Elimination Diet
What is it?
- An eating plan that omits a food or group of foods believed to cause an adverse food reaction, often referred to as a “food intolerance”
- By removing certain foods for a period of time and then reintroducing them during a “challenge” period, you can learn which foods are causing/worsening symptoms
- Most often, the foods you eat most often/struggle to give up are the foods you should try to avoid consuming
Top 10 FOODs that can contribute to inflammation include:
- Gluten
- Dairy
- Eggs
- Sugar
- Corn
- Soy
- Citrus
- Caffeine
- Peanuts
- Omega 6 Fats
Elimination Diet Process
1. Prepare Yourself
- Determine if this is a good time to undertake a major diet modification
- 2-4 wks is the timeframe you must commit to
- If you accidentally eat one of the foods, you will have to restart the diet
- Work with a healthcare practitioner to learn which foods might be causing problems
- Keep a food tracker for a week, listing the foods you eat and keeping track of the symptoms you have throughout the day
*A complimentary food and symptom tracker is available for PHS Canada members
2. Take Action
- Begin the elimination diet and follow it without any exceptions
- Check ingredient labels so if, for example, you are avoiding dairy, you don’t eat anything with whey, casein or lactose in it
- Eating out is not recommended unless the restaurant can provide you with a full ingredient list
3. Challenge
- If your symptoms have not improved in 2 wks, continue the diet for an additional 2 wks
- If your symptoms have not improved by the end of 4 wks, stop the diet and decide whether you would like to try the diet with a different combination of foods
- If your symptoms have improved for at least 5 days, begin to challenge your body with the eliminated foods, one food at a time
- Use the purest form of the food available
- Add a new food back in every 3 days to ensure your symptoms have time to return if they are going to
- Eat a small amount on day 1 of re-introduction, twice the amount on day 2, and an even larger portion on day 3, as some foods may be tolerated in small amounts
- If a symptom returns, remove the food from the diet, make a note in the food tracker and place that food on the “allergic” list
- If you are unsure if you reacted to a food, remove it from your diet and re-test it in 4-5 days
- If a food does not cause symptoms, it is unlikely to be a problem food and can eventually be added back into your diet once you’ve completed the food challenges
Elimination Diet Calendar
4. Prepare your New Diet
- Be sure you are getting adequate nutrition
- Include some foods you are reactive to on an infrequent/rotational basis
- Use a dietitian/certified nutritionist to help you create your plan