What a glorious way to start the day with a yoghurt and oat based creamy breakfast – this recipe contains ground flaxseed to add lots of soluble fibre to your breakfast, a real treat for sluggish bowels! Skyr yoghurt contains lactose – if you are lactose intolerant and are concerned about yoghurt add lactase liquid to the yoghurt. The dose recommended is 5 drops per pint – 4 drops to convert a large pot of yoghurt (450g) for the Biocare liquid lactase product, it does contain glycerol, which is a polyol, but lactase enzymes should be included after the re-introduction phase of the fodmap diet and you will be aware of whether you need to exclude polyols, although lactase drops are used in very small amounts, usually. Another product available appears to be Colief but this is marketed as infant colic drops at a slightly higher price for 15ml with very similar ingredients. These were the only two brands available when I searched for UK products, do let me know if you use others. It is probably better to treat milk/yoghurt with lactase prior to drinking or using it in recipes, as this forgoes the complex vagaries of digestion – I would suggest digestion is certainly more complex with IBS – the effects other food components in the digestive tract or in recipes may reduce the effectiveness of the lactase. This prepared yogurt needs to be left for twenty four hours in the fridge for the lactase to take effect. However some people with lactose intolerance can manage yoghurt, as the manufacture means a lower level of lactose in yoghurt – go with what you tolerate, once you have completed your fodmap re-introductions you should know how much you can have without symptoms. The yoghurt can then be used to make up the bircher, this is usually left overnight.
Ingredients
200g of low fat low sugar Skyr or thick textured yoghurt
50 mls fluid
1 heaped tablespoon of ground flaxseed
1 teaspoon of lime curd (check labels for any fructose based syrups and avoid)
20g of pecan nuts
1 heaped tablespoon of oats
13g of dried blueberries or 80g of fresh.
Method
Add the flaxseed to 50ml of water, mix well.
Then add the yoghurt, oats, blueberries and lime curd to the mix.
Prepare this recipe the night before and it will be ready for you to eat the next day! Add the chopped pecans just prior to serving to retain the texture. Yum!
Drink a glass of fluid or cup of tea with this for additional fluid to help the flaxseed move through your bowel.
All ingredients for this dish were purchased.
Clinical Alimentary 
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