R&M Dietetic
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Covers Research & Recipes in nutrition and Low FODMAP Diet. R&M Dietetic is a London-based dietetic service consisting of two fully qualified dietitians registered with the HCPC, Mel Rendall & Lee Martin. The main focus is on gastrointestinal health for both adults and children with special expertise on the low FODMAP diet.
R&M Dietetic
2y ago
Introduction:
In this article we will discuss nutrition in general and outline dietary interventions that focus on managing gastrointestinal (GI) symptoms in patients with Hypermobile Ehlers-Danlos syndromes (hEDS).
Importance of nutrition for health in general
Regardless of any individuals’ specific dietary restrictions or choices the diet should have a balance of macro and micro nutrients to provide nutritional balance. Certain dietary patterns limiting adequate amounts of certain foods may lead to nutrient shortfalls and over the course of a lifetime, deficiencies in one or more nutrients m ..read more
R&M Dietetic
2y ago
The best introductory videos for IBS & FODMAPs Irritable Bowel Syndrome
If like me sometimes you just want to watch an expert talk about all the things you want to learn more about rather than spending hours reading then watch this set of videos.
IBS is a complex condition and it is worth understanding these complexities in an effort to help manage the symptoms. This video provides an overview of the Pathophysiology of IBS and Common Functional Gastrointestinal Disorders (FGIDs). All done in just over 20 minutes! An amazing amount of information covered by Dr Lin Chang.
For more on the me ..read more
R&M Dietetic
2y ago
(Updated February 2021) by Lee Martin MSc RD
6 systematic reviews and meta analysis of the research evidence related to the Restriction Phase of the Low FODMAP Diet were completed between 2016 and 2018. Here we link to the research papers.
2016 Marsh et al Does a diet low in FODMAPs reduce symptoms associated with functional gastrointestinal disorders? A comprehensive systematic review and meta-analysis
Six RCTs and 16 non-randomized interventions were included in the analysis.
2017 Altobelli et al Low-FODMAP Diet Improves Irritable Bowel Syndrome Symptoms: A Meta-Analysis
The aim of thi ..read more
R&M Dietetic
2y ago
(Updated February 2021) by Lee Martin MSc RD
Prebiotics are non‐digestible selectively fermented dietary fibers, found in a range of plant based foods, that specifically promote the growth of one or more bacterial genera in the gastrointestinal tract and therefore provide a potential health benefit to the host. Thus it is important to have prebiotcs in the diet for this reason.
Due to their effect on the gut microbiota prebiotics may improve gastrointestinal symptoms. People with IBS and indeed people without gastrointestinal symptoms may take a prebiotic supplement in an attempt to impro ..read more
R&M Dietetic
2y ago
(Updated February 2021) by Lee Martin MSc RD
Probiotics can be a useful and effective treatment option and/or adjunct therapy for people with diagnosed IBS or functional gastrointestinal symptoms. It can however be a bit confusing knowing which probiotics have any research evidence behind them at which ones are just good marketing! Thankfully there are some very good websites, mainly designed for health professionals, which provide links to the researched probiotcs.
Starting with the Probiotic Database by Optibac; you can search the evidence for the specific probiotic strain you are inte ..read more
R&M Dietetic
2y ago
I work as a Dietitian in Gastroenterology and Neurogastroenterology at University College London Hospital, a specialist tertiary care hospital in central London. Neurogastroenterology is not only interested in the physiology and motility of the gut but also how the gut functions and in particular the interactions between the gut and the brain. The difference between the ‘gastro’ and ‘neurogastro’ patients we see often comes down the severity of the gastrointestinal symptoms they experience, their non-response to typical treatments and the complexities related to their other gastro and no ..read more
R&M Dietetic
2y ago
(Updated Jan 2021) by Lee Martin MSc RD
Is it time to take the ‘low’ out of FODMAPs?
The low FODMAP diet is an evidenced based dietary treatment for the symptom management of functional gastrointestinal disorders such as irritable bowel syndrome. As described below the diet is split into three parts. The completion of all three parts will provide the knowledge and empowerment to gain control of symptoms for the long term. So far so good but unfortunately as information on the diet has increased via media channels and the internet, parts two and three seem to have got lost. This can happen whe ..read more
R&M Dietetic
2y ago
Gastrointestinal complaints are extremely common in children, from mild bloating and discomfort to chronic constipation or diarrhoea, reflux and pain. The reasons behind these symptoms can be straightforward to diagnose and treat with dietary changes and sometimes with the use of medications. Most obvious to diagnose are symptoms which arise with a clear trigger, for example a child reacting to formula milk and not breast milk may have a cows milk protein allergy – or a child with constipation who drinks very little fluid could be mildly dehydrated. More severe conditions such as Crohn’s or co ..read more
R&M Dietetic
2y ago
(Updated 2019) by Lee Martin MSc RD
Believe it or not, not everyone who has IBS needs to follow the low FODMAP diet! The low FODMAP diet has been such a revelation in the treatment of IBS symptoms that one can forget there are actually many things you can do to help self-manage your IBS symptoms before trying the diet. The low FODMAP diet might have the most robust research data for its effectiveness in IBS but other more simple dietary interventions can also work.
A recent randomised controlled trial (OPEN ACCESS) found a diet low in FODMAPs reduces symptoms of irritable bowel syndrome as we ..read more
R&M Dietetic
2y ago
(Updated 2018) by Lee Martin MSc RD
Since I originally wrote this article in 2015 the 3 phases of the low FODMAP diet have gradually become more talked about. In particular the final third phase which is known as the ‘modified FODMAP diet’ or ‘adapted FODMAP diet phase’ has received a lot more interest. The final phase of the low FODMAP diet has also been described as the ‘FODMAP personalisation phase’. In fact the term ‘FODMAP personalisation’ is what we used in our recent evidenced based review of the low FODMAP diet in clinical practice. The review paper is open access and avai ..read more