Introduction
Materials and methods
Patients
Age | Sex | Disease | Prior treatment includes | Recent treatment | HBI/MTLWSI before | HBI/MTLWSI after | |
---|---|---|---|---|---|---|---|
39 | F | CD | ASA, IM, B | ASA?+?IBD-AID | HBI | 12 | 3 |
47 | F | CD | S, IM, B | S(taper)?+?IBD-AID | HBI | 9 | 2 |
39 | F | CD | S,IM | IM?+?IBD-AID | HBI | 12 | 2 |
24 | F | CD | S,ASA, IM, B | S(taper) IM?+?IBD-AID | HBI | 15 | 0 |
39 | M | CD | IM, B | IBD?+?AID | HBI | 20 | 0 |
40 | M | CD | S,ASA, IM | IM?+?IBD-AID | HBI | 15 | 2 |
41 | M | CD | ASA, IM | IM?+?IBD-AID | HBI | 4 | 2 |
37 | F | CD | S,ASA, B, elemental diet | B?+?IBD-AID | HBI | 1 | 1; histologic remission |
69 | M | UC | ASA, IM, B | ASA, IM?+?IBD-AID | MTLWSI n/d | 2; improved | |
19 | F | UC | S, ASA, IM, B | ASA, IBD-AID | MTLWSI 6 | 0 | |
70 | F | UC | ASA, IM, B | B?+?IBD-AID | MTLWSI 8 | 0 |
The diet
Phase type | Phase I | Phase II | Phase III | Phase IV |
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Soft, well-cooked or cooked then pureed foods, no seeds
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Soft Textures: well-cooked or pureed foods, no seeds, choose floppy or tender foods
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May still need to avoid stems, choose floppy greens or other greens depending on individual tolerance
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If in remission with no strictures
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Vegetables | Butternut Squash, Pumpkin, Sweet Potatoes, Onions | Carrots, Zucchini, Eggplant, Peas, Snow peas, Spaghetti squash, Green beans, Yellow beans, Microgreens (2 week old baby greens), Watercress, Arugula, Fresh flat leaf parsley and cilantro, Seaweed, Algae | Butter lettuce, Baby spinach, Peeled cucumber, Olives, Leeks Bok Choy, Bamboo shoots, Collard greens, Beet greens, Sweet peppers, Kale, Fennel bulb | Artichokes, Asparagus, Tomatoes, Lettuce, Brussels sprouts, Beets, Cabbage, Kohlrabi, Rhubarb, Pickles, Spring onions, Water chestnuts, Celery, Celeriac, Cauliflower, Broccoli, Radish, Green pepper, Hot pepper |
Pureed vegetables: Mushrooms, Phase II vegetables (pureed) | Pureed vegetables: all except cruciferous | Pureed vegetables: all from Phase IV, Kimchi | ||
Fruits | Banana, Papaya, Avocado, Pawpaw | Watermelon (seedless), Mangoes, Honeydew, Cantaloupe, May need to be cooked: Peaches, Plums, Nectarines, Pears, (Phase III fruits are allowed if pureed and seeds are strained out) | Strawberries, Cranberries, Blueberries, Apricots, Cherries, Coconut, Lemons, Limes, Kiwi, Passion fruit, Blackberries, Raspberries, Pomegranate (May need to strain seeds from berries) | Grapes, Grapefruit, Oranges, Currants, Figs, Dates, Apples (best cooked), Pineapple, Prunes |
Meats and fish | All fish (no bones), Sardines (small bones ok), Turkey and ground beef, Chicken, Eggs | Scallops | Lean cuts of Beef, Lamb, Duck, Goose | Shrimp, Prawns, Lobster |
Non dairy unsweetened | Coconut milk, Almond milk, Oat milk, Soy milk | |||
Dairy, unsweetened | Yogurt, Kefir | Farmers cheese (dry curd cottage cheese), Cheddar cheese | Aged cheeses | |
Nuts/Oils/Legumes/Fats | Miso (refrigerated), Tofu, Olive oil, Canola oil, Flax oil, Hemp oil, Walnut oil, Coconut oil | Almond flour, Peanut flour, Soy flour, Sesame oil, Grapeseed oil, Walnut oil, Pureed nuts, Safflower oil, Sunflower oil | Whole nuts, Soybeans, Bean flours, Nut butters, Well-cooked lentils (pureed), Bean purees (e.g. hummus) | Whole beans and lentils |
Grains | Ground flax or Chia Seeds (as tolerated) | Steel cut oats (well-cooked as oatmeal) | Rolled well-cooked oats | |
Spices | Basil, Sage, Oregano, Salt, Nutmeg, Cumin, Cinnamon, Turmeric, Saffron, Mint, Bay leaves, Tamari (wheat free soy sauce), Fenugreek tea, Fennel tea, Vanilla | Dill, Thyme, Rosemary Tarragon, Cilantro, Basil, Parsley | Mint, Ginger, Garlic (minced), Paprika, Chives, Daikon, Mustard | Wasabi, Tamarind, Horseradish, Fenugreek, Fennel |
Sweeteners | Stevia, Maple syrup, Honey (local), Unsweetened fruit juice | Lemon and lime juice | ||
Misc. | Capsule or liquid supplements, Cocoa powder | Baking powder (no cornstarch), Baking soda, Unflavored gelatin | Ghee, Light mayonnaise, Vinegar | Ketchup (sugar free), Hot sauce (sugar free) |