Guidelines for Managing Constipation:

Increase fluids to at least six to eight glasses per day.
Eat a diet high in fiber.
Eat fresh fruits, fruit juices, and vegetables.
Avoid pasta, pastries, cheese, rice, and foods with white sugar.
Exercise regularly.
Establish a regular time for defection (the best times for evacuations are usually after a meal).
Drink warm prune juice or other warm beverages one hour before the scheduled defecation time to stimulate the urge.
Use toilet or bedside commode instead of bedpan if possible (Ideal position is a modified squatting position with feet placed on a stool.)
Relax by reading or listening to music in the bathroom.
Don’t delay when you have the urge to evacuate.
Avoid laxatives and enema abuse.
Take stool softeners, suppositories, or laxatives as ordered. (Overuse of laxatives can cause constipation.)
Use enemas or manual disimpaction for severe constipation.
Report constipation that frequently reoccurs or that does not respond to treatment to physician.

Following a diet high in fiber has a wide range of benefits, including improving bowel Fiber is an ingredient in many common foods such as fruits, grains, and vegetables that our body cannot break down. Adding more fiber to your diet helps ensure that food is moving quickly through your digestive tract and consuming the proper amount of fiber daily along with adequate fluid intake enables your digestive tract to function properly. We recommend consuming 25-35 grams of fiber per day to help improve bowel and colon health. The proper amount of fiber has been shown to have many benefits, including decreasing cholesterol, improving glucose control, and may reduce your risk of high diverticulosis, colon cancer, heart disease, and stroke. Many fiber-containing foods also have good sources of vitamins, minerals, and antioxidants. 

INSOLUBLE FIBER SOURCES

CelluloseHemicelluloseLigninBran
ApplesApplesBranBran
BeetsBananasBrazil nutsWhole grains
BranBeansCarrots
Brazil nutsBeetsCereals
BroccoliBranEggplant
CabbageBrussel sproutsFruits with edible seeds
CarrotsCabbageGreen beans
CeleryCerealsMature vegetables
Cucumber skinsCornPeaches
Green beansLeafy greensPears
Lima BeansPearsPeas
PearsPeppersPotatoes
PeasWhole grainsRadishes
PeppersRadishes
VegetablesStrawberries
Wax BeansTomatoes
Whole grainsTomatoes
Whole wheat flourWhole grains

SOLUBLE FIBER SOURCES

GumsPectinMucilage
BarleyApplesPsyllium
Dried BeansBananas
Guar gumBeets
LegumesCabbage
OatbranCarrots
Citrus
Okra
Peas

We recommend rotating the food and fiber types. In general, whole grain products have more fiber than refined grains. Gradually increase your fiber intake until your bowel movement are optimum for you (consult your physician for information and guidance). There are also many dietary supplements available for fiber if you are not able to get a properly balanced diet, but gas and bloating may worsen with intake.

Food sensitivities or intolerances can be extremely painful, uncomfortable, and inconvenient to deal with. Common symptoms can include nausea, vomiting, bloating or gas, abdominal pain, constipation, and/or diarrhea. In some cases, a Low Fodmap diet can be the most effective way to combat these sensitivities by reducing or eliminating foods containing these types of carbohydrates. 

Foods Suitable for a Low FODMAP Diet

FruitVegetablesGrain FoodsMilk ProductsOther
Fruit
banana, blueberry, boysenberry, cantaloupe, cranberry, durian, grape, grapefruit, honeydew melon, kiwifruit, lemon, lime, mandarin, orange, passionfruit, pawpaw, raspberry, rhubarb, rockmelon, star anise, strawberry, tangelo
Note: If the fruit is dried, eat in small quantities
Vegetables
Alfalfa, bamboo shoots, bean shoots, bok choy, carrot, celery, choko, choy sum, eggplant, endive, ginger, green beans, lettuce, olives, parsnip, potato, pumpkin, red capsicum (bell pepper), silverbeet, spinach, squash, swede, sweet potato, taro, tomato, turnip, yam, zucchini
CerealsMilk
*Lactose-free milk, *oat milk, *rice milk, *soy milk
*Check for additives
Tofu
Herbs
Basil, chili, coriander, ginger, lemongrass, marjoram, mint, oregano, parsley, rosemary, thyme
Bread
100% spelt bread
Cheeses
Hard cheese, and brie and camembert
Sweeteners
Sugar* (sucrose), glucose, artificial sweeteners not ending in ‘-ol’
RiceYogurt
Lactose-free varieties
Honey Substitutes
Golden Syrup*. Maple Syrup*, Molasses, treacle
*small quantities
OatsIce-Cream Substitutes
Gelati, sorbet
PolentaButter Substitutes
Olive oil
Other
Arrowroot, millet, psyllium, quinoa, sorgum, tapioca

Eliminate Foods Containing FODMAPs

Excess Fructose Lactose Fructans Galactans Polyols
Fruit
Apples, mango, nashi, pear, tinned fruit in natural juice, watermelon
Milk
Milk from cows, goats, or sheets, custard, ice cream, yogurt
Vegetables
Artichoke, asparagus, beetroot, broccoli, Brussel sprouts, cabbage, fennel, garlic, leek, okra, onion (all), shallots, spring onion
Legumes
Baked beans, chickpeas, kidney beans, lentils, soybeans
Fruit
Apple, apricot, avocado, blackberry, cherry, longon, lychee, rashi, nectarine, peach, pear, plum, prune, watermelon
SweetenersCheeses
Soft, unripened cheeses, cottage, cream, mascarpone, ricotta
Cereals
Wheat and rye, in large amounts of egg bread, crackers, cookies, couscous, pasta
Vegetables
Cauliflower, green capsicum (bell pepper), mushroom, sweet corn
Fructose, high fructose, corn syrupFruit
Custard apple, persimmon, watermelon
Sweeteners
Sorbitol (420), Mannitol (421), Isomalt (953), Maltitol (965, Xylitol (967)
Large total fructose dose
Concentrated fruit sources, large serves of fruit, dried fruit, fruit juice
Miscellaneous
Chicory, dandelion, insulin pistachio
Honey
Corn syrup, fruisana

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