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Nutrition Guide For Fructose Malabsorption

Nutrition Guide For Fructose Malabsorption

In the table below there are lists of foods – safe to eat, to try, and to avoid in fructose malabsorption (FM), according to several dietitians` and fructose malabsorbers` recommendations. The list may serve only as the orientation, since absorption of fructose and other nutrients may vary considerably among individuals with fructose malabsorption, so everyone should make lists of not/allowed foods and their tolerable amounts, according to personal experience. In small children, fructose absorption often improves with age.

NOTE: the list of safe foods is pretty strict. A person with mild fructose malabsorption will be probably able to safely eat most foods from to try list and even some foods from to avoid lists.

Individuals with fructose malabsorption often have lactose, glucose or gluten intolerance, so they might need an additional lactose-free, sugar-free, gluten-free or FODMAP diet.

Food Group: Sugars & Sweeteners

Safe To Eat

Safe to Try in Moderation

Avoid

Acesulfam potassium (Nutrinova, Sweet One, Sunnett, Ace-K, Acesulfame K), dextrin, erythritol, glucose (dextrose, glucodin), glycogen, maltodextrin (modified starch), moducal, trehalose.

Barley malt syrup, brown rice syrup, brown sugar, corn syrup (if no fructose is added), grape syrup, maple syrup, sorghum syrup, sucrose (table or cane sugar).  Sugar substitutes: dulcitol, isomalt, lactalol, lacticol, litesse, lycasin, maltitol, mannitol, saccharin (Sweet `n Low), sucanat, trimoline, xylitol.

Agave syrup (in Tex-Mex foods, tequila, margaritas, soft drinks), caramel, Chinese rock sugar, corn syrup solids, fructose, fruit juice concentrate, golden syrup (cane syrup), High Fructose Corn Syrup (HFCS), honey, invert sugar (treacle), licorice, molasses, raw sugar (Turbinado, Demerara, jaggery, palm sugar – gur); sweets in excess (>50g), soft drinks with sucrose (>375 mL); Sugar substitutes: hydrogenated starch hydrolysates (HSH), sorbitol, stevia, sucralose.

 

Food Group: Fruits

Safe To Eat

Safe to Try in Moderation

Avoid

Cumquat, grapefruit, lemons, limes

Avocado, bananas, blackberries, boysenberries, blueberries, cantaloupes, cranberries, grapes (white), jack-fruit, kiwi, mandarins, oranges, passion fruit, pineapple, rhubarb, strawberries, raspberries, tamarillo, tangelo; Apricots, nectarines, peaches, (not for persons sensitive to sorbitol).

Apples, cherries, dates, figs, grapes (black), guava, honeydew melon, lychee, mango, nashi fruit, papaya, pears, persimmon, plumes, prunes, raisins, star fruit, sultana, quince, watermelon. Dried fruits, fruit compotes and jams in general.

Food Group: Vegetables

Safe To Eat

Safe to Try in Moderation

Avoid

Bouillon, celery, escarole, hash browns, mustard greens, pea pods (immature), potatoes (white), pumpkin, shallots, spinach, Swiss chard.

Asparagus, beets, carrots, dandelion greens, cauliflower, endive, legumes (beans, peas and lentils), lettuce, mushrooms, onions, green onions, soy, sweet potatoes, turnip greens, zucchini.

Artichoke, eggplant, green peppers, green cabbage, kale, leeks, lettuce (iceberg), pickles (e.g. sweet cucumbers), radishes, squash, tomatoes, turnips, watercress.

Food Group: Breads & Cereals

Safe To Eat

Safe to Try in Moderation

Avoid

Barley, breads and pasta without fructose or gluten-free, wheat-free rye bread, corn meal (degermed), cornflakes (non-flavoured), grits, grouts, oatmeal, porridge (cooked oatmeal), plain muffins, rice (white), rice or buckwheat noodles, rye flour, tortilla

Wheat (including dinkle, kamut, sourdoughs, spelt, wholemeal and wheat products: biscuits, noodles, pasta, pastry).

Brown rice, sweetened breakfast cereals (or with raisins, honey).

 

Food Group: Protein (Meat, Fish, Eggs, Nuts)

Safe To Eat

Safe to Try in Moderation

Avoid

Meat (fresh, not commercially breaded), fish (fresh or tinned without sauce), other seafood, eggs, grains, nuts, seeds: amaranth, flax seed, millet, poppy, pistachios, sesame, tahini, sunflower

Legumes: chick peas, lentils, lima, mung, soy (including tofu);

Nuts

 

Meat, fish (if processed, sweetened, or commercially breaded); coconut milk/cream.

 

Food Group: Dairy

Safe To Eat

Safe to Try in Moderation

Avoid

Plain, unsweetened milk, yogurt, cheese.

 

Sweetened milk products, ice cream

 

Food Grouop: Spices & Sauces

Safe To Eat

Safe to Try in Moderation

Avoid

Basil, bay, cinnamon, cumin, curry, marjoram,

oregano, parsley, rosemary, thyme.

 

Distilled vinegar.

Coriander, garlic, onions, parsnip, spring onions.

 

Sauces: Barbeque`s, Sweet&Sour, Hot mustard, chutney, ketchup, relish, soy sauce, vinegar (apple cider, balsamic);

Spices: chervil, dill weed, ginger, hot chilli pepper, pumpkin pie seasoning.

 

Food Group: Drinks

Safe To Eat

Safe to Try in Moderation

Avoid

Water: tap water, non-flavoured bottled water, mineral water, tea, coffee (not chicory based coffee substitutes).

 

Fruit juices: blackberry, cranberry, white grapes;

Alcohol: dry white or red wine (1 glass/serving).

Fruit juices (apple, apricot, mango, orange, pear, peach, prune, sweat cherry), soft drinks with sorbitol or HFCS; alcohol (except dry white wine); powdered sweetened beverages, sweetened milk/vegetable/soy drinks, coffee substitutes with chicory.

 

Food Group: Wheat (Contains Fructans)

Individuals with FM who cannot safely eat wheat (white bread, pasta, breakfast cereals etc) may also have problems with artichokes, asparagus, chicory roots, chicory greens (whitlof, Belgium endive), chicory based coffee substitutes, dandelion greens, leeks, onions (after cooking, throw onions away and enjoy the taste), radish, spring onions. Tiny amounts of wheat in wheat thickener, maltodextrin and dextrose are not problematic.

Food Group: beans (Containing raffinose, galactans)

Individuals with FM who cannot safely eat beans may also have problems with other legumes (peas, soy, lentils), broccoli, Brussel sprouts, cabbage, cauliflower, kale, turnip greens, and whole grains.

Additional Low Fructose Diet Tips

Cooked vegetables (like carrots) may have higher fructose content then raw ones. Whole-grain bread has more fructose than refined bread. Brown rice has more fructose than white rice. New potatoes have more fructose than old ones. Medications like antibiotics, vitamins and supplements, often contain fructose or sorbitol, so it is suggested to find their fructose/sorbitol free alternatives.

Information sourced from: healthhype.com

Article reviewed by Dr. Greg. Last updated on March 27, 2011 

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