Practical tips for FODMAP Reintroduction

REINTRODUCTION IMAGE

Dr. Jane Varney - Research Dietitian, 06 January 2020

If you’ve tried a low FODMAP diet for 2-6 weeks and found your IBS symptoms improved, it is time to move onto Step 2 - FODMAP Reintroduction. 

The aim of Step 2 is to identify which FODMAPs you tolerate and which trigger your IBS symptoms. As always, we cannot emphasise enough the importance of consulting with a Monash FODMAP Trained Dietitian who will help you through all 3 steps of the FODMAP diet. 

Here are top tips to help you complete FODMAP Reintroduction: 

  • Wait until your symptoms are well controlled before beginning each challenge
  • Remain on your Step 1 low FODMAP diet while completing each challenge
  • Use the Diary in the Monash FODMAP App to identify challenge foods and doses. 
  • Challenge each FODMAP separately because tolerance to each may vary
  • Complete challenges one at a time, and at approximately the same time each day
  • Complete each challenge over a 3 day period

For example, you could break each reintroduction up in the following way, or as instructed by your dietitian:

  1. On Day 1, include the challenge food in a moderate (amber) serve 
  2. On Day 2, include the challenge food in a high (red) serving
  3. On Day 3, include the challenge food in a higher red serve or your usual serving

Tips for recording and interpreting your food challenge responses during reintroduction:

  • Record challenge foods eaten and symptom responses in a paper diary or the diary in the Monash FODMAP App
  • Talk to a Monash FODMAP Trained Dietitian to understand your challenge responses (find one here)
  • Take a 2-3 day break between challenges, or until symptoms settle. In this time, return to a low FODMAP diet. 
  • Expect the entire reintroduction process takes around 6-8 weeks to complete.

Have any more questions about Step 2 Reintroduction? Get in touch on FACEBOOK, Instagram or via email 

See this blog for tips on using the app for reintroduction

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