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Health & Nutrition

IBD Dietary Interventions

Objectives: Provide nutrients, reduce inflammation, improve GI microbiome

Suggestions: Nutrient-dense foods that digest early in the digestive system are not inflammatory and allow less frequent eating by controlling insulin production. Fish (any kind including small fish like sardines, herring), bone broth, well-cooked meats/nonstarchy vegetables, eggs, butter, cheese – real food with no additives & preservatives, pref. Homemade, so know what goes in. It is better if grass-fed meat & wild-caught fish are less inflammatory & higher in nutrients.

– Check for vitamins B12, D, iron, and Mg deficiencies, should be good if eat above food

– Avoid inflammatory seed/vegetable oils (processed, high omega 6 ( linoleic acid) to 3 ratios), sweeteners (saccharin & sucralose associated with IBD and they can be in many sugar-free products), sugar, refined carbs & starchy vegetables, grains/gluten, soy (dietary isoflavone (soy) associated with UC), most package foods, high lectin food (e.g., kidney beans, soybean, wheat).

Cook nightshade family (tomatoes, potatoes, bell peppers, eggplants) – cooking (quick high heat) can reduce lectins.

– Avoid antibiotics if possible, try to replace gut microbiome by eating fermented food and yogurt made from whole milk and yogurt cultures only or, better, homemade yogurt.

– Sleep quality and quantity are very important

– Sun exposure for vitamin D and other benefits

– Avoid/reduce all stress physical, dietary, environmental and psychological

Diet plans to consider – personalize based on what works for you:

– GAP diet from Dr. Natasha Campbell-McBride, explained in her book, “Gut and Psychology Syndrome (GAPS)”https://health.usnews.com/wellness/food/articles/gaps-diet-stages-and-common-mistakes

– SCD (Selective Carbohydrate Diet) – info online, also book: Breaking the Vicious Cycle

AIP, Paleo Autoimmune Protocol, Paleo-type diet, which removes grains, legumes, refined seed oils, and refined sugar

– Ketogenic diet (with mostly cooked vegetables, well-cooked meats)

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 References:

https://pubmed.ncbi.nlm.nih.gov/23902788/

Conclusions: Ecological data indicate an increase in meat intake in Asian countries; however, our pooled analysis did not provide evidence of a higher risk of mortality for total meat intake and provided evidence of an inverse association with red meat, poultry, and fish/seafood. Red meat intake was inversely associated with men’s CVD mortality and cancer mortality in women in Asian countries.

https://www.gastrojournal.org/article/S0016-5085(19)41303-6/fulltext

Colectomy is one of the most frequently performed procedures in the United States, with a cost of $6.7 billion annually. (I couldn’t believe this “elective” may be a good term, for it should really not happen at this rate!!)

https://www.ncbi.nlm.nih.gov/pubmed/27097307

This meta-analysis suggested a lack of association between fat intake and UC risk …

https://www.ncbi.nlm.nih.gov/pubmed/27776925

This meta-analysis suggested a lack of association between dietary carbohydrate or protein intake and UC risk, except for the subtype of sucrose (sugar), which played a significant role in the development of UC.

https://www.ncbi.nlm.nih.gov/pubmed/25314032

Dietary isoflavone consumption may be associated with an increased risk of UC, particularly in females. Prospective cohort studies are warranted to confirm these findings.

Isoflavones are produced almost exclusively by the family members of the Fabaceae (i.e., Leguminosae or bean). Soy and soybean are the primary sources in our diet – supplements for menopause.

https://www.ncbi.nlm.nih.gov/pubmed/29245319

In conclusion, high consumption of soft drinks increases the risk of UC

https://www.seattlechildrens.org/media/press-releases/novel-diet-shows-promise-in-treating-children-with-crohn-s-disease-and-ulcerative-colitis/

During the study at Seattle Children’s Hospital, pediatric patients with either Crohn’s disease or ulcerative colitis were put on a diet called the specific carbohydrate diet for 12 weeks as the sole medical intervention. The diet removes grains, processed foods and sugars (except for honey), and much dairy. It promotes vegetables, fruits, meats, and nuts. After 12 weeks, the diet alone was shown to bring pediatric patients with active Crohn’s and ulcerative colitis into clinical remission in eight out of 10 patients who finished the study.

https://academic.oup.com/ibdjournal/article/24/5/1005/4939054

Conclusions: Splenda promoted gut Proteobacteria, dysbiosis, and biochemical MPO reactivity in a spontaneous model of (Bacteroidetes-rich) ileal CD. Our results indicate that although Splenda may promote parallel microbiome alterations in CD-prone and healthy hosts, this did not result in elevated MPO levels in healthy mice, only CD-prone mice. The consumption of sucralose/maltodextrin-containing foods might exacerbate MPO intestinal reactivity only in individuals with a pro-inflammatory predisposition, such as CD

Many studies on the uptrend of IBD and Western lifestyle and diet are associated with developing countries’ IBD rates. This trend is similar for other metabolic diseases such as diabetes, fatty liver disease and heart deceases, even cancers, brain, and mental disorders:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7026709/

The global, regional, and national burden of inflammatory bowel disease in 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017

This study is for diabetes, but #IBD occurs in diabetic and people with other metabolic diseases more often:

https://pubmed.ncbi.nlm.nih.gov/32193200/

Conclusions: In a community-based cohort of type 2 diabetes, the LCHF diet was associated with superior A1C reduction, greater weight loss, and significantly more patients discontinuing or reducing antihyperglycemic therapies suggesting that the LCHF diet may be a metabolically favorable option in the dietary management of type 2 diabetes.

https://thepostmillennial.com/eat-meat-to-save-the-world

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