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Low-Fodmap: Foods To Enjoy, Foods To Toss
Low-Fodmap: Foods To Enjoy, Foods To Toss
Low-Fodmap: Foods To Enjoy, Foods To Toss
FOODS TO ENJOY,
FOODS TO TOSS
AMYMYE RSMD.COM
MEDICAL DISCLAIMER
Information in this ebook is provided for informational The education and information presented herein is
purposes only. The information is a result of years of intended for a general audience and does not purport to
practice experience by the author. This information is be, nor should it be construed as, specific advice tailored
not intended as a substitute for the advice provided by to any individual. The use of any information provided
your physician or other healthcare professional or any in this book is solely at your own risk. Information and
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problem or disease, or prescribing medication or other are not intended to diagnose, treat, cure, or prevent any
treatment. Always speak with your physician or other disease.
healthcare professional before taking any medication or
nutritional, herbal or homeopathic supplement, or using All contents copyright © Amy Myers MD® 2020.
any treatment for a health problem.
All rights reserved.
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INTRODUCTION
N
o matter your situation, the foods you eat are the
fuel for your body. Optimizing your diet to provide
the fuel that serves your individual needs is one
of the best ways to take charge of your health. However,
I know that you—like me!—are extremely busy between
work, family, friends, and everything else on your plate.
With your hectic life and all you have going on, it’s hard to
stay focused on what’s best for you to eat, and what you
should avoid.
Amy Myers, MD
LOW-FODMAP DIET
WHAT IS LOW-FODMAP?
F
or those of you who struggle with SIBO, IBS, and WHAT DOES FODMAP MEAN?
other gastrointestinal disorders, you may have
Fermentable
heard the term FODMAP mentioned as part of a Oligosaccharides: sugars including fructans and
dietary recommendation to ease your symptoms. Recent galacto-oligosaccharides (GOS) found in wheat,
research into a natural approach to relief shows that barley, onions, garlic, and legumes
about three out of four people with IBS had their symp- Disaccharides: think lactose, found in dairy products
such as milk, soft cheeses, and yogurt
toms ease right away after starting a low-FODMAP diet.
Monosaccharides: fructose, a simple sugar naturally
As a physician dedicated to empowering you to take back found in honey, high-fructose corn syrup, and agave
your health, I rarely get to use the words “right away” along with a variety of fruits such as apples or pears
in discussing a solution, so I am excited to share this And
with you! Polyols: includes sorbitol and mannitol, which are
found in some fruit and vegetables and are used in
artificial sweeteners such as sugar alcohols
FODMAP is an acronym for a group of five compounds
in foods that can irritate your digestive system. Each of
these compounds is a different type of short-chain carbo- By following a low-FODMAP diet, you would reduce the
hydrate commonly found in foods. The names are tough amount of FODMAPs in your diet for a period of time
to remember (and pretty hard to say!) so the research- either through doing the diet alone or in conjunction with
ers who identified the food groups made an acronym the treatment of other underlying problems that may be
for them. contributing to your FODMAP intolerance.
LOW-FODMAP DIET
FODMAP INTOLERANCE
SYMPTOMS
F
or many people, they can consume FODMAP con- The problem occurs when the “healthy” bacteria normally
taining foods in moderate amounts with no diges- found in the large intestine and colon begin to colonize
tive distress. However, if you find that you have the small intestine, Small Intestinal Bacterial Over-
symptoms from a variety of unrelated foods, FODMAPs growth, or SIBO, can occur. If SIBO is present, the FOD-
might be to blame! MAPs are no longer fermented and digested in the large
intestine. Instead, they are digested by the unwanted
One reason that FODMAPs can create symptoms is that bacterial overgrowth in the small intestine. The feeding
they are able to pass undigested into your lower intestine and fueling of SIBO can cause a variety of different symp-
where they can draw additional water into the bowel. As toms. These include:
you can imagine, having excess water in the bowel could
create pain, bloating, and even result in diarrhea. • Food intolerances, particularly histamine
and FODMAP intolerance
FODMAPs are also consumed by gut bacteria in order to • Constipation and/or diarrhea
provide them with the nutrients these microorganisms • Bloating and/or gas
need to survive. As a result, these foods are fermented • Chronic fatigue
by the bacteria producing gases such as hydrogen and • Vitamin and mineral deficiencies, including
methane. This is a completely normal process that natu- vitamins A, B12, D, and E
rally occurs in the body. • Rosacea and other skin rashes
• Leaky gut
Most of your gut bacteria is meant to be located in your • Hashimoto’s disease and hypothyroidism
large intestine and colon. This is where they help break • Autoimmune disease
down food, synthesize vitamins, and eliminate waste.
LOW-FODMAP DIET
CAUSES OF FODMAP
INTOLERANCE
T
here are a variety of ways in which an intolerance causes of the food not making its way down the intes-
to FODMAPs can be developed. It is important to tines at an appropriate pace. Slow motility can be caused
note that in most cases, a FODMAP intolerance by a variety of factors including stress, hypothyroidism
is not a permanent thing; rather, once you treat these or Hashimoto’s disease, injury or decreased functioning
underlying causes of FODMAP intolerances, most people of the vagus nerve, and neurological conditions such as
are able to reintroduce them back with no problem. multiple sclerosis or Parkinson’s.
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LOW-FODMAP DIET
LOW-FODMAP DIET
CHALLENGES WITH
LOW-FODMAP
F
ollowing a low-FODMAP diet is as simple as reduc- it could result in bloating and gas later on. Not only does
ing the amount of FODMAP foods that you are con- it matter how much of an individual food that you eat, but
suming in your diet. That being said, following the it also could matter how much FODMAP foods that you
low-FODMAP diet can be a somewhat confusing diet to eat throughout the day! Thinking back to our last exam-
follow without the right guidance. That is why I created ple, if you have a half cup of broccoli and later have spa-
this guide - to remove all of the confusion you may have ghetti squash with dinner, you could also end up with
regarding the low-FODMAP diet. symptoms of FODMAP intolerance. It is important to take
it slow when following this diet and listen to your body to
If you have tried the low-FODMAP diet before without find what works best. Use the lists starting on page 11 to
success, it may be due to two common mistakes made help guide you!
while following the diet:
NOT ADDRESSING UNDERLYING CAUSES
NOT TAKING A PERSONALIZED APPROACH There are various underlying causes that could contrib-
In this guide, I have provided a list of foods ranging from ute to a FODMAP intolerance. We have discussed some
low-FODMAP to high FODMAP. However, following the of these, including slowed motility and SIBO. If you find
low-FODMAP diet can be a complicated diet to follow that reintroducing FODMAP foods causes your symptoms
without the right guidance simply because it is not as to return again, it might be that the FODMAP foods are
straightforward as “Foods to Enjoy” and “Foods to Avoid”. actually not to blame. Instead, it is important to make
Instead, the FODMAP diet depends on the amount of sure that the root cause is addressed in order to finally
FODMAP foods eaten as whole and is different for each see improvement in your symptoms. The low-FODMAP
person as to how much they might tolerate. For example, diet should not be a diet that you have to do for life. And in
you might be able to tolerate a half cup of broccoli with fact, because these foods feed all kinds of bacteria, good
dinner; however, if you have a full cup of broccoli instead, AND bad, I don’t advise you to follow this diet for life!
LOW-FODMAP DIET
HOW TO DO A
LOW-FODMAP DIET
O
ne of the best parts about the low-FODMAP diet the amount of the introduced food or increasing the fre-
is that you’ll feel the effects pretty quickly if it’s quency you eat it until the amount is more representative
working for you. Many people feel their symp- of the serving sizes that you would typically eat in a day.
toms ease right away after starting a low-FODMAP diet.
Keep notes and focus on how each new food makes you
In order to follow the low-FODMAP diet, there are some feel throughout this process.
pretty straightforward and easy to follow steps.
STEP THREE
STEP ONE This is where you learn to find a balance among foods
You’ll restrict your intake of high-FODMAP foods to that don’t bother you at all, foods that you can eat spar-
reduce painful symptoms. You’ll do this until your symp- ingly, and foods that you avoid completely. For example,
toms resolve, usually in less than two weeks. you may find you can eat only half an apple if you are eat-
ing other high-FODMAP foods in the day; however, you
STEP TWO can enjoy a whole apple if you are eating mostly low-FOD-
Over a period of eight to 12 weeks, you’ll reintroduce MAP foods otherwise. Finding a balance throughout your
foods one at a time, a small amount at a time, and assess day of how much and what foods your body will tolerate
how you feel after each reintroduction. This step is where will be completely unique to you.
many people get tripped up, so let me walk you through
it in more detail. There are two important things to keep in mind. First,
there may be some foods that you just don’t tolerate and
I recommend starting with only one food on a given day. feel best keeping out of the diet. Second, if you do have
Start with just a small amount of that food. I recommend underlying conditions such as SIBO, you may need to take
introducing that one food for three days and gauging how additional steps to get to the root of the problem. Symp-
you feel. If something doesn’t feel right, eliminate that toms may return in Step Two when adding back foods if
food and don’t add anything new for a few days until your the underlying cause hasn’t been addressed.
symptoms have resolved. If you feel fine, try increasing
LOW-FODMAP DIET
FOODS TO ENJOY
IN NORMAL AMOUNTS
T
hese foods are considered Low-FODMAP foods • Greens: arugula, beet, collard, dandelion, kale,
and can be consumed in any quantity with- mustard, turnip
out worry of them causing FODMAP intolerance • Green Onions
symptoms.
• Herbs: parsley, cilantro, basil, rosemary, thyme, dill,
lemongrass, etc.
If also doing The Myers Way® Autoimmune Protocol,
• Kohlrabi
avoid the foods that are bold and italicized.
• Lettuce: endive, escarole, baby lettuces, bibb, butter,
QUALITY PROTEINS romaine, iceberg
• Bone broth (containing no garlic or onion) • Olives
• Eggs (chicken or duck) • Purslane
• Organic, grass-fed beef • Radishes
• Organic, grass-fed lamb • Rhubarb
• Organic pork or bacon • Spinach
• Organic, pasture-raised poultry (chicken, duck, • Summer Squash
turkey) • Swiss Chard
• Organ meats (heart, liver, marrow, kidney, • Tomatillos
sweetbreads) • Tomatoes
• Peanuts, peanut butter (non-gmo, organic) • Watercress
• Sardines HEALTHY FATS
• The Myers Way Paleo Protein
®
• Avocado oil
• The Myers Way Collagen Protein
®
• Coconut oil
• The Myers Way® Gelatin • Ghee (if you tolerate it)
• Wild-caught fresh fish (cod, halibut, haddock, • Grapeseed oil
salmon, pollock, snapper, sole, trout)
• Olives, olive oil
• Wild-caught shrimp
• Flaxseed oil
• Wild game
• Animal fat (lard, beef tallow)
ORGANIC NON-STARCHY VEGETABLES • Palm oil
• Alfalfa sprouts (also broccoli, radish,
and sunflower sprouts)
• Bamboo shoots
• Bean sprouts
• Cucumbers
LOW-FODMAP DIET
LOW-FODMAP DIET
FOODS TO ENJOY
IN MODERATE AMOUNTS
T
hese foods are also considered Low-FODMAP • Dragonfruit
foods; however, in higher quantities, they can • Elderberries
become high in FODMAPs and cause symptoms.
• Grapes
Keep these foods to moderate amounts in the diet.
• Honeydew
If also doing The Myers Way® Autoimmune Protocol, • Kiwis
avoid the foods that are bold and italicized. • Kumquats
• Lemons
QUALITY PROTEINS • Limes
• Nuts and seeds: almonds, pecans, walnuts, Brazil
• Oranges
nuts, macadamia nuts, chestnuts, sesame seeds/
• Passionfruit
tahini, hemp, flax, pumpkin seeds
• Papaya
ORGANIC NON-STARCHY VEGETABLES
• Pineapple
• Bok choy
• Raspberries
• Broccoli
• Star fruit
• Broccolini (or rapini, or broccoli rabe)
• Strawberries
• Cabbage
• Tamarind fruit
• Eggplant
• Fennel
STARCHY VEGETABLES
• Jicama
• Green Beans
• Rutabagas
• Okra
• Spaghetti squash
• Peppers: green, red, yellow, orange jalapeno
• Pumpkin
• Zucchini
DAIRY ALTERNATIVES FLOURS/GLUTEN-FREE GRAINS
• Arrowroot starch
• Rice milk
• Gluten-free grains and grain-like seeds: sorghum,
• Hemp milk
rice, corn, millet, quinoa, buckwheat, certified
• Flax milk
gluten-free oats, teff
ORGANIC FRUITS
• Bananas, unripe
• Bilberries
• Blueberries
• Cantaloupe
LOW-FODMAP DIET
FOODS TO AVOID
T
hese foods are considered high-FODMAP even in DAIRY ALTERNATIVES
small doses. Be sure to avoid these foods while • Animal based dairy: cow, goat, sheep, camel
following the low-FODMAP diet.
• Coconut milk, cream
• Oat milk
If also doing The Myers Way® Autoimmune Protocol,
avoid the foods that are bold and italicized. • Tigernut milk
• Unsweetened nut/seed based milk: cashew
QUALITY PROTEINS FLAVORFUL SEASONINGS AND CONDIMENTS
• Cashews • Agave
• Pistachios • Honey
• Organic sausages seasoned with onion or garlic • Molasses
ORGANIC NON-STARCHY VEGETABLES • Sugar alcohols: inulin, isomalt, maltitol, mannitol,
• Artichokes sorbitol, xylitol
• Asparagus BEVERAGES
• Avocados • Coconut water
• Brussels sprouts • Herbal teas: chai, dandelion, fennel, chamomile,
• Cauliflower and those containing apple
• Celery • Fruit juices: apple, pear, mango
• Garlic • Kombucha
• Leeks • Soy milk
• Mushrooms
• Onions
• Sauerkraut
• Scallions
• Shallots
HEALTHY FATS
• Avocado
• Coconut, coconut flour, coconut butter/
manna/milk/ yogurt/cream
LOW-FODMAP DIET
LOW-FODMAP DIET
FOODS TO TOSS
I
n addition to avoiding foods high in FODMAPs, these • Processed and refined oils: mayonnaise, salad
foods additionally can cause extra digestive distress dressings, shortening, spreads
or inflammation and are best to be avoided if trying to • Refined oils, hydrogenated fats, Trans fats,
reduce FODMAP symptoms. including margarine
• Stimulants and caffeine: coffee, yerba mate
• Alcohol
• Sweeteners: sugar, sugar alcohols, sweetened
• Fast foods, junk foods, processed foods
juices, high-fructose corn syrup
• Food additives: any foods that contain artificial
• Trans fats and hydrogenated oils (frequently found in
colors, flavors, or preservatives
packaged and processed foods
• Genetically modified foods (GMOs), including canola
oil and beet sugar
• Processed meats: canned meats (such as SPAM;
canned fish is okay), cold cuts, hot dogs
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LOW-FODMAP RECIPES
Ingredients Instructions
1 lb wild-caught salmon Step One: Place salmon in glass baking dish.
¼ cup maple syrup Whisk together remaining ingredients in small
¼ cup dijon mustard bowl. Pour ¾ of mixture over salmon and let
2 Tbsp apple cider vinegar marinate for at least 30 minutes. Reserve
¼ tsp sea salt remainder of marinade.
¼ tsp ground black pepper Step Two: Preheat broiler. Line a baking sheet
with parchment paper. Transfer salmon to
baking sheet, skin side down. Broil for 6 to
10 minutes or until cooked through. Drizzle
on remaining sauce. Return to broiler for 1
minute. Remove from oven and serve.
LOW-FODMAP RECIPES
Ingredients Instructions
2 Tbsp dried ground sage Step One: Heat oven to 375°F. In
2 Tbsp dried ground thyme small bowl, combine sage, thyme, and salt
½ tsp sea salt and mix well.
⅛ tsp ground black pepper Step Two: Place chicken in shallow roasting
1 (3 ½ to 4-lb) whole organic or pan that has been greased with 1 tablespoon
pasture-raised chicken oil. Rub herb mixture under skin of chicken,
2 Tbsp coconut oil, plus 1 Tbsp working it into breast and thigh areas. Rub
coconut oil for greasing dish the outer chicken skin with 2 tablespoon
coconut oil.
5 whole carrots, cut into 1-inch pieces
Step Three: Place chopped carrots into the
bottom of the baking dish.
Step Four: Bake for about one and a half hours
or until chicken is fork-tender and juices run
clear. Stir carrots twice during cooking to
prevent burning and flavor with chicken juices.
LOW-FODMAP RECIPES
Ingredients Instructions
¼ cup chia seeds Step One: Put chia seeds, almond milk,
1 ½ cup unsweetened almond milk vanilla, and almond extract in a glass jar and
¼ tsp vanilla extract tighten the lid. Shake vigorously to combine
¼ tsp almond extract ingredients well.
Fresh berries of your choice Step Two: Refrigerate for at least 3 hours or
overnight, until the mixture becomes thick and
pudding-like. Remove from refrigerator and
stir once more when ready to serve. Spoon into
bowls and top with fresh fruit.
LOW-FODMAP RECIPES
Ingredients Instructions
½ cup extra-virgin olive oil Step One: Preheat the oven to 475°F. Cut
2 Tbsp apple cider vinegar the radishes in half. Spread them out onto a
2 Tbsp dijon mustard sheet pan. Toss with 2 tablespoons olive oil
1 tsp fresh rosemary and season with salt and pepper. Bake for
1 tsp fresh thyme approximately 15 minutes, turning once with a
spatula, until browned and tender.
5 cups radishes
Step Two: To a small jar add remaining olive
Sea salt and ground black pepper, to taste
oil, apple cider vinegar, mustard, garlic, herbs,
and salt and pepper. Shake well to blend.
Step Three: Place the roasted radishes in a
medium bowl, top with the vinaigrette while
radishes are still warm and serve.
LOW-FODMAP RECIPES
Ingredients Instructions
2 lbs organic ground pork Step One: Combine all ingredients except
1 tsp cinnamon coconut oil in a large bowl. Using your hand,
¼ tsp nutmeg mix ingredients together. Cover and store in
1 ½ tsp sea salt fridge overnight if time allows.
1 Tbsp fresh sage, chopped Step Two: When you are ready to cook patties,
4 Tbsp coconut oil, divided shape the mixture into 8-10 balls, then press
between your palms to form into patties.
Step Three: Heat coconut oil in a large pan
over medium heat. Place 4 patties in heated
pan and cook 3-5 minutes on each side until
fully cooked through. Cook remaining patties.
Save leftovers to enjoy throughout the week.
LOW-FODMAP RECIPES
Ingredients Instructions
1 cup oil of choice Step One: Peel and smash garlic cloves and
(avocado for high heat cooking, set aside.
olive oil for salads) Step Two: In a skillet, heat oil to medium-low
1 bulb garlic heat. Add garlic cloves and let cook for 10
minutes, turning heat down if garlic starts to
brown or burn. Remove mixture from heat and
place in a glass storage jar to cool.
LOW-FODMAP RECIPES
Ingredients Instructions
1 cup oil of choice Step One: Peel and quarter onion and
(avocado for high heat cooking, set aside.
olive oil for salads) Step Two: In a skillet, heat oil to medium-low
1⁄2 red, yellow, or sweet onion heat. Add onions and let cook for 10 minutes,
turning heat down if onion starts to brown or
burn. Remove mixture from heat and place in a
glass storage jar to cool.
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