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Move Over Gluten-Free: Low FODMAP is Next

                 Move Over Gluten-Free, Low FODMAP Is Next!

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About 10 years ago I was traveling to Australia with my husband, daughter and my suitcase full of gluten-free food. The pleasant but curious guard at the security checkpoint politely asked me, “Are you moving here?”  As I was sure he could not understand the need for my personal supply of sustenance, I explained my need for a special diet. He smiled, as he didn’t think it was so special at all, ”Everyone here understands gluten free and it is available everywhere. You don’t need that extra food. You can find gluten-free options all over.”

Oh, I wish I had called him prior to packing up the already copious montage of equipment required for an infant in addition to my dietary staples for the month. The United States is finally catching up in accommodations for the gluten-free community that were so readily available there 10 years ago, but the Australians are once again moving ahead on another front.

Without much notice here in the United States, the Australian Government instituted a new “FODMAP-friendly certification program” this past month.  FODMAPS is an acronym for a group of sugars found naturally in foods. In many individuals, these sugars can trigger symptoms of fatigue, gas, bloating, abdominal pain, diarrhea or constipation. They are found in foods such as wheat, apples, onions, garlic, honey, legumes and milk.

An intolerance to FODMAPS may be the cause of many cases of irritable bowel syndrome (IBS), but is also commonly seen in conjunction with celiac disease, gluten sensitivity and inflammatory bowel disease.  I recently wrote two related articles clarifying the topic of fructose malabsorption and explaining why FODMAPS may be a factor in gluten sensitivity.

It is estimated that 35% of consumers in Australia cannot tolerate FODMAPS, and the incidence in the United States may be similar or higher. The low FODMAPS diet is life changing for people suffering from an intolerance to these foods, but it is also complicated and time consuming.  Any tool that can simplify eating for the population on a low FODMAP diet is a welcome addition! The FODMAP friendly logo makes it easier to identify and select foods that will not be problematic for those on a low FODMAP diet. Each food product is analyzed independently before it is given the accredited logo. Participation in the program is voluntary for manufacturers.

Given the length of time it has taken to get gluten-free labeling implemented in the United States, it may be awhile before this type of logo appears here, but I am hopeful the United States will follow suit eventually. Given the high incidence of fructose malabsorption, I anticipate that the U.S. food industry will play a pivotal role in the speed at which FODMAPS becomes a more familiar term in the United States. The drive for profit may outpace awareness in the medical community, as has happened with gluten-free manufacturers and food retailers moving faster than medical information.

So, the development of this new logo by the Australians reminds me how thankful I am for the progress made surrounding awareness of the gluten-free diet (and my need for less luggage while traveling), and it tips us off about the next likely trend in U.S. food manufacturing.

Recommended resources for a low FODMAP diet:

1.  Monash University Low Fodmap App for I-phone and Android:

2.  Monash University Website:  The leaders in research and information on the low FODMAP diet

3. Patsy Catsos, RD- Fantastic website with information on following a low FODMAP diet

4. Pinterest site with photos of low FODMAP products

5.  Kate Scarlata, RD  A terrific blog with recipes and information on a low FODMAP diet

6.  An explanation of the study that discusses the role of FODMAPS in gluten sensitivity

7. Book: A great consumer friendly, resource for anyone on a LOW FODMAP Diet. Written by Dr. Sue Shepard and Peter Gibson from Monash University


Past columns by Dr. Burkhart:

April/May 2016: Reasons People Follow a Gluten Free Diet: 7 Types of Gluten Free Dieters 

March 2016: Ten Positive Aspects of a Celiac Disease Diagnosis

February 2016: Gluten Causes Keratosis Pilaris (a.k.a. “Chicken Skin”): Fact or Myth?

January 2016: Fingernail Changes in IBS,Gluten Disorders and Celiac Disease “A window to health”

December 2015: 20 Gluten-Free Gift Ideas: From Budget to Luxury, Sentimental to Practical & More

November 2015: Cold Sores, Canker Sores and Gluten

October 2015: Celiac Disease and Gluten Sensitivity Research: Snippets from ICDS 2015 (Part 2)

September 2015: Celiac and Gluten Sensitivity Research: Ten Snippets from ICDS 2015

July/August 2015: A New Home Test To Monitor Gluten Exposure

June 2015: Six Reasons to Test for Celiac Disease Before Starting a Gluten-Free Diet

May 2015: POTS, Celiac Disease and Gluten: An Undiscovered Connection?

February/March/April 2015: Arsenic in the Gluten-Free Diet: Facts and Tips

December 2014/ January 2015: The Microbiome and Celiac Disease: A Bacterial Connection

November 2014: Celiac disease and gluten sensitivity: The doctor-patient disconnect

October 2014: Should You Trust Gluten-Free Labels?

September 2014: Triggers for celiac disease: One possible answer

July/August 2014: Ten Tips for a Healthier Gluten-Free Diet

June 2014: Back Pain and Gluten

May 2014: Self-Diagnosis of Gluten Sensitivity: Four Alarming Trends

April 2014: Update on Restaurants and Gluten-Free Dining

March 2014: Histamine Intolerance: Could it be causing your symptoms?

February 2014: Celiac Disease and Non-Celiac Gluten Sensitivity (Reprinted with permission from Sonoma Medicine)

January 2014: Four Vitamin Toxicities on a Gluten-Free Diet

December 2013: Move Over Gluten-Free, Low FODMAP is Next

November 2013: SIBO, Gluten and IBS: What Is The Connection?

October 2013: Pesticides, Wheat and Gluten Sensitivity: What is the Connection?

September 2013: Is gluten really the culprit in gluten sensitivity?

August 2013: Clarifying the Gluten-Free Labeling Rule

June/July 2013: No such thing as Mild Celiac Disease

May 2013: Magnesium Deficiency

April 2013: Six Reasons to test for celiac disease before starting a gluten-free diet

March 2013: Why am I having migraines?

February 2013: What is fructose malabsorption?

January 2013: Educating doctors about celiac disease

December 2012: Are supplements to digest gluten safe and useful?

November 2012: Top 5 reasons for persistent symptoms after Going Gluten Free

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“I have been a patient of Dr. Amy Burkhart for several years. I suffer from Crohn’s disease and was having difficulty in my daily life. After visiting many doctors, all of whom were unable to help me, Dr. Burkhart took the time and patience to create a plan which brought me back to health. I still follow her plan to this day and have been living a normal healthy life. Dr. Burkhart listened to my symptoms along with listening to me, she took her time in preparing a plan which led me to the road for recovery. I cannot thank Dr. Burkhart enough, and I would recommend her to anyone.”

8 months ago

Stone Brewing company Stone Brewing - Napa opened recently in Napa in an historic building adjacent to the river. A great venue to enjoy life! The gluten free menu options are coming (per the manager ) but please visit and inquire about GF options. The more people who show interest and discuss cross contamination the more likely they are to get it right! Wine is available. Maybe they will even consider a GF beer! . ... See MoreSee Less