An Apple A Day May Not Keep Bloat Away

Ladies and gentlemen, children of all ages (nope, not talking about the circus) all have unpleasant changes in their bowel movements bloating or gassiness from time to time. For some, these GI symptoms are a daily struggle. I’ve had clients who have dabbled in lactose free or gluten free with little improvement. A couple of years ago, I learned of the Low FODMAP diet. FODMAP stands for Fermentable Oligo-, Di- and Mono-saccharides, and Polyols. God bless the acronym.

The science: high FODMAP foods are poorly absorbed in the small intestine which leads to bacterial fermentation in the colon and then bloating, pain and gas in susceptible individuals. So what foods are these? Fruits such as apples and pears, many vegetables including onions, garlic, asparagus, wheat (because of it’s fructan content not the gluten), most artificial sweeteners and legumes.

It’s generally suggested to first eliminate all high FODMAP foods and then be sure to keep total FODMAP content in your diet low. There’s a threshold effect so a little bit may be fine but in combination…. watch out. A recent Wall Street Journal article talked about the low FODMAP concept, which originated in Australia, gaining support in the US.  The results from the studies done are impressive with figures around 75 to 80 percent of participant’s symptoms improving. I have introduced the FODMAP system to many clients but have a nutrition colleague, Gina Casagrande aka The Candid RD, who is not only a fantastic supermarket nutritionist but also a low FODMAP follower herself.  Gina’s blog has been one of my favorites since I started this one.

Who should try the FODMAP system? 

I think anyone who feels like they are constantly bloated, gassy, or who has chronic constipation and diarrhea (on and off). However, I wouldn't suggest anyone doing it without a dietitian to guide them, as it's easy to fall short in certain nutrients if you aren't careful (so many vegetables and fruits aren't allowed!).

How long until you felt it was "working"? 

Honestly, within a couple days.  Prior to starting the diet, I was eating garlic and apples every single day. These are two foods that give me my worst symptoms, so when I took them out of my diet I felt amazing (as in, I didn't have gas and bloating).

I'll admit I hadn't heard of FODMAPS until the last couple of years, why do you think it’s gaining ground (WSJ article etc.)? 

Because it works.  More and more people are trying it out of desperation and realizing that it's helpful.  More research is being done too, which means more widespread knowledge and education.

Is this something you have to do 100%? Do you ever cheat? 

Oh yes, I cheat, but only if the food or drink is worth the pain. Actually I've found that certain "bad foods"  (like beans) that don't cause me a lot of problems unless I eat a lot of them.  Then there are foods (like garlic) where if I eat just one bite I have a problem.  I have been doing this diet for three years now, so I sort of know my limits.

What food(s) do you miss the most?

 I miss apples, a lot.  I miss garlic and onion too, but mainly because it's difficult to cook without those. 

What resources you'd suggest?

 I encourage anyone to get in contact with me if they have questions. Also the booklet from the Monash University in Australia (where most of the research has been done) has been a lifesaver for me.


Thanks Gina, this is not an easy protocol to follow because there are items in each food group to avoid. On the other hand, if it's a way to figure out triggers for pain and discomfort it's well worth it.Have you heard of FODMAPS before? Do you know anyone who has tried this approach? And because we’re “going there” what are your GI issues?

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Better Bread: Why Sprouted Matters

Lisa has a bit more time on her hands with a class-free summer (I should say school-free, she’s pretty classy). She can now contemplate important topics like the perfect (healthy) summer cocktail and today’s query “to sprout or not to sprout”. Thanks for this Lisa.

You don’t have to be a nutritionist to conclude that spouted grains sound healthier than bleached, processed or refined grains. Not only do sprouted grains sound healthier, they really are.

A little background

To make white bread part of the wheat kernel (the nutritious part) is removed and the remaining portion milled into flour. Whole-wheat bread is slightly better, the germ (actually loaded with vitamins despite its name) and the bran are used when making the flour. For sprouted grain bread the kernels are sprouted and then this is used for the breads.

Nutritional benefits

Sprouted grains are higher in nutrients than their unsprouted counterparts. Sprouted wheat contains four times the amount of niacin and nearly twice the amount of vitamin B6 and folate. The process of sprouting also leads to a product that is easier to digest. Sprouting is not new, I learned from the Bobs  Red Mill site it dates back to the 2^nd century BC and the Essenes (a Jewish monastic group).

Since sprouted grains products are such a departure from their refined and processed counterparts, they are often referred to as “live food”. Certain varieties have been deemed acceptable by many raw foodists. In my opinion, one of the key benefits of sprouted grain products is that they are higher in protein than other breads. The reason their protein content is higher is because some carbohydrates (from the wheat kernel) are lost in the process of sprouting.

Buying sprouted grain bread

If you haven’t noticed spouted grain products in your grocery store, it’s because you likely haven’t looked for bread or English muffins in the freezer section. Since sprouted grain products are “alive” they are best kept in the freezer or the refrigerator, which is why you won’t find them in the doughy bread aisle alongside those ick white hot dog buns.

My favorite sprouted grain breads are Food for Life Ezekiel 4:9 , Shiloh Farms Sprouted 7 Grain bread and French Meadow sprouted 16 grain and seed bread. 

Sprout yourself

I’ll be honest I don’t see myself taking up sprouting any time soon but if you’re dying to sprout your own grains, click here for simple instructions. Report back to let us know how it goes, and how you enjoyed your living food!  

Do you eat any sprouted food? Are you familiar with Ezekiel, Shiloh Farms or French Meadow? Does sprouting intrigue you or scare you?