A New Year's Resolution for IBS

Hi again Fodmappers - I hope you had a fantastic Christmas and managed to avoid the yummy temptations which cause us so much grief?

As we're now moving into the New Year, I thought now would be a good time to focus on what you really want from the year ahead. In particular, are you ready to commit to getting your IBS symptoms under control? How would that sound as your New Year's resolution? Is that something you'd like to achieve? Maybe you've 'dabbled' with the low-FODMAP diet and want to give it another go? Or maybe your resolution is to begin to discover new ways to improve your digestive health? Maybe you've simply had enough of your IBS and you're ready to do something about it? Then welcome to Fabulous Fodmaps - this blog is for you.

(If you're an already experienced Fodmapper, I hope you might still find something useful here. Maybe you'd even like to leave a word of encouragement for newcomers in the comments at the end of this post?)

5 Steps to Low-FODMAP Success

1. Learn.

I suggest that your first step is to learn something about the low-FODMAP diet and why high-FODMAP food causes problems for people with IBS. If this is all new to you you might like to read the overview here or if you're ready for something a bit more indepth then you might like to watch the video, 'Beating the Bloat,' here. You don't need to become an expert in FODMAPs but gaining a bit of knowledge will help make sense of it all and I firmly believe that you are more likely to stick to the process if you understand why some food is allowed and some is not.

2. Explore.

With a bit of knowledge under your belt you're ready to discover new recipes that are suitable for your low-FODMAP diet. I share some of mine here but there are many more on the internet so you won't be short of ideas. I strongly suggest bookmarking any that take your fancy or simply jotting them down in a note book as you're going to need a good selection. You're going to need to think about breakfasts, lunches, evening meals and snacks, as well as eating out. The exclusion stage is a minimum of 6 weeks and that's a lot of meals. I will give you a word of caution though, and that is simply to be careful out there. Not all the recipes you see labelled as low-FODMAP actually are low-FODMAP. If you're not sure which ingredients are safe you can check the list here.

3. Plan Ahead.

Time to shop and to stock up on foods you've possibly never even looked at before. You're going to be visiting the Gluten-Free sections of your supermarket for wheat free pastas, breads and breakfast cereals, and you may be pleasantly surprised to discover that they are not as bad as you may have thought. You'll be trying lactose-free milks and seeing which ones you you prefer.You'll also be reading a lot of labels. Start stocking the cupboards with 'safe' food and clear out anything that you need to avoid and you'll have a better chance of succeeding.

4. Make it Fun.

It may seem tough at first but discovering new food can be an enjoyable experience all of it's own. Treat your low-FODMAP diet as you would any new cuisine and you'll look forward to mealtimes. Even invite friends for meals if you enjoy cooking and let them try something different too. And make sure to award yourself some low-FODMAP treats. For example, a little chocolate is permitted. There's more on that here.

5. Come Back Soon.

I shall be adding more recipes, tips and inspiration throughout the year so please add this blog to your favourites so that you can find your way back here. And don't forget to comment to let me know how you're getting on.

Happy New Year - may this be your best year yet.

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The Low-Fodmap Christmas Party Guide - Part 2

 

Not long now and the presents will be getting exchanged, the food will be on the table and the drinks will start to flow. So Fodmappers, do you know what and how much you can drink this Christmas? And whether you can even drink alcohol on a low-FODMAP diet.

Let's start with the good news.

Alcohol

According to Monash University (who we have to thank for developing the low-FODMAP approach to IBS) the following alcoholic drinks should be OK to include in your celebrations at the suggested levels. And no it doesn't mean you can have a glass of each. ;)

Beer - 1 Can

Whiskey - 1 x 30ml serving

Red wine - 1 x 150ml glass

Sparkling wine - 1 x 150ml glass

White wine - 1 x 150ml glass

Beware to avoid Rum and low-GI wine as both are high in fructose and may trigger symptoms of IBS.

Non-Alcoholic Drinks

If you prefer a glass of something non-alcoholic you should be aware that both apple juice and orange juice are also high-FODMAP so should be avoided. Also make sure to read the labels of any non-alcoholic fruit punch that may take your fancy. Some of these also contain apple juice.

Cranberry juice, however, should pose no problems and inspired a little mulled beverage all of my own. (See image at the top of the page). So here's my recipe for an easy, winter warmer to enjoy this Christmas.

Mulled Cranberry Punch

Ingredients

A carton of Cranberry juice drink (look for one which does not contain artificial sweeteners as they may be high FODMAP. I used Ocean Spray Classic.)

A mulled wine sachet.

Cinnamon sticks. (Optional).

Method

Pour the cranberry drink into a pan, add the mulled wine sachet, and heat gently for a few minutes.

Pour into glasses and add a cinnamon stick for decoration. 

And there you have it, Christmas in a glass. 

Serve to your guests with a selection of nuts or 'safe' cheeses and no-one will suspect a thing.

One final note. Remember that FODMAPs are cumulative so try to stick to small portions where you can. Personally I think that this might be the hardest thing to do at Christmas when there is so much good food and drink about but it's better to eat several small meals than one large one so that you keep the FODMAP levels low.

With that in mind, it just leaves me to wish you a very happy and healthy Christmas. May Santa bring you everything you wish for. See you in the New Year.

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The Low-FODMAP Christmas Party Guide - Part 1

 

Hi Fodmappers - ready for those Christmas parties? If you're like me, I'm guessing that your thoughts are going to be as much about what you can safely eat and drink as what you might wear? After all there are more embarrassing things that can happen to someone with IBS then turning up in the same outfit as your colleague! So here's my Fodmapper's guide to surviving the party season.

Part 1 - What Can I Eat?

The Set Menu

Do you dread that moment when the menu gets passed around the office with the set meal options? It's hard enough finding a tasty vegetarian option let alone one which is FODMAP friendly. Assuming you're already committed to a sit down meal, how can you make sure it's 'safe'? If it's a traditional Christmas meal there are several things to watch for.

First Course - There is often the choice of a vegetable soup for the first course but this may not be the best option for you. Even something innocent sounding like a carrot and coriander or parsnip soup may contain onions which are high-FODMAP. So my first tip is to opt for the melon.

Main Course - Goats Cheese tartlet sounds great, doesn't it? It's so very tempting for a Veggie Christmas meal but so wrong for us Fodmappers. Onions have a way of sneaking into these too but there's also the pastry to consider, and to avoid. You'll also want to avoid anything with mushrooms. If a nut roast is on the menu it could very easily contain wheat, onions and mushroom! But don't fear. My tip for the main course? Phone the restaurant beforehand and explain that you have special dietary needs - this is nothing unusual these days. Some restaurants pride themselves on being able to cater for special diets, as long as you give them enough notice. If they can't accommodate you, you could always offer to provide your own. That way you can eat in the confidence that it tastes great as well as the fact that it's not going to upset your tummy.

As for the vegetables - potatoes, parsnips, carrots and green beans are low-FODMAP, so enjoy. You should find you can tolerate a small portion of broccoli but remember to avoid the peas. As for Brussels sprouts, Monash University advises that a serving of two is tolerated by most people with IBS, though I'd choose whether to have those or the broccoli (rather than both) just to be extra careful. Also you'll be wise to avoid the stuffing and gravy - both are likely to contain wheat and onions.

Dessert - Christmas desserts are a challenge as wheat and dried fruit are high-FODMAP, and best avoided. But if you like something sweet you could take along some home-made low-FODMAP Ginger, Orange and Walnut Mince Pies to surprise your colleagues (having spoken to the restaurant first) or go for the savoury option and finish with the cheese selection. Cheese boards often come with grapes which are safe to eat, just remember to give the wheat crackers a miss.

The Buffet

The other scenario at this time of year is the festive buffet. This is a whole lot easier as far as a low-FODMAP diet is concerned, partly because a buffet tends to be a much more informal meal anyway and partly because you'll be in control of what goes on to your plate. If you're not sure yet what foods are safe to eat, take time to familiarise yourself with the 'Foods to Avoid' and 'Foods to Enjoy' lists. There are plenty of buffet classics such as plain crisps, plain corn tortillas, carrot and celery sticks, cheese and pineapple on sticks, olives, peanuts, grapes, cheddar or feta cheese and salad leaves which are low-FODMAP, so you won't go hungry.

You could even offer to help prepare the buffet, that way you can make sure there are plenty of low-FODMAP options available. Or take something with you, everyone loves someone who brings food to a party.

One final tip, especially if you know you are easily tempted by festive goodies, is simply to eat something before you go out. That way when the food is put in front of you it'll be easier to stick to those safe options.

In Part 2 I'll take you through some low-FODMAP drinks options complete with a tasty recipe of my own for a winter warmer which I think you'll enjoy.

'Til then - stay fabulous! :)
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Low-FODMAP Mince-Pies

Well it wouldn't be Christmas without them, would it?

Hi again Fodmappers. This will be my first Christmas since going low-fodmap and I realised I'm going to have to get organised if I want to enjoy some festive treats. So for the last few weeks I've been thinking about the things that really make Christmas for me, and mince-pies have got to be top of my list.

But mince-pies are normally a bit of a fodmappers nightmare. First there's the wheat in the pastry, but even if you go wheat free there's still the apple and dried fruit in the mincemeat. If you're buying ready made there may very well be other ingredients to watch for too - did someone say fructose-glucose syrup? It was only when I decided to try and create some low-fodmap mincemeat of my own that I discovered there's even fructose-glucose syrup in tubs of candied peel!

Eventually I struck on an idea, after all there are other Christmas flavours to be had. So here's my own twist on a Christmas favourite. These are vegetarian, wheat-free, gluten-free, apple-free and don't even contain the dried fruit that is normally found in mince pies - but are still very tasty. If you're vegan you could try replacing the butter with coconut oil. I haven't tried that but I imagine it would be yummy.

The directions below are for 12 mince pies. I hope you enjoy them.

Ginger, Orange and Walnut Mince-Pies

Pastry Ingredients

200g Gluten Free Plain White Flour
100g Butter
75g Cold Water

Mincemeat ingredients

6 x 1" Pieces of Bottled Stem Ginger
Zest of 1 Orange
Juice of 1 Orange
Zest of 1 Lemon
1/2 Tsp of Ground Cinnamon
1/2 Cup of Chopped Walnuts

First prepare the pastry.

Put the flour into a large bowl and add the butter. Work together until it resembles fine bread crumbs.
Add the water and stir through quickly until it begins to form a dough. Shape the dough into a ball and pop into the fridge for at least 30 minutes.

While the pastry is resting, prepare the mincemeat.

Chop the ginger into fine pieces and put into a pan with the orange zest, lemon zest, orange juice and cinnamon. Cook over a medium heat, stirring frequently, until it begins to take on a mincemeat like texture. Remove from the heat and allow to cool a little. Stir the chopped walnuts into the mixture.

Roll out the pastry and cut out circles using a pastry cutter. Be careful handling the pastry as gluten free pastry has less stretch than ordinary pastry. Place into a greased mince-pie tin. Put a dessertspoon of the ginger mince-pie filling into each pie and top with a star cut from the remaining pastry.

Bake in a pre-heated oven at 180C/350F for 20 minutes being careful not to overcook. Eat warm or allow to cool and sprinkle with icing sugar for the perfect festive finish.

 

Low-FODMAP Eating Out - Problem Solved

 

I have exciting news Fodmappers - I've found an easy option for meals out!

Up until now my default meal-out option has been jacket potatoes but that does get monotonous, so this evening my partner suggested asking if the pizza restaurant had a gluten free option, and guess what? They did! You wouldn't think someone could get so excited about eating in a pizza restaurant (or maybe you would?) but I was very happy. 

Why hadn't I thought of this before? A place where you can design your own meal from a choice of pizza toppings, and pick and choose from the salad bar is perfect for us Fodmappers. This is somewhere where such behaviour is normal, not fussy (I hate that people might think of me as a fussy eater) and no-one suspects a thing.

So this is my very simple tip for meals out. 

Go to a pizza restaurant (though maybe ring first just to check they do gluten-free pizza bases). Choose toppings which you know are low-fodmap - I had goats cheese, cherry tomatoes and olives, and grab yourself some tasty low-fodmap options from the salad bar. 

Of course, you'll need to avoid the temptation of the bread sticks and mayo-type salad dressings and remember to stick to small portions. I figured out that even the individual size pizza would have taken me over the safe level of tomatoes, maybe for other ingredients too. And sadly, desserts are off limits. Having said that, half a pizza, a bowl of carefully selected salad, and a glass of water was plenty.

I should also say that the food was great! So thank you Jess (our waitress). I doubt she'll ever see this blog but she made us feel very welcome. Which is why this is my second tip of the evening. ;)

So phone your friends, book a table and enjoy your evening - and share this post to solve a problem for others too.

Protein in the Vegetarian Low-FODMAP diet

 

The question is - are you getting enough?

Hi again fodmappers. 

A couple of times lately I've been asked how I manage to get enough protein on a vegetarian low-fodmap diet. It's a good question because, as you probably know, many of the usual vegetarian protein sources (legumes and some nuts) are off limits. Though I felt intuitively that I do get enough, it never hurts to do a bit of research and check. So that's been my project this last week.

I soon realised that, before looking at whether I was getting enough, I had to find out how much protein I should be having. That seems obvious I know, but when you constantly see ads for protein shakes, bars and protein based weight-loss programmes, the suggestion seems to be that none of us are getting enough, let alone anyone on a restricted diet!

The first figures I came across were that a sedentary man needs 56g a day and a woman needs 46g. Those figures weren't working for me for a simple reason, and that is that our need for protein must differ according to our body size, age and health, as well as our activity levels. After a while I tracked down a suggested intake of 0.66g of protein per kg of body weight for both men and women. (1) For me that works out at 31.43g of protein per day - much less than the average guidelines.

My next task, of course, was to find out how much protein there is in the food I eat. (A summary of just one day is at the end of today's blog). It's surprising what contains what!

I've recently converted to using cups as a way of measuring dry and liquid ingredients, but if you don't have these handy little measuring devices you might like to know that 1 cup is the same as 250ml. Simply find something in your kitchen that holds 250ml and you're away.

Dairy and Milk Alternatives

• 1 large egg = 6g
• 1 cup of grated cheddar cheese = 28g
• 1 cubic inch of cheddar cheese = 4.2g
• 1 cup of crumbled feta cheese = 21g
• 1 cubic inch of feta = 2.4g
• 1 cup of lactose free milk = 9g
• 1 cup of almond milk = 1.25g
• 1 cup of oat milk = 2.5g
• 1 cup of oat milk = 0.25g

Nuts and Seeds

• 1 cup of walnuts = 18g
• 1 cup of brazil nuts = 19g
• 1 cup of hazelnuts = 20g
• 1 cup of sunflower seeds = 29g
• 1 cup of sesame seeds = 26g
• 1 cup of dried pumpkin seeds = 39g
• 1 tbsp of peanut butter = 4g
• 1 tbsp of almond butter = 3.35g
• 1 tbsp of tahini/sesame seed paste = 3g

Grains

• 1 cup of cooked buckwheat = 6g
• 1 cup of cooked quinoa = 8g
• 1 cup of cooked brown rice = 5g
• 1 cup of cooked white rice = 4.2g
• 1 cup dry oatmeal/porridge oats = 6g

Fruit and Vegetables

• 1 medium banana = 1.3g
• 1 medium kiwi fruit = 0.8g
• 1 cup of spinach = 0.9g
• 1 large potato (baked with skin) = 7g
• 1 red or yellow bell pepper = 1g
• 1 small courgette = 1.4g
• 1 cup of shredded lettuce = 0.5g
• 1 medium tomato = 1.1g
• 1 cup of cubed butternut squash = 1.4g

Bread and Crackers

• 1 slice of Genius triple seeded bread = 2.1g
• 1 slice of Genius brown bread = 1.2g
• 1 slice of Genius spicy fruit bread = 1.2g
• 1 Kallo Organic unsalted rice cake =  0.6g
• 1 Nairns oat cake = 0.8g

Pasta

• 100g Orgran buckwheat spirals = 11.2g
• 100g Orgran corn and vegetable spirals = 6.9g

Other

• 100g of Tofu = 8g
• 100g of canned chick peas = 4.3g

I could include much more ....

So, back to the question of whether I am getting enough protein. The only way this was going to be accurate was if I added it up as I went along. So one day last week I met a friend for a cuppa (Hi Jacqui) and kept notes.

My breakfast that day was 1 banana (1.3g) and a bowl of porridge made with half a cup of oats and 1 cup of lactose free milk (12g). Mid-morning I had a gluten free coconut and raspberry slice (4g). And lunch was a kiwi fuit (0.8g), a peanut butter sandwich on Genius fruit bread (6.4g) and a small savoury muffin (6g). The recipe for the muffin (and it's really easy) can be found here.

If you've been counting you'll know that comes to 30.05g of protein (remember I need to aim for 31.43g) and at that point I have to confess I stopped counting.

But this has been an interesting issue to explore. I had never realised what a difference there is in the protein content of the low-fodmap milks, for example, and how something as simple as a bowl of porridge can give a real protein boost to the start of your day. It's an exercise that's definitely worth doing.

And it's been reassuring. The low-FODMAP diet is complicated enough, especially for vegetarians and vegans, without worrying about protein too.

So a big thank you to those of you who have asked, you know who you are. It's been an eye-opener putting this list together, and an education. If there are any other topics you'd like me to explore, please let me know.

1. http://www.nal.usda.gov/fnic/DRI/DRI_Tables/recommended_intakes_individuals.pdf

Veggie Savoury Muffins

 

Ooh look! Yummy savoury snacks. ;)

Hi again Fodmappers. As you can see I've been doing a bit of baking this week. But these aren't any muffins, these are fodmap friendly flour-free muffins! And they pack a bit of a surprise. These muffins are a nice source of veggie protein and they are incredibly easy to make. I confess I'm not into complicated cooking - I want to eat, not cook.

I've made these a couple of times now so they can't be bad eh? I discovered them at Everybody Loves Pretty and have pretty much stuck to that recipe so far.  However the second time I made them I used a mature cheddar rather than a mild one, and next time I'm going to try adding a little asafoetida as I felt they needed a bit of a bite. As onions are not a 'safe' food for me, asafoetida does go some way towards replacing that sharpness. (If you haven't discovered it yet, it's worth tracking down and adding to your spice collection.) But on with the recipe.

I used:

1/3 cup of quinoa grains

1/2 a cup of grated Cheddar Cheese

2 large eggs

1/3 cup of shredded spinach

A generous pinch of oregano

A generous pinch or basil

A sprinkle of salt and pepper.

(This makes 6 muffins).

Method:

First cook your quinoa. Rinse the grains well (I used my salad sprouter for this) and then toast them lightly in a large saucepan for a couple of minutes. Add 2/3 cup of cold water. Bring to the boil and then reduce to a simmer for approximately 15 mins or until it has absorbed all the water.

While the quinoa is cooking, preheat your oven to 350/180.

When the quinoa is ready, remove the pan from the heat and add the grated cheese, herbs, salt and pepper. Stir in well.

Finally add the eggs (make sure the pan and contents have cooled slightly so that the eggs don't cook on contact) and mix in.

Spoon mixture into muffin cases or directly into a greased muffin tin and bake for 20 to 25 minutes.

 

The finished bake has a texture part way between a muffin and a quiche which isn't as odd as it sounds. Give them a go, experiment with different flavours, and let me know what you think.

Fodmap Friendly Halloween

Just a couple of weeks to go until Halloween and these little peppers were so cute I had to give them a try. I'd seen several recipes for these online but most were either meat filled or full of non-fodmap friendly ingredients. I decided to go for a Feta and Walnut filling, partly as those were ingredients I had in, and partly because walnuts look like brains. Yes I'm completely in the Halloween spirit already! 

As always, this is a vegetarian recipe but it could be very easily adapted for vegans, just skip the cheese! In fact feel free to tweak this recipe however you like (I did) but just remember to stick to low-fodmap ingredients.

So here's what I used

2 large yellow bell peppers.
Half a cup of quinoa grains.
A small handful of walnuts.
Approx 100g of feta cheese
8 to 10 pitted black olives
1 tomato.
Oregano
Basil
Black Pepper
Salt.

Cook the quinoa in a cup of water until all moisture is absorbed. (Approx 15 to 20 minutes).

Preheat the oven to 180/350 degrees.

Meanwhile prepare the peppers. Cut around the top and remove the seeds and, using a sharp knife, carefully cut a little 'pumpkin' face into the peppers.

Chop the walnuts, feta, black olives and tomato into small pieces, keeping just two walnuts whole for decoration.

When the quinoa is cooked simply stir in the rest of the ingredients and season with the herbs, salt and pepper to taste. Fill your peppers.

Finally place one half of a walnut inside the top of each pepper (as a spooky brain) before replacing the top.

Place in the oven on a baking tray for approx 1 hr or until the pepper is soft.

Alternatively you could try a cheddar and spinach combo or, if you'd like to see the filling oozing out of your pumpkins eyes, maybe a fodmap-friendly version of a ratatouille?

Have fun and let me know how you get on.