Hi Susan,

This is what I do:

Upon rising, Frontier-brand Slippery elm (inner bark) "tea" made with 1 teaspoon of this powder. Soothes, likely heals, and provides slip.

My carbohydrate dietary enzymes:
Intoleran brand:
Starchway
Fructase
Fibractase Forte

I started with the Starchway for a few days, then added the Fructase for awhile, then the F. Forte. I noted a different gastro improvement with each one.

But I wasn't perfect. I then added Biotics Research Hydro-Zyme to help with protein digestion and noted another improvement.

Lastly, I added Pure Encapsulations Pancreatic Enzyme for its lipase to help with fat digestion. With that last puzzle piece, all my symptoms disappear.

For each meal, one pill each, except if I eat protein other than Lactaid milk, pea protein isolate, or egg whites, then I need two protein digestive aid pills. This means fish or meat (and I don't eat much. If I want to eat more fish or meat, I will try a more potent pill, Standard Process brand Betaine Hydrochloride).

I have my three Intoleran pills (all for carbs) before the first bite of anything (or they don't work well) and I try to make that first bite something that is carbohydrates. I then take the protein and fat digestive aids.

These changes come on top of eating grain-free, lactose-free, meat-free, yolk-free, etc., and only eating the Monash Green Light fruits and veggies, but all of this was starting to not work, and I was never perfect on this limited diet.

With the enzymes, I still eat my limited diet and am branching out slowing so I can figure out what works and what doesn't. I now have introduced turkey breast, raw blueberries (pureed), and nuts and seeds. Not large portions, though.

I also have had a big issue with nerves (anxiety) for the last and that is a huge trigger, even with the digestive enzymes. I did Hynosis CBT. I also take a magnesium supplement: Hilma Gentle Bowel Movement Support (1 after breakfast and 1 after dinner). My GI Doc recommended it as a stool softener, but magnesium also treats anxiety, and that is where I get my real benefit. If I get wound up, I have to use my CBT skills right away to limit the "small" IBS-C flare.

Intolerans is for food intolerances, but I want to consult a GI Doc that specializes in the pancreas and other GI organ issues, to see what the doc says, as it is curious.

Consider experimenting slowly as I did, pill type by pill type. It is all expensive. However, I would live in a shoe box to stay clear of my IBS-C.

Good luck. Feel free to reach out again, on anything.

Judy