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Fatigue
Published in Carolyn Torkelson, Catherine Marienau, Beyond Menopause, 2023
Carolyn Torkelson, Catherine Marienau
An elimination diet has multiple purposes: to identify hidden food allergens, to improve your body’s ability to detoxify and excrete substances that may be causing symptoms, and to support the function of your immune system. Every day, you are exposed to toxins in the environment, such as chemicals, pesticides, medications, food-borne toxins, and alcohol. Unhealthy gut bacteria sometimes also make toxins. As these toxins accumulate in your body over time, the demand on your liver to detoxify them becomes greater. If your diet doesn’t provide enough of the appropriate nutrients or your digestive system is not working properly, the liver can become overwhelmed. The result? Symptoms of chronic ill-health, including fatigue.
Gastrointestinal Disease
Published in Praveen S. Goday, Cassandra L. S. Walia, Pediatric Nutrition for Dietitians, 2022
Justine Turner, Sally Schwartz
Elimination diet education involves identification of food allergens and appropriate food substitutions to ensure nutrient adequacy, which may involve supplementing with elemental formulas and vitamin and minerals. Education on how to read food labels follows the same principles as food allergy elimination diets and is the foundation of educating families on eliminating foods (Chapter 15).
Nasal, bronchial, conjunctival, and food challenge techniques and epicutaneous immunotherapy of food allergy
Published in Richard F. Lockey, Dennis K. Ledford, Allergens and Allergen Immunotherapy, 2020
Mark W. Tenn, Matthew Rawls, Babak Aberumand, Anne K. Ellis
Food elimination diets, whereby one or a few specific suspected foods are removed from the diet for a span of 1–2 weeks, can be helpful in identifying the culprit food, but elimination diet does not confirm the diagnosis of FA [78]. Oral food challenges (OFCs), whereby the allergen is ingested in incremental doses over time, are the gold standard for diagnosing FA [75,79]. There are three types of OFCs: open, single-blind, and double-blind, placebo-controlled (DBPC) [75,77]. The choice of challenge depends on the clinical assessment and the likely level of bias in interpreting the results [77,80].
A general strategy for de novo immunotherapy design: the active treatment of food allergy
Published in Expert Review of Clinical Immunology, 2018
Stefania Arasi, Lucia Caminiti, Giuseppe Crisafulli, Giovanni Battista Pajno
The traditional approach to FA lies on the strict avoidance of the triggering food and keeping as rescue medications (including epinephrine, corticosteroids, and antihistamines) readily available in the event of an allergic reaction occurs [16,17]. However, an elimination diet represents often an unrealistic therapeutic option for several reasons. It is difficult and frustrating in patients with persistent FA, above all for those foods (such as CM and HE) that are pivotal in the common diet and, therefore, ubiquitous in store-bought foods, and in home and restaurant recipes [18]. Nothwithstanding, despite efforts to comply with this diet, accidental exposures leading to adverse reactions are frequent [19]. Allergens can be hidden in unsuspecting foods, labeling is often misleading, safe food can be contaminated when served with a dirty utensil, and cross-reacting allergens may be present in other alimentary sources [19].
Persistent symptoms in patients with Crohn’s disease in remission: An exploratory study on the role of diet
Published in Scandinavian Journal of Gastroenterology, 2018
Maren Jeanette Komperød, Christine Sommer, Tonje Mellin-Olsen, Per Ole Iversen, Arne Gustav Røseth, Jørgen Valeur
Patients received individual instructions, including suggestions for meals and recipes, from a clinical nutritionist throughout the elimination diet period. The elimination diet was based upon two different approaches previously recommended as treatments for patients with IBS. The first was a modified exclusion diet as used by Parker et al. [9]. They developed an elimination diet based on the most common food-items patients with IBS reported as symptoms triggers for example wheat, milk, and citrus fruits. The second was the low-FODMAP (low-fermentable oligosaccharides, disaccharides, monosaccharides and polyols) diet developed at Monash University [10]. This elimination diet excludes food-items high in short chain carbohydrates and sugar alcohols such as wheat, apples, pears, and products sweetened with polyols. Importantly, common food allergens such as eggs, tree nuts, and peanuts were also eliminated [11]. Fish, shell fish, and soya are considered major food allergens [11], but was allowed if no allergic hypersensitivity to these food-items was previously diagnosed. The foods allowed during the elimination diet is presented in Table 1.
Behavioral interventions for asthma self-management in South Asian populations: a systematic review
Published in Journal of Asthma, 2021
Charlotte Lee, Emma Alexander, Rachel Lee, Nneka Okorocha, Logan Manikam, Monica Lakhanpaul
One study (38) conducted in Pakistan involved 428 adults receiving an organization-wide intervention that included improved availability of context-sensitive guidelines and case management materials. Results from this study are yet to be released. Only one small study judged at severe risk (13) conducted an elimination diet based intervention. Significant improvements in IgE titers in 17 children were observed. However, there was no improvement for 25% of children observed and a negative difference in one child compared to the control group. One study (21) that used CBT found significant improvement in PEFR, asthma symptoms and Qol, compared with standard pharmacological treatment.