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Low‑FODMAP Diet in 3 Steps: Safe Foods, Re‑Challenge Protocol & IBS Symptom Tracker

Cutting high‑FODMAP foods for just four weeks can reduce IBS bloating by 50 %—here’s exactly what to eat, avoid and reintroduce.

Low‑FODMAP Diet in 3 Steps: Safe Foods, Re‑Challenge Protocol & IBS Symptom Tracker

Hook

**70 % of IBS sufferers report ≥ 50 % symptom relief after a structured low‑FODMAP trial (Gut 2024).**

TL;DR

- FODMAP = fermentable oligo‑, di‑, mono‑saccharides & polyols - 3‑phase plan: **Elimination 2‑6 wk → Re‑challenge 6 wk → Personalisation** - Safe staples: rice, oats, lactose‑free dairy, eggs, spinach - Track stool, pain & bloat daily to pinpoint triggers

What are FODMAPs?

Short‑chain carbs poorly absorbed in the small intestine; rapidly fermented by gut bacteria → gas, distension and pain in sensitive people.

The 3‑phase protocol

1. **Elimination**: max 3 g FODMAP/day (Monash list) 2‑6 wk. 2. **Re‑challenge**: test one group/week (fructans, lactose, polyols…). 3. **Personalisation**: build long‑term diet with tolerated foods only.

Low‑FODMAP safe list (per serve)

- Proteins: eggs, tofu, tempeh, chicken, fish - Carbs: rice, oats, corn tortillas, sourdough spelt (1 slice) - Fruit/veg: strawberries (10), kiwi (2), carrots, spinach, zucchini (½ cup) - Dairy: lactose‑free milk/yogurt, hard cheeses

High‑FODMAP foods to limit

- Wheat pasta & bread (fructans) - Garlic, onion, leek (fructans) → use infused oil instead - Milk, soft cheese (lactose) - Apples, pears (excess fructose) - Cauliflower, mushrooms (polyols)

1‑day low‑FODMAP menu (~75 g protein)

• **Breakfast**: Overnight oats with lactose‑free milk, chia, strawberries • **Lunch**: Grilled chicken & quinoa salad (spinach, grated carrot, ginger‑lime dressing) • **Snack**: Rice‑cakes + peanut butter • **Dinner**: Baked salmon, roasted pumpkin, steamed zucchini

Pro tips

- Keep garlic‑infused olive oil for flavour without fructans. - Portion size matters: ½ cup sweet potato is low, 1 cup is high. - Combine low‑FODMAP fibre (chia, flax) to maintain gut motility.

Myth vs fact

| Myth | Fact | |------|------| | “Low‑FODMAP is forever.” | It’s a short diagnostic diet; diversity returns in phase 3. | “Gluten‑free = low‑FODMAP.” | Many GF breads use chickpea flour (GOS). | “All dairy is out.” | Lactose‑free or hard cheese is fine.

Take‑home message

Follow the elimination strictly, reintroduce one group at a time, track symptoms—and you’ll build a personalised, gut‑friendly diet without unnecessary restrictions.

References

1. Halmos EP et al. *Gut* 2024. 2. Monash University FODMAP Diet App 2025. 3. Staudacher HM. *Lancet Gastro Hepatol* 2023.