Digestive Health

Digestive health · A guided approach: Low-FODMAP Diet for IBS

Understand your triggers. Find your food freedom.

A dietitian-guided low-FODMAP diet in three phases: reduce, reintroduce, then personalize. In person in Ottawa and Gatineau, or online anywhere in Ontario and Quebec.

Choosing fresh vegetables at the grocery store
A plan that evolves with youReduce. Reintroduce. Personalize.

Start with understanding

What the low-FODMAP diet is, and who it’s for

FODMAPs are carbohydrates that some people absorb poorly: fructans, GOS (galacto-oligosaccharides), lactose, excess fructose, and polyols such as sorbitol and mannitol. They draw water into the small intestine, then gut bacteria ferment them in the large intestine and produce gas. For most people that causes no trouble. In irritable bowel syndrome (IBS), where the gut is more sensitive, it can bring on bloating, pain, gas, and diarrhea or constipation.

Why it can help

The low-FODMAP diet is one of the best-studied dietary treatments for IBS. In clinical studies, about half to three quarters of people with IBS improve on it, and Canadian and American gastroenterology guidelines recommend it, ideally with a dietitian.

Who it’s for

It is not a lifelong diet, and it isn’t for everyone. It is meant for people whose IBS has been diagnosed by a doctor. For people with a history of disordered eating, people who are underweight, and children, it needs extra care and close supervision.

Your path forward

Three phases, not a forever diet

The elimination phase is only the beginning. Most of the value comes from reintroduction, where you find out what you actually react to.

  1. 01

    Phase 1 · 2 to 6 weeks

    Reduce

    Swap high-FODMAP foods for lower-FODMAP choices across all five groups to see whether your symptoms settle. Portions matter: many foods are fine in a smaller serving.

    • Garlic-infused oil instead of garlic
    • Lactose-free milk
    • Spelt sourdough bread
    • Firm tofu
  2. 02

    Phase 2 · about 6 to 8 weeks

    Reintroduce

    If your symptoms improved, you test one FODMAP group at a time, in increasing amounts over a few days, while the rest of your diet stays low in FODMAPs.

    • Honey for fructose
    • Milk for lactose
    • Wheat bread for fructans
    • Lentils for GOS
  3. 03

    Phase 3 · long term

    Personalize

    You bring back everything you tolerate and keep only the limits you need. The goal is the most varied diet you can enjoy, which also matters for your gut bacteria.

    • Your own trigger list
    • Portions that work for you
    • Re-testing over time

Food, made clearer

The five FODMAP groups

Each group is found in different foods, and most people react to only one or two of them.

Group 01

Fructans

Common sources

Wheat, rye and barley in larger amounts, onion, garlic

Lower-FODMAP swaps

Spelt sourdough, oats, rice, chives, green onion tops, garlic-infused oil

Serving size changes the answer: a small serving of some foods is low in FODMAPs and a larger one is high. Values come from published laboratory testing, mostly by Monash University, whose app lists current serving sizes.

Support for your everyday

How we run the diet with you

We use clinical software built for this diet, so your plan is based on your portions and your test results, not a generic food list.

Recipes checked at your portion

Our recipes are rated for each FODMAP group at the serving you’ll actually eat, including what’s hidden in sauces and packaged ingredients. A recipe we can’t assess yet is marked unknown, never low.

Low-FODMAP versions and a grocery list

Where a recipe can be adapted, such as hummus without garlic, we use its low-FODMAP version. You also get a low-FODMAP grocery list in English or French.

Each group tracked through reintroduction

Your dietitian records each FODMAP group as removed, being tested, tolerated or causing symptoms. The recipes we suggest follow those results: a group you tolerate stops being restricted.

Your food and symptom journal, reviewed

You log meals and symptoms in our patient portal. Your dietitian looks at them by FODMAP group and compares your symptoms before and during the elimination phase.

Putting it into practice

Tips that make it easier

Keep the elimination short

Two to six weeks is enough to know whether it helps. Staying strict longer adds no benefit and can reduce the variety of your gut bacteria.

Watch portions, not just foods

Many foods are low in FODMAPs in a normal serving and high in a large one. Several small servings in the same meal can also add up.

Read the labels

Look for onion and garlic powder, inulin or chicory root, honey, fructose, high-fructose corn syrup, and sweeteners ending in -itol.

Keep your fibre up

Oats, quinoa, brown rice, potatoes with the skin, kiwifruit, carrots and chia seeds are lower-FODMAP sources of fibre.

Note your symptoms as you go

A few lines a day about what you ate and how you felt make the reintroduction results much clearer.

If it doesn’t help, stop

If your symptoms haven’t improved after the elimination phase, this diet probably isn’t the answer. We look at other approaches, such as fibre, meal routine or gut-directed therapies.

WORKING WITH YOUR DIETITIAN

How we work on it together

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  1. 01

    Assessment

    We check that the diagnosis is in place, review your symptoms, medications and usual diet, and decide together whether this diet is the right next step.

  2. 02

    Elimination, then reintroduction

    We set up the elimination phase with meals you like, then plan each reintroduction test: which food, how much, and over how many days.

  3. 03

    Your long-term diet

    We turn your results into a personal plan with the foods and portions that work for you, and check in when your symptoms or routine change.

FAQ

Common questions

Can I do the low-FODMAP diet on my own?

You can, but guidance makes a difference. Guidelines recommend doing it with a dietitian, because it is easy to stay too strict for too long, and reintroduction is where most people need help.

How long does it take?

Usually two to three months in total: two to six weeks of elimination, then about six to eight weeks of reintroduction, depending on how quickly you can test each group.

Do I have to avoid gluten?

No. The diet limits fructans, which are found in wheat, rye and barley. Gluten is a protein, not a FODMAP. Small amounts of wheat are often fine, and spelt sourdough bread is low in FODMAPs in a normal serving.

Is it safe during pregnancy or for children?

It can be adapted, but only with close supervision by a dietitian, since nutritional needs are higher. Tell us if you are pregnant or breastfeeding, or if you are asking for a child.

I have endometriosis, SIBO or IBD. Can it help?

Some people with these conditions have IBS-like symptoms that respond to a low-FODMAP approach. We work with your doctor to decide whether it fits, and keep the restrictions as short as possible.

Is it covered by insurance?

Many private insurance plans cover services from a Registered Dietitian. We provide receipts for you to submit. Check your plan for coverage details.

Can I do it online?

Yes. Online appointments by secure video are available anywhere in Ontario and Quebec. You log your meals and symptoms in our patient portal, and we go over them together at each visit.

Let’s take the next step

Get a plan built around your digestion.

Start with a free initial consultation, in person in Ottawa or Gatineau, or online anywhere in Ontario and Quebec.

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