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The nutrition docs. Therapy for multi-intolerances (lactose, fructose, sorbitol) First broadcast: Monday,, 9:00 p.m.

Transcript

1 Therapy for multi-intolerance (lactose, fructose, sorbitol) First broadcast: Monday,, 9:00 p.m. The aim of the nutritional strategy is to calm the drm and to activate self-healing powers in order to be able to eat a balanced diet without symptoms in the long term. This takes place in two steps: Drmfsten (Schonphse, Krenzzeit): only a few, low-irritation foods are allowed. You should keep this phase for at least 4 weeks so that the drm can recover. Aufbuphse: Step by step, vegetables and other foods are reintroduced. Be sure to keep a nutrition log. Depending on the severity of the disease, it can take a few months to years for the conversion to be successful. The most important facts at a glance: Do not implement this special diet without a nutritionist! If important nutrient sources are lacking, there is a risk of malnutrition. In principle, a change in diet should always be discussed with a doctor or a nutritionist. Write a nutrition book as a help for self-assessment and in order to determine which newly introduced foods are tolerable. For the worst, use List 1. Only a few foods are allowed. List 2 applies to the build-up: It is based on the FODMAP diet. FODMAP is the English abbreviation for fermentable oligoscrides, discchrides, monoscrides and (nd) polyols. This refers to fast-fermenting carbohydrates such as those found in sweets, bread (especially wheat), dairy products, stone fruits or cabbage. The polyols (sugar alcohols) can be found in many industrially manufactured products as sweeteners or moisturizers. Skip gluten over it. Eat as naturally as possible! Avoid foods with artificial additives. No raw food in the evening: Slices, raw fruit or vegetables overwhelm the patient, especially late in the day. Kneel well when eating, because healthy digestion begins in the mouth. Drink enough: 2 liters of still water or herbal teas (fennel, kmille, birch leaves). Movement helps! During yog, walking or regular walks, the drm comes back into Tkt. Light book saws also stimulate blood circulation. Avoid stress and anger or establish ways of dealing with them. It is essential to incorporate relaxation exercises or meditation into everyday life. Digestive problems can be closely related to the psyche. Take care of your vitamins and minerals. Supplementary preparations can be used after consultation with a doctor or a nutritionist. As a support, you can try a drinking cure with blooms as well as Lktobzillen for the Drmflor. There are ready-made nutritional supplements in the pharmacy (quite expensive), or you can mix them yourself: each c. Stir ½ teaspoon of ground fleas, flax seeds plus 1 pinch of ground fennel seeds together with about ½ teaspoon of Lktobzillen (dosage depends on the preparation, your pharmacist will advise you) in 1 glass of water or chilled herbal tea. Drink 30 minutes before a meal (once a day).

2 List 1: Drmfsten for 4 weeks Suitable: Breakfast: gluten-free porridge with healthy fats or a gluten-free bread roll, e.g. E.g. with buckwheat midday and evening: potatoes or rice with healthy fats (e.g. linseed oil, hemp oil, walnut oil do not heat the mentioned ones !, olive oil) and the best steamed fish at the 10th day can be vegetable soups (with potatoes plus mngold Fish (e.g. lch, herring, mkrele), later occasionally poultry. Unsuitable: all fruits, dried fruits such as B. raisins and figs, fruit juices, all products us fruit, jam, fruit compote, red groats Vegetable with a fructose powdered over 800 mg / 100 g, z. B. Artichokes, aubergines, pumpkins, spring onions, carrots, pprik, red cabbage, white cabbage, soy products, dairy products, honey, husk sugar, all sweet foods, diet and diabetes products (including low-calorie candies and chewing gums), fruit tea, soft drinks, wine, sparkling wine After the 4 weeks: uch Continued low-irritation diet: no fruit (except avocdo, Ppy), no slt, no raw vegetables, especially not bends, foods from list 2 that are not recommended continue to strictly avoid cooking fresh, avoid finished products! In addition, import non-bloating vegetables with a fructose less than 800 mg / 100 g Vegetables are important for a good supply of nutrients: Chink cabbage Endive lamb's lamb cucumber Mngold okra pods Smoke rasp Radish Schwurzurzel Spint sprouts (Alflf, Bmbus, cress) Zucchini (protein source lngsm more meat) Chicken, turkey, rarely beef) Try out lactose-free dairy products step by step

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4 nuts and seeds (including onions or garlic), high-fat meat, pork, powdered and deep-fried meat, ketchup, seasoning with garlic and onion powder; hot spices such as chilli, curry, cyenne pepper, hot pink pepper; Be careful with ready-made chutneys, ready-made sauces, ready-made soups and high-fat dressings Eggs, eggs Hard-boiled eggs, fat

5 dairy products **), cheese, soy milk, coconut milk; low-fat, unsweetened lactose-free milk and milk products such as B. Buttermilk, Yogurt, Qurk, Cottage Cheese, and Cream Cheese; Sliced ​​cheese up to 45% fat i. Tr., Fet; Hard cheeses such as Prmesn, lter Goud egg dishes; High-lactose milk and dairy products such as B. Buttermilk, Yogurt, Qurk, Cream Cheese, Cottage Cheese, Mscrpone; Cream cheese> 45% fat i. Tr. Pudding, fruit yoghurt / -qurk, sweetened rice pudding *) Production under exclusion of oxygen, heat and light (Oxygurd / omeg-sfe). **) Watch out for sugar grains / fillers and avoid the following: Agve syrup, fruit juice concentrate, fructose, glucose-fructose syrup, honey, high-fructose corn syrup, isoglucose, invert sugar syrup, miss syrup, artificial sweeteners such as sorbitol (E420), polysorbents (E432 E436), Sorbitol Compounds E491 E495, Xylitol (E967), Mnnit (E421), Mltit (E965), Isomlt