fructose intolerance/malabsorption

Posted by mkenn @mkenn, Jul 5, 2016

Is anyone taking a particular enzyme which allows your system to break down carbs and sugars?

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Profile picture for repo1od @repo1od

Thank you for your response. Could you share the names of the digestive enzymes you take?

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From a recent article in "Today's Dietician, a publication specifically for people working in the field comes this extract:
"FODMAPs are a class of carbohydrates that are poorly absorbed in the small intestine and highly fermentable in the large intestine. There are five categories of FODMAPs: lactose, fructose, fructans, galacto-oligosaccharides (GOS), and polyols.24 ...

Xylose isomerase, fructan hydrolase, and inulinase, which are used in industrial syrup production, also may have applications for symptom management in IBS.25,26 A , double-blinded, placebo-controlled study found that supplementation with 43 mg of xylose isomerase significantly reduced breath hydrogen excretion, abdominal pain, and nausea when administered with 25 g of fructose in individuals with fructose malabsorption, which was diagnosed based on breath testing. There was no significant impact on bloating.25 While this study included only individuals with positive fructose breath tests, research suggests that patients with IBS respond positively to a low-fructose diet independent of fructose breath test results.27 Xylose isomerase, therefore, may have applications for aiding fructose breakdown in a broader population of patients with IBS, though more research is needed to explore its potential benefits in IBS patients."
https://www.todaysdietitian.com/newarchives/0224p20.shtml
Perhaps you can take article about enzymes - specifically Xylose isomerase, to you provider, and see if it is a possibility for you - it will probably depend on your symptoms and the severity.

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Profile picture for CL @lelia

I'd like to start a discussion on fructose malabsorption, how to control it, what to eat and not eat, etc. . Is anybody interested?

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I am very sensitive to FODMAPs and much more. For carb issues, like fructose, I take Intoleran's Fructase enzyme supplement (I actually take all of their supps, I am so sensitive).

Check out intoleran.com

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Profile picture for repo1od @repo1od

I was hoping there was a medication specifically for fructose malabsorption but that doesn't seem to be the case.
Any diet suggestions?

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Fructans and some, if not all fructosecare my nemesis. Look at labels carefully!! And do jot substitute artificial anything.

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Profile picture for CL @lelia

I'd like to start a discussion on fructose malabsorption, how to control it, what to eat and not eat, etc. . Is anybody interested?

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I not only have malabsorption to fructose, but tomatoes, onion, garlic, and gluten. It’s a struggle to find things to eat. It seems like I’m eating the same things just to be safe. IBS caused by nerve damage to celiac plexus nerves caused by Mesenteric Artery Ligament Syndrome.

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Profile picture for CL @lelia

I'd like to start a discussion on fructose malabsorption, how to control it, what to eat and not eat, etc. . Is anybody interested?

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That sure sounds like a FODMAP issue to me. Just eat what works for you. That is what I do and I tell friends and family "I can only eat 15 things." Try the Monash University FODMAP app. It is a godsend that researches food on its FODMAP level. Very worth it.

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Profile picture for lasirvent @lasirvent

I not only have malabsorption to fructose, but tomatoes, onion, garlic, and gluten. It’s a struggle to find things to eat. It seems like I’m eating the same things just to be safe. IBS caused by nerve damage to celiac plexus nerves caused by Mesenteric Artery Ligament Syndrome.

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I empathize with you. I get very sick and bloated these days from anything ending in "ol." Stupidly, just yesterday, I ate an avocado not realizing that the sugars it releases are erythritol. If I didn't know better, I woukd have thought my symptoms were worthy of the E.R!!

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I am gluten, dairy, and fructose intolerant. I am to the point that I am living on chicken, steak, hamburger, salmon, cod, pork chops, tiny amounts of broccoli, zucchini, or green beans, lettuce, avocado, instant coffee. That is what I eat 3 times a day every day. My body tolerates nothing else. Does anyone know of any medication to help in this situation? I have severe stomach pain, belching diarrhea if I eat anything else. Do you know of any help for me?

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Profile picture for nsheth @nsheth

Hello. I know how difficult it is to solve these issues on your own. We went through a similar thing when our child was diagnosed at age 8. We did an incredible amount of research and found some companies in Europe that distribute xylose isomerase. We first taught her to swallow these large capsules. After reading the information, we found that most capsules help with approximately 6 grams of fructose. We started with 6 per meal and now we are down to 2 capsules per meal. It helps beyond belief.

To further assist with this, you should also consider giving him probiotics to build up the good bacteria in the gut and when giving fats in diet make sure to give ginger infused water to keep everything moving in the gut.

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Very interested in above. I am gluten, dairy, fructose intolerant for 50 years. Foods now down to steak, pork chops, hamburger, salmon, cod; tiny amts of broccoli, green beans, zucchini, lettuce, avocado. That's my diet 3x/day, 7days/wk. I'm interested in the xylose isomerase. Do you know what other ingredients there are? Do you have a company name. Do you use a probiotic that does not contain dairy or gluten? I am desperate. Linda

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Profile picture for lasirvent @lasirvent

I not only have malabsorption to fructose, but tomatoes, onion, garlic, and gluten. It’s a struggle to find things to eat. It seems like I’m eating the same things just to be safe. IBS caused by nerve damage to celiac plexus nerves caused by Mesenteric Artery Ligament Syndrome.

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I am gluten, dairy, fructose intolerant. I know your frustration; everything put in my mouth is an issue. Have you found any help/solutions since your above post?

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Profile picture for researchmaven @researchmaven

I am very sensitive to FODMAPs and much more. For carb issues, like fructose, I take Intoleran's Fructase enzyme supplement (I actually take all of their supps, I am so sensitive).

Check out intoleran.com

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Does the Intoleran's Fructase enzyme really work?

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