The Fabulous FODMAP Recipe Challenge

Hi Fodmappers - Fancy a bit of a challenge?

A while ago I wrote a post telling you how I gained a more varied diet through FODMAP but since then I have found myself slipping back into a pattern of eating the same things all the time. Isn't it funny how quickly we can get into a rut with meals especially when we're pushed for time!! So lately I have been making a conscious effort to do things a little differently. And that has meant me having another look at what foods I can include on FODMAP in order to add a little more variety to my diet.

So I have set myself a challenge and that's simply to do things differently! For me this has meant coming up with meals like the one above. What's different about this? Well I realised I hardly ever eat new potatoes for a start. And I know I've never had cooked green beans in a salad before. (They're actually very good). I've also discovered a fondness for combining nuts and cheese and, let's face it, it only takes a moment to sprinkle some nuts or seeds on top of a salad. These little changes aren't time consuming but they do make meals more interesting. And it's important to have as varied a diet as possible.

And I'd like to invite you to take up this challenge too.

The Fabulous FODMAP Recipe Challenge

You are invited to share an idea which can be anything from breakfast to brunch to baking! It can be an idea for a family meal or it can be your variation on a working lunch. In fact it can be almost anything as long as it's vegetarian (or vegan) and, of course, needs to be low FODMAP.

I'd also love to know why it is different from what you normally eat. (This challenge is all about getting out of your recipe rut.) Maybe you're doing something interesting with herbs and spices or perhaps trying a vegetarian recipe for the first time? If that means you're trying one of the recipes on this blog that you haven't tried before, that's good too.

Share your meal idea in the comments below, or better still, post a photo to my Facebook page or to Instagram. (Instagrammers please use #fabulousfodmapchallenge so I can see what you come up with). I shall feature my favourites in a future post.

So let your imagination run wild. I look forward to seeing what wonderful meal ideas you come up with.

'Til next time Fodmappers - Stay Fabulous. x

Agave, Aspartame And The Low FODMAP Diet

Hi again Fodmappers

This week I had a message from a friend who, having been advised by her doctor to try a low-fodmap diet, was concerned at some of the things she had read online. She was particularly worried about some of the information she saw regarding Agave and Aspartame ..

'I was disheartened to see that agave was on the bad food list and aspartame was on the good food list.... this has made me lose hope and confidence in fodmap even before starting.'

I should say that my friend, like many of us, tries to eat as healthily as possible, opting for fresh fruit and vegetables and avoiding unnecessary additives as far as possible - so I could completely understand her concerns regarding Aspartame, and her doubts on seeing this recommended as part of a low-fodmap diet. So this post is dedicated to my friend, in the hope that it addresses her concerns.

But before I talk about Agave and Aspartame I want to say a little about Fructose in relation to a low-fodmap diet.

The Low-Fodmap Diet

As regular readers will know, the low-fodmap diet is a process by which a person initially eliminates all high-fodmap foods, later reintroducing them one at a time to identify their personal triggers. (If you're new to the low-fodmap diet, it would be worth you visiting 'What are FODMAPs' before reading on).

Fructose

Fructose is a Monosaccharide (the M in FODMAP) a type of carbohydrate which is poorly absorbed by people with IBS. Though it isn't possible to avoid fructose altogether, it is possible to choose foods which are low in fructose and other fodmaps, and by doing so gain some control over IBS symptoms.

Agave.

Agave has become popular as a 'healthy' alternative to sugar and has been promoted as 'natural' and low G.I. (1) alternative to sugar. It has long been used as a sweetener in South America where it is also used in the production of Tequila. However Agave syrup should be avoided on a low-fodmap diet due to it's very high fructose content.

'Most agave syrup has a higher fructose content than any commercial sweetener -- ranging from 55 to 97 percent, depending on the brand, which is FAR HIGHER than high fructose corn syrup (HFCS), which averages 55 percent.' (2)

Most Fodmappers would realise that high fructose corn syrup is to be avoided, but many people might not realise that fructose is harmful, whether you have IBS or not.

'Your body metabolizes fructose in a much different way than glucose. Fructose is broken down in your liver just like alcohol and produces many of the side effects of chronic alcohol use, right down to the "beer belly".' (2)

Aspartame

Aspartame, an artificial sweetener, is generally chosen by people wanting a low-calorie sweetener, but many fear it is carcinogenic. However, 'the US National Cancer Institute conducted a study of nearly half a million people, comparing those who consumed drinks containing aspartame with those who did not. Results of the 2006 study found that aspartame did not increase the risk of leukaemia, lymphoma or brain cancer.' (3)

But the reason that Aspartame might be included on a low-fodmap diet has nothing to do with whether it is carcinogenic or not, and everything to do with the fact that, unlike Agave, it is low-fodmap and therefore unlikely to trigger symptoms of IBS.

When you see Aspartame included on a list of low-fodmap foods, it isn't that it is recommended that you do include it, it's just that it would be preferable to high-fodmap sweeteners such as Agave.

Other low-calorie options such as Xylitol and Sorbitol are high-fodmap and best avoided for that reason.

Honey vs Sugar

While we're talking about sweeteners I think it's worth mentioning honey and sugar. I think it's fair to say that many of us would presume that honey is healthier than sugar. But from a fodmap perspective, honey should be avoided due to it being high-fodmap. Like Agave it is also high in fructose. Sugar, on the other hand is low-fodmap. Interestingly honey and sugar are listed on the current Monash App (4) but neither Aspartame or Agave are.

If you wish to avoid sugar - Stevia, maple syrup and rice syrup are suitable low-fodmap options.

So, what can we conclude from all this? It certainly throws some of our 'knowledge' of what is healthy and what is not into question. I think we have to remember that a low-fodmap diet is a way to address a specific medical condition. Just as we are used to the idea that many other health problems (such as diabetes, raised cholesterol, coeliac disease and obesity) benefit from certain dietary restrictions, so people with IBS can benefit from changes in what they eat. What is 'healthy' for one person, may not be for another.

But as for Aspartame, I have to say I'd rather go without. Even with evidence to the contrary I'd rather not risk my health, which means I'll probably continue to use sugar (in small amounts) despite the known health hazards! However, I won't be using Agave either.

And maybe that's the answer to this concern? If in doubt, leave it out.

'Til next time Fodmappers - Stay Fabulous. x

1. http://www.nhs.uk/chq/pages/1862.aspx?categoryid=51
2. http://www.huffingtonpost.com/dr-mercola/agave-this-sweetener-is-f_b_537936.html
3. http://www.nhs.uk/Livewell/Goodfood/Pages/the-truth-about-aspartame.aspx
4. http://www.med.monash.edu.au/cecs/gastro/fodmap/iphone-app.html

Can A Gluten Free Diet Help IBS?

And how is that different from a low-fodmap diet?

Hi again Fodmappers

I've noticed that there seems to be a lot of confusion surrounding gluten and whether going gluten-free can help reduce the symptoms of IBS, so that's what I want to talk about today. I also want to look at why you need to avoid wheat, barley and rye as part of a low-fodmap diet, and, finally, why some gluten-free products are not suitable for a low-fodmap diet. But first lets look at the difference between gluten and FODMAPs.

Gluten vs FODMAPs

Gluten is a protein (or more accurately a combination of two proteins) found in grains, particularly so in wheat but also in rye and barley, and it is this which gives dough it's stretchy quality. If you have bought flour for baking bread you will probably have bought a 'strong flour' as this type contains more gluten than the flour you might use for cakes or biscuits as bread making needs the elasticity that gluten provides. It's gluten that is a factor in coeliac disease.

Approximately 1 in 100 people in the U.K have coeliac disease. 'Coeliac disease is not a food allergy or intolerance, it is an autoimmune disease. In coeliac disease, eating gluten causes the lining of the small intestine to become damaged.' (1) People who have coeliac disease need to avoid ingesting even the smallest amount of gluten as to do so can cause further damage to the lining of the gut.

Fodmaps, on the other hand, are a group of carbohydrates found, not only in grains, but also in fruit, vegetables, nuts, pulses and dairy produce. 'Current research strongly suggests that this group of carbohydrates contributes to IBS...' (2)

IBS is much more common than coeliac disease, affecting between 1 in 4 and 1 in 10 people at any given time. (3) Though it is a chronic condition, it is a functional disorder. That is to say, the problem is in the way the gut functions, rather than in any damage to the gut itself.

Though wheat, barley and rye contain gluten they are also high-fodmap, and this seems to be where the confusion arises.

If you have IBS you may have discovered that you feel better if you eat gluten free products rather than wheat-based breads, biscuits, cakes, pastas and cereals. However, this is likely to be because, by choosing gluten free, you are also removing high-fodmap grains (such as wheat, rye and barley) from your diet.

A Gluten Free Caution

But if you have IBS, you do not need to avoid gluten, you need to avoid fodmaps. In fact fodmappers need to be careful when choosing 'gluten-free' as these products are designed for people with coeliac disease not IBS. Just because they are gluten-free doesn't mean they are necessarily low-fodmap. Remember fodmaps are found in more than just grains, and gluten-free products may also contain soya flour, apple fibre or inulin (from chicory) all of which are high-fodmap.

So the short answer to the question, 'can a gluten free diet help IBS?', is yes. But it has nothing to do with gluten. I hope that's cleared things up a bit?

'Til next time Fodmappers - Stay Fabulous. x

1. https://www.coeliac.org.uk/coeliac-disease/myths-about-coeliac-disease/
2. http://www.med.monash.edu/cecs/gastro/fodmap/
3. http://www.aboutibs.org/site/what-is-ibs/facts/

A Low-FODMAP Treat For Valentine's Day

Hi again Fodmappers. How's this for a Valentine's Day treat?

I have to confess this didn't start out as a Valentine's recipe, but this project just grew and grew and this is the finished result. I guess it just wanted to remind you to love your tummy. ;)

So here is my little Valentine's offering to you. It was great fun to do and the combination of flavours is something I know you're going to enjoy. And best of all, it's low-fodmap!!

Sweet Omelette Stack with Raspberry Coulis

You will need

2 eggs
A tsp of sugar (or more to taste)
10 Raspberries
Lemon Curd
Coconut oil (or oil of your choice)

Method

Whisk the eggs and add the sugar. Add the oil to your pan and cook the omelette over a medium heat. I cooked mine as several small omelettes to make them easier to turn, but that's entirely up to you.

Meanwhile, press 5 or 6 raspberries through a sieve to remove the seeds, keeping the remaining raspberries as a garnish.

Using a pastry cutter, cut the omelette into circles and stack, spreading lemon curd between each layer.

Pour the raspberry coulis over the stack and garnish with remaining raspberries to complete your work of heart.

Enjoy as a fantastic Valentine's treat to yourself. You know you deserve it.

7 Low FODMAP Breakfast Ideas

Hi again Fabulous Fodmappers - How are you? (I don't call you 'fabulous' enough, but I hope you know you are?)

I apologise for being a little late with this weeks post, I'm just getting over a sinus infection. Looking on the bright side I managed to avoid antibiotics which I'm happy about as I don't want to mess with my gut flora if I can avoid it. I think it just needed a little time and rest.

But I'm happy to say I'm feeling better now and back to my usual excited self. I can never quite express how much going low-FODMAP has changed my life for the better, but I know there are some of you who still find the whole thing daunting. (I did at first too). I also understand that if you're still quite poorly with your IBS, you probably don't want to spend hours searching the net for info. So I thought this week I'd just share some different low-FODMAP breakfast suggestions to inspire you.

As always, the suggestions here are vegetarian (because I am). If you wish to include meat in your low-FODMAP diet you can do as meat does not contain FODMAPs. Just be sure to avoid anything too fatty as that may trigger symptoms too.

7 Low-FODMAP Breakfast Ideas 

1. Porridge made with lactose-free milk and sweetened with banana, raspberries, blueberries or strawberries. (Any of these fruit are suitable but remember to keep to one portion with each meal to keep fructose levels low). I also like to add a little coconut oil and a sprinkle of cinnamon to mine. More info on bananas here.

2. Omelettes make a great protein packed breakfast and you can add tomatoes, spinach, courgette, spring onion greens, cheese and herbs to make it the way you like it.

3. Scrambled tofu on gluten free bread makes a nice breakfast which is not only low-FODMAP it is also suitable for vegans. But note, not all gluten free breads are low-FODMAP. Check the ingredients list to be sure the bread does not contain soya or apple.

4. Fancy something sweet in the morning? How about buckwheat pancakes with maple syrup? (For more on buckwheat click here). Again be sure to use a lactose free milk.

5. Make your own muesli. Shop bought muesli tends to contain wheat, dried fruit or whey powder which you want to avoid. So make your own from ingredients such as quinoa flakes, rice flakes, oats, nuts, seeds and dried banana chips. Yum!

6. Or what about cheese and tomatoes on gluten-free toast?

7. And finally, Rice Krispies! Ok that might not sound like the healthiest breakfast option but they are low-FODMAP (of course the lactose-free milk rule will apply) and I like to show you that low-FODMAP doesn't have to be complicated. I think it's also good to know there are easy options for children with IBS.

So there you have it, a different breakfast idea for every day of the week. And I didn't even include muffins. You might also like to check out the Chachouka recipe here. (Doesn't that make 9 suggestions in total?)

If you have any more ideas - please post them in the comments below. In the meantime, be nice and share this post on facebook, pinterest and google + using the icons below. Chances are that some of your friends also have IBS and don't like to talk about. A click from you could help them on the road to recovery. Many thanks - and stay fabulous!

Why Your Large Intestine is Big News

Hi Fodmappers - How are you doing? I just wondered if you spotted the articles on IBS in the news this last week?

The first was a piece in 'The Independent' which reported on a study into the role of prebiotics (note: not probiotics) in the treatment of anxiety and IBS. And the second was a feature on the low-FODMAP diet in the 'Daily Mail'.

If you've been following this blog a while, you'll know that I have written before about the issue of prebiotics and a low-FODMAP diet, but it's something which continues to interest me as prebiotics, often listed simply as FOS or GOS, are high FODMAP. (FOS is short for Fructo-oligosaccharide and GOS for Galacto-oligosaccharide and they are highly fermentable.)

This particular study compared FOS, GOS (specifically one referred to as B-GOS) and a placebo. The Independent reports that, volunteers in the B-GOS group "paid less attention to negative words, and more attention to positive ones, than those taking placebo." And that they "also had lower levels of the stress hormone cortisol in their saliva after three weeks on the prebiotic than they had at the beginning of the experiment." What's more "The effect of B-GOS on the attention task is similar to results found when healthy volunteers were given anti-anxiety or anti-depressant medication."

Impressive results, eh?

As many people with IBS also suffer with anxiety surely this raises the question of whether we should all be dashing out and stocking up on prebiotics despite the fact that they are high FODMAP.

Well before you do, I suggest you take a glance at the images on my earlier blog. There you'll see that the prebiotics added to the supplements you might find in your health store are FOS not GOS. And as the study discovered, "No effects were found after the administration of FOS."

So what does this mean?

Well it means that there's probably no benefit to be gained from the use of prebiotics - at least at the moment. (That's not to say that there's no benefit to be gained from taking a probiotic). And that the most effective means of managing the symptoms of IBS continues to be the low-FODMAP diet. Nevertheless I think this is going to be an interesting area to keep an eye on. I'll let you know if I spot anything further.

Which brings me to the article in the Daily Mail. This was, as you would expect, less academic and more celebrity focused, but it did include a couple of recipes and information on the Monash phone app, which is a really useful tool to have. I'm not sure it had anything new to tell us but it's always nice to see FODMAP getting a bit of coverage and it gets people talking. Thinking about it now, someone asked me a few questions last week about going low-FODMAP and I wonder if they might have seen this particular article. Having experienced the benefits myself, it's something I'm always happy to talk about, and as you know, I also love discovering new things to eat.

I'll be back soon with another yummy recipe for you. In the meantime please don't be shy about saying hello. I'd love to know how you're getting on with your low-FODMAP diet and the difference it's making to you.

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 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.

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.

Buckwheat - The Wheat You Can Eat

 

Don't panic Fodmappers! If you haven't already discovered Buckwheat I have a surprise in store for you. Buckwheat isn't wheat - which means you can eat it as part of a low-FODMAP diet.

Buckwheat is something which is called a 'pseudocereal' (1) because, though it isn't a grass (which wheat is) it can be used in much the same way as grains which are. Buckwheat flour can be made into bread, pastry or pancakes (though when making pancakes remember to use a lactose-free milk) or bought as pasta or noodles. The grains can be toasted and then cooked in twice the volume of water (one cup of grains to two cups or water) to make a nice and nutty change from rice. Alternatively they can be sprouted in just a few days and added to salads, breads or breakfast cereals.

Sprouting Buckwheat couldn't be easier. Of all the grains I've sprouted over the years, this is definitely one of the quickest to grow. I use the Bio-Snacky jar but you could also use an ordinary large jar and a piece of muslin. Simply put a couple of tablespoons of grains into the jar, rinse well, soak for about 30 mins and then strain. Rinse and strain twice daily until the grains develop little tails - which in warm weather might be as quickly as 2 days.

Alternatively you could just use a sieve, like this guy does here. Take it away chef!

If you're still not convinced you might be interested to know that Buckwheat is incredibly good for you! (2) It is high in zinc, copper, potassium and manganese and also high in protein. Protein can be a bit of a challenge for vegetarian and vegan fodmappers as many of the usual sources (such as lentils, chick peas, soya and tvp) are high-fodmap and therefore to be avoided. Buckwheat can replace some of the lost protein. It is also a good source of soluble fibre.

As you can see from the sneaky peek into my kitchen above, I've rather taken to Buckwheat. You might even notice that the label on the taller jar reads 'Buckwheat - Yum'. To be honest, unless it's toasted it doesn't have a strong taste at all, which means it will pretty much go with anything you fancy. Right now I fancy cake. I found this recipe on 'A Clean Bake'. Mmmm - Buckwheat cup-cakes. Got to try that.

'Til next time Fodmappers. 

1. http://en.wikipedia.org/wiki/Pseudocereal

2. http://nutritiondata.self.com/facts/cereal-grains-and-pasta/5681/2

Low-FODMAP Baked Potatoes

Hi again Fodmappers. Apologies about the quality of the photo but I just wanted to share another easy low-fodmap vegetarian recipe with you (sorry vegans, I promise to get some ideas on here for you soon). In fact, this is one of those meals which I tend to forget is low-fodmap! We love these, apart from anything they pretty much cook themselves, but they are also one of those lovely comforting foods for chilly evenings.The centres are nice and fluffy as, after about an hour in the oven, we scoop out the middles and mash them before adding a little cheddar cheese, lactose free milk and chives, and topping with a slice of tomato. We then return them to the oven until cooked.

I know it's yummy but, whatever you do, avoid the temptation to pile baked beans on top. Baked beans are high in FODMAPs and will undo all your good work.

I love the potato skins (and they don't cause me a problem) but many people do find they upset their tummies, so this is one of the cases where you have to really get to know your own body. That's one of the joys of going low-fodmap for me - everyone is different, and that's ok! You have probably also noticed that I'm a big fan of salad. Again you may find that it doesn't sit easily with you so be sensible. Stick to low-fodmap salad ingredients (that means avoiding spring onions, green peppers, coleslaw and certain salad dressings) and be generous with the herbs and seasoning. Herbs are a blessing to fodmappers and often great for the digestion. And let me know how you get on.

Until next time - happy eating!

'Easy Cheesey' Low-Fodmap Omelette

 

Hi again Fodmappers. I hope you're all doing well and enjoying the blog so far. Tonight I just want to post a little something to show you that low-fodmap cooking doesn't have to be complicated. Yes you do need to discover replacements for some of the things that have probably been part of your 'normal' diet for years - such as replacements for wheat! Actually I didn't realise how much wheat I was eating until I had to stop! Anyway, it's nice to sometimes recognise that some of those 'normal' foods are also low-fodmap. So, tonight's recipe is ... ta da .... an omelette.

I shan't write out a recipe on how to make an omelette as I'm sure you know the basics, but I think it's worth mentioning the ingredients. This is a vegetarian omelette (because I'm vegetarian) but you can adapt it to your preference of course. The main thing to remember is to stick to low-fodmap ingredients. Yes that might sound obvious but that means using the green part of spring onions instead of regular onions, sticking to red and yellow peppers rather than green ones, and using a hard cheese such as cheddar as the lactose in cheese reduces as it hardens. (1) You could also add tomatoes, spinach, chives or potatoes. (2)

So there you have it, a 'normal' and easy recipe idea that is also low-fodmap. You could even keep a slice for your lunch-box. ;)

1. http://cheese.about.com/od/cheesebasics/f/lactose_free.htm
2. http://fabulousfodmaps.blogspot.co.uk/p/yummy-low-fodmap-foods-to-enjoy.html

National Gut Awareness Week

Was it just me or did anyone else miss out on the news that it was National Gut Awareness Week last week? Ah well, better late than never. ;) Sadly this article doesn't say much about FODMAPs but there's still some useful tips here. See what you think.

National Gut Week 2014: How To Reduce Irritable Bowel Syndrome

The Huffington Post UK

Posted: 14/08/2014 15:56 BST Updated: 18/08/2014 17:59 BST

It's National Gut Awareness Week and it seems many of us could do with a lesson or two in how to look after our insides.

Irritable Bowel Syndrome (IBS) is Britain’s most common digestive complaint, affecting nearly a fifth of the population.

Despite the growing prevalence, the condition is extremely poorly managed: a recent survey of IBS sufferers revealed that over two thirds of sufferers have received no helpful advice from their GP regarding symptom relief and those affected try an average of five new products to relieve their symptoms each month.

Despite this, over 50% are still left battling the embarrassing and debilitating symptoms long-term.
Registered Nutritional Therapist and Chair of BANT (British Association for Applied Nutrition and Nutritional Therapy) Miguel Toribio-Mateas shares his tops tips to help reduce IBS safely and effectively:

De-stress
It is thought that IBS sufferers experience increased sensitivity to stress and anxiety, making it important to try to reduce the amount of stress in your life.

Regular exercise not only helps you to de-stress but also helps gas pass through the digestive tract more quickly, so you feel better faster.

Mindfulness-based stress reduction techniques have also been found to reduce the severity of symptoms.

Watch what you drink
Caffeine and alcohol are gastric irritants and act as triggers in some individuals, so are best avoided. Carbonated drinks may also contribute to bloating or cramping.

In contrast, drinking plenty of clear fluids (such as water and herbal teas) can help to ease digestion.

Try a ‘live’ probiotic
Studies have indicated that IBS patients experience a reduction in beneficial bacteria and higher concentration of pathogenic bacteria in the gut.

Newly published research suggests that a unique ‘live’ liquid bacteria known as Symprove can help re-address the balance, with study results demonstrating that all major IBS symptoms either improve or disappear completely in 60% of participants following 12 weeks of treatment; even in those for whom other probiotics and IBS treatments have failed.

Chew well
Be mindful of thorough and calm chewing; eating on-the-run or bolting food at your desk can often lead to compromised digestion.

Try putting your knife and fork down between bites and chewing with your mouth closed. This forces you to breathe through your nose, which relaxes and slows you down.

Give your digestive system a break
Large meals can place stress on the digestive system and trigger spasms in the gut. Some find it helpful to break them down into smaller, more frequent meals, whereas other IBS sufferers do better by leaving longer gaps between meals, and experience a reduction in symptoms by giving their system a break.

However, regularity tends to help the digestive system to operate in a steady fashion, particularly when symptoms are severe.

Avoid trigger foods
Management plans for IBS are highly individual, but symptoms are often improved by alterations in food intake. Lactose (milk sugar), fructose (fruit sugar) and sorbitol (an artificial sweetener) are common triggers in IBS patients.

In addition wheat, dairy, yeast, coffee, eggs, potatoes and onions can often cause problems.

Original Article can be found at http://www.huffingtonpost.co.uk/2014/08/14/national-gut-week-irritable-bowel-syndrome-ibs-tips_n_5678367.html

Chachouka

 

Hi there Fodmappers - Well as promised here's another yummy vegetarian low-fodmap recipe for you. My lovely man made this for our supper last night - aren't I the lucky one? It's adapted from a recipe in Hugh Fearnley-Whittingstall's book 'River Cottage Veg Every Day' where it is described as a 'spicy North African pepper and tomato stew' which makes a 'lovely, lazy supper'. It would also make a rather tasty breakfast!

The instructions below are pretty much true to the original recipe except with a few low-fodmap changes. Of course you can adjust the spices according to your preference. Personally I like a bit of spice - it makes up for all the things us fodmappers go without.

3 tablespoons garlic infused olive oil

1 teaspoon cumin seeds

The green part of some spring onions

1 red and 1 yellow pepper (seeded, cored and sliced)

Half teaspoon hot smoked paprika

A pinch of Saffron

Half carton of Passata

4 eggs

Salt and pepper 

Heat the oil in a large pan over a medium heat. Add cumin seeds and spring onion greens and fry until soft. Add the peppers and continue to cook over a medium heat until these have softened. Add paprika, saffron, passata and salt and pepper. Simmer for approx 15 minutes, stirring as needed. Meanwhile heat the oven to 180C/gas mark 4. After 15 minutes, transfer the contents of your pan into an ovenproof dish. Make 4 little indentations in the top of the mixture and crack an egg into each. Bake for 10 to 15 minutes.

Serve with some salad or wheat-free bread. Enjoy.

Prebiotics, FOS and a Low-FODMAP Diet

I was speaking to someone recently who told me her doctor had suggested a low-FODMAP diet and a probiotic - with the emphasis on her taking a probiotic which included a pre-biotic. This struck me as a bit of a contradiction, and hesitant as I was to dismiss her doctor's advice, I explained what I knew about prebiotics. But maybe we need to say a little about probiotics first? (Feel free to skip this bit if it's something you already understand).

Probiotics

Probiotics are supplements you will have come across I'm sure. They are sold in various forms such as capsules, powders, liquids and added to foods such as yogurts and yogurt drinks. They are often described as 'friendly bacteria' and advertised as a remedy for bloating. The aim of taking a probiotic is to rebalance the bacteria of the gut after a course of anti-biotics, for example, or where an excess of 'bad bacteria' has resulted in IBS type symptoms.

There seems to be general (if cautious) acceptance for the benefit of probiotics in helping manage IBS symptoms, such as this from NHS Choices;

"Probiotics may help reduce abdominal bloating and flatulence in some people with IBS, and they may help relieve pain and provide general relief. [...] however, we don't yet know the extent of the benefits, nor the most effective probiotic species and strain." (1)

Prebiotics

Prebiotics (FOS) are often included in probiotic supplements to provide a food source for these good guys, which seems reasonable, but it's possible they also feed the bad bacteria. As I found out, most of the studies into the benefits of prebiotics for gut health have been carried out on healthy people, not people with IBS.  In fact, Kevin Whelan of King's College, London reports that "in Crohn's disease and irritable bowel syndrome there is evidence that some prebiotics in high doses worsen functional symptoms." (2)

Well, as you can see in the photos below, the amount of prebiotics in supplements varies drastically. In fact I was surprised by just how much they vary. The first picture is of a bottle of probiotic capsules containing 100mg of FOS per capsule, whereas the  second picture is of a psyllium husk (fibre) supplement which contains 1620mg per serving. Quite a difference yet you might notice that the probiotic content of each is pretty similar.

 

FODMAPs

And here's that contradiction - the prebiotic Fructo-Oligosaccharides (FOS) are high FODMAP. Surely if you are reducing your FODMAP intake by limiting your diet to 'safe' foods, it doesn't make sense to add them back via prebiotic supplements, especially at the higher doses? Chances are that you are already getting sufficient prebiotics through everyday (low-FODMAP) foods anyway.

"If you are following a strict low–FODMAP diet, you can obtain prebiotics from non–FODMAP foods such as bananas, kale, chard, brown rice and oatmeal." (3)

Having discovered that I am sensitive to Fructo-oligosaccharides (including wheat, onions, garlic and cashews) I'm inclined to steer clear of probiotics which have added FOS altogether. Of course, if you can tolerate FOS (something you will discover from your low-FODMAP diet) then prebiotics probably aren't going to cause you problems either.

1. http://www.nhs.uk/Conditions/probiotics/Pages/Introduction.aspx#IBS 

2.  http://journals.cambridge.org/action/displayAbstract?fromPage=online&aid=8952695&fileId=S0029665113001262

3. http://www.totalhealthmagazine.com/articles/digestion/hidden-carbs-that-can-hurt-your-gut.html

Ripe or Not? IBS, Bananas and FODMAPs.

Anyone else confused about whether bananas should be ripe or unripe (or maybe inbetween) on a low-FODMAP diet? I must admit this has been fascinating me as I remember reading some years ago that bananas benefit some people with IBS while being problematic for others. Could this be why? But then when I started reading up on it I found the info out there was more than a little bit confusing! Well, I've done a bit of digging and I think I've got it. So here goes.

It seems to me (if I've understood it correctly) that the issue with bananas is not just limited to the fructose/glucose content but also to something called 'resistant starch'. As you may already know, the fructose/glucose content of a banana varies according to how ripe or unripe it is.

'At harvest, when bananas are green and unripe, the fruits are 20 percent starch and 1 percent sugar. As the bananas ripen over 21 to 28 days, the starch turns into several types of sugars. Sucrose forms first but remains at a constant amount as fructose and glucose content increases. A fully ripe banana, which is yellow with some brown spots, is 14 percent fructose, 20 percent glucose and 66 percent sucrose, note researchers from a study published in "Food Chemistry" in May 2005.' (1) So as the glucose content is higher than fructose a ripe banana is fine. As for the sucrose, Monash University explains 'Sucrose is a disaccharide (2 sugar units) made up of equal parts of glucose and fructose. Sucrose is broken down and absorbed efficiently in the small intestine.' (2) So Sucrose isn't an issue.

But as for the starch content ...

Unripe bananas are difficult to digest as they contain something called resistant starch. 'In many ways, resistant starch is similar to and behaves like fermentable fiber in the digestive tract.' (3) And as we know 'Fermentable' is not good. Resistant starches are categorised according to four groups. Unripe bananas are classified RS2 (resistant starch type 2). 'RS2 – Is intrinsically resistant to digestion before cooking. RS2 includes unripe bananas, uncooked potatoes, along with many other foods.' (ibid).

So there you have it - two reasons to opt for ripe bananas. Hope that clears things up a bit.

1. http://www.livestrong.com/article/520165-fructose-bananas/
2. http://www.med.monash.edu/cecs/gastro/fodmap/faq.html
3. http://digestivehealthinstitute.org/2013/05/10/resistant-starch-friend-or-foe/