If you are fructose intolerant

(Intolerance = intolerance, also fructose malabsorption)

digestive problems arise such as abdominal pain (abdominal discomfort), gas, diarrhea or nausea.

Here, fructose (fruit sugar) is poorly tolerated,

because it is insufficiently absorbed in the small intestine and thus reaches deeper intestinal sections, which causes the symptoms.

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Fructose is a simple sugar (monosaccharide) & occurs mainly in fruits, fruit juices but also in many other industrially manufactured products (check the list of ingredients).

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Diagnosis: gold standard

H2 breath test. Pathological values are between 30 and 80 ppm.

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Please also have a test for sorbitol intolerance carried out immediately.

There are two ways of absorbing fructose into the body:

1. Active absorption via its own transport system in the mucous membrane of the small intestine, Glut-5 transporter → pronounced weakness (intolerance)

2. Passive uptake, ie fructose can “hang on” to the uptake of other single sugars (milk sugar, glucose, galactose) and amino acids (protein building blocks), so that it is passively “smuggled in”.

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Possible malfunctions that impair fructose uptake in the intestinal mucosa:

• impaired absorption of fructose (fruit sugar) from the small intestine into the blood

• Glut - 5 transporter is inhibited in its function (enzyme that allows fructose to be absorbed into the blood)

• This arrives m and is there by the.

• Possible complaints such as abdominal pain, diarrhea, dizziness, shortness of breath, headache, sleep disorders, gas and bloating.

• The same symptoms can be caused by sorbitol because it inhibits the uptake of fructose.

• The fructose intolerance / malabsorption must be strictly differentiated from that (congenital disorder), which requires more stringent therapy.

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Why is nutritional therapy important?

Nutritional therapy supports you in relieving the symptoms of diarrhea and ultimately resolving it. It also counteracts gas, bloating, pressure in the abdomen and pain. You will learn which foods you can safely eat.

The aim is to supply all of the fatty acids, micronutrients (vitamins and minerals) that are important to you, energy and protein in the measure that your body is optimally supplied with. For this purpose, foods that promote inflammation are specifically avoided and plenty of anti-inflammatory foods are consumed. Weight reduction is recommended if you are overweight / obese. An anti-inflammatory diet can improve the state of health.

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Classification of your weight - definition and classification of weight in relation to height.

Special percentile curves apply to children and adolescents; the BMI cannot simply be used here.

BMI and interpretation: BMI: body mass index. Formula: Body weight in kg : (body height in m) 2

Underweight: <18.5

Normal weight: 18.5 - 24.9

Overweight = pre-obesity: 25-29.9

Obesity grade I: 30 - 34.9

Obesity grade II: 35-39.9

Obesity grade III:> 40 = per magna

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Nutritional therapy

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• Which foods are low in fructose, fructose-free?

• Which foods do I have to "do without" which ones can I eat without hesitation?

• How can I optimize my fructose intake?

• Adapted therapy: Waiting phase and gradual build-up to test the individually tolerated amount of fructose under the guidance of a certified nutritionist

• Build up to an adapted permanent diet

• Anti-inflammatory nutrition as a basis, individually tailored to you

• Holistic therapy - do you have any comorbidities that need to be taken into account during the consultation?

• Overall fat selection, how should it be designed

• How many animal foods (e.g. meat products, milk and dairy products, cheese, fish products, eggs) are recommended?

• What do I have to look out for when choosing animal foods?

• How can I counteract inflammatory processes through diet?

• Body weight: Weight reduction is recommended if you are overweight / obese.

• In the case of insulin resistance and lipid metabolism disorders, also treat them with nutritional therapy

• Avoid micronutrient deficiencies and mineral deficiencies & possibly counteract them with nutrient preparations

• Prevent protein deficiency

• Which nutrients do I need in which ratio?

• Get enough fiber (> 30 g / day) through natural foods, possibly fiber substitution

• Sufficient fluid: total fluid per day: 30 - 35 ml per kg body weight and day. Attention, this is not just a drinking liquid. The liquid from food (approx. 500 - 800 ml) must still be subtracted from this, so that an amount of approx. 1.3 - 2 l of drinking liquid is created.

• add valuable anti-carcinogenic (anti-cancer) secondary plant substances

• A selection of foods tailored to your needs with cooking and technical information (for breakfast, snacks, lunch, dinner)

• Do you like to eat your warm meal in the evening? I am happy to cater to your individual situation and we will create a plan on how you can implement your wholesome diet into your everyday life.

• which oils are good for me? What should I watch out for in relation to the anti-inflammatory diet?

• How much fat spread (butter / margarine / vegetable fat) can I use and which products are recommended?

• Get enough Omgea-3 fatty acids and essential fatty acids

• How can I boost and support my metabolism with natural foods?

• Coordinate sensible meal frequency for your individual case - meal allocation

• Define the desired weight stabilization / normalization & the estimated period for this

• what should be considered with beverages and alcoholic beverages?

• How does exercise affect your body and thus also your diet?

• Avoid blood sugar fluctuations

• Sweetening foods - sweeteners, glucose, fructose, sugar and sugar substitutes, what can I use and in what quantities? How high is the respective sweetness of the different products?

• what should be considered when baking and cooking?

• what are cheap snacks / main meals

• Eating out - what should you watch out for?

• Vacation, boat trip or hospital stay, what should be considered?

• Flatulence, bloating, diarrhea, constipation, vomiting, heartburn, loss of appetite, pain related to eating, what can I do about it?

• Daily plans as an example for practical implementation in everyday life

• Enjoyment training

• Optimizing your eating situation

• long-term maintenance of a jointly defined weight

• Strengthen the stomach and intestines with natural foods

• Additional therapy options

• Dietetic products in support of nutritional therapy

• Food supplements - under certain circumstances, a supplement can be useful

• and other topics

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Any questions? I look forward to your call or email. To contact form

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Assistance:

• KISS self-help groups

• Self-help network

• Working group dietetics in allergology e. V.

• German Allergy and Asthma Association

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