I am a state registered dietitian and diet advisor to The IBS Network, the UK charity for people with irritable bowel syndrome. My speciality is dietary treatment of gut disorders such as irritable bowel syndrome, crohns disease, ulcerative colitis, coeliac disease, lactose & fructose malabsorption and complex food intolerances. It is really important for people who have a food allergy or intolerance to have access to suitable food that is nutritious and safe to eat and my aim in this blog is to provide information and recipes to help people to achieve a healthy safe free from diet. I have had lots of experience in other areas of dietetics and I also wished to start this blog to spread the word about evidence based dietary treatments and dispel much of the poor advice that is common in nutrition.
I am a UK Registered Dietitian with the Health & Care Professions Council and a member of the British Dietetic Association. As such I pledge to blog with integrity and abide by the standards of professional conduct to which I am bound and will not provide false or misleading information. All information found on this site and referred to in social media is independent and 100% my own opinion. I will always disclose if I have a professional or financial relationship that could appear to influence the content of a blog post. These disclosures will appear at the end of each relevant post. In particular:
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Does the LOFFLEX diet work for Crohns?
We have evidence that LOFFLEX does work to maintain remission in Crohn’s after people have been following a liquid (elemental or polymeric) diet, gastroenterologists usually refer people to the dietitian and the liquid diet is usually more effective for people with Crohn’s disease in the terminal small bowel. You would need to be referred to a dietitian to get advice regarding this diet should you need to, as it can be challenging to follow and very occasionally people do react to foods on the exclusion phase of the LOFFLEX diet. Therefore keeping in touch with the dietitian is crucial to its success. Occasionally gastroenterologists prefer to use medication as treatment, but medication does come with side effects. I would advise anyone who is interested in this diet to discuss it with their gastroenterologist.
The diet was developed after a survey of 80 patients with Crohn’s were asked which foods they mainly reacted to, but as each person can have individual tolerances, an experienced dietitian is needed to assess whether the exclusion part is appropriate or needs modifying. Out of 76 treatments, 48% of patients chose to try the LOFFLEX diet and after 24 months the proportion of people in remission was 56% with LOFFLEX compared with 59% with the elimination diet (this is more restrictive and takes longer to do.) 12% immediately relapsed but these were patients that were later found to have strictures (or narrowing of the bowel.) LOFFLEX is therefore as effective as the elimination diet in maintaining remission. If you wish to read more, then the reference is:
Woolner J.T., Parker T.J., Kirby G.A. and Hunter J.O. (1998) The development and evaluation of a diet for maintaining remission in Crohn’s disease Journal of Human Nutrition and Dietetics 11, 1-11
Hope this helps – if you need more information please reply
Have a good weekend
Jules, just a lovely ‘thank you’ from Learning from Dogs for signing up to follow the ramblings!
No problem – love your picture, I like Alsatian dogs!
What kind of diet to you recommend for people with an internal J-Pouch? (ileo-anal anastomosis)
Sorry I haven’t responded sooner, this is very individual advice and depends on how much surgery has been done, what amount of bowel remains and how long ago the surgery was done. More foods will be tolerated when healing has taken place. Tolerance to different foods varies from person to person and it is important to have a good variety of foods and fluids. The best advice is for the person to seek a referral to a dietitian via their surgeon or GP particularly if experiencing problems, losing weight or have a very restrictive diet as the dietitian will be able to look at the medical history and provide individual tailored guidance. Sorry I can’t be specific here, but individual advice is the best option.
You can always try St Marks Hospital (google it!) who have very good patient information leaflets if you wanted to read around the subject!
Ok, thanks for the link! I’ll check it out and pass on the information.