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SIBO Specific Diet: Food GuideVegetablesLESS FERMENTABLEMORE FERMENTABLESCD “LEGAL”LOW FODMAPSCD “LEGAL”MODERATE FODMAPSCD “LEGAL”HIGH FODMAPArtichoke Hearts* 1/8 cArugulaBamboo ShootsBeet 2 slicesBok Choy 1 c/85gBroccoli ½ c/1.6ozBrussels Sprouts 2 eaCabbage 1 c/98gCabbage: Savoy ½ cCarrotCelery Root/CeleriacChivesCucumberEggplantEndiveFennel bulb ½c, leaves 1cGreen Beans 10ea/2.5ozGreens: lettuce, collard,chard, kale, spinachOlivesPeas, green ¼ cPeppers: Bell/ SweetPeppers: Chili 11cm/28gRadicchio 12 leavesRadishRutabagaScallion: green partSnow Peas: 5 podsSquash: Butternut ¼ cKobocha, Sunburst,Yellow, Zucchini ¾ cTomatoAsparagus 1 spearArtichoke Hearts* ¼ cButternut Squash½ c/60gCabbage 1 c/98gCabbage: Savoy 3/4 cLeek ½ ea/42gParsnipPepper: Chili 40gPeas, green 1/3cSpinach 15 leaves/150gTomato: soup/juiceTomato: Sun-dried2 T/15gAsparagus 4 spearsArtichokeAvocadoBeet 4 slicesBok Choy 1½ c/127gBroccoli 1 cBrussels Sprouts 6 ea/114gCabbage: Savoy 1 cCauliflowerCeleryFennel bulb 1 c,leaves 3cGarlicJerusalem artichokeLeek 1 ea/84gMushroomsOnionsPeas, green ½ c/72gSnow Peas 10 podsScallions: white partShallotSugar Snap PeasZucchini ¾ cupDr. Siebecker 9/18/14SCD “ILLEGAL”Bean SproutsCornOkraPotato: white/all colorsPotato: sweetStarch powder: allarrowroot, corn,potato, rice, tapiocaSeaweedsTurnipTaroWater ChestnutsYamYuccaCanned vegetables

SIBO Specific Diet: Food GuideFruitsLESS FERMENTABLEMORE FERMENTABLESCD “LEGAL”LOW FODMAPSCD “LEGAL”MODERATE FODMAPSCD “LEGAL”HIGH FODMAPBanana: fresh, driedBerries:blueberry 80 eaboysenberrystrawberryraspberry 10ea/19gCarambolaCitrus: lemon, lime,oranges, tangelos,tangerineCurrent, dried 1TbDragon FruitDurianGrapesGuavaKiwifruitLongon 5 ea/15gMelon:cantaloupe/rock,honeydew ½ c/100gPapaya/Paw PawPassion fruit 4 pulps/100gPineapplePomegranate ½ ea/38g, ¼ c seedsPrickly PearRambutan 2 ea/31gRhubarbBerries: cranberry 1TCherries 3 eaCitrus: grapefruit ½ ea104gLongon 10ea/30gLychee 5 eaMelon: honeydew ½ cup/100gPassion fruit 4pulps/ 100gPineapple, dried1 sliceRambutan 4ea/62gAppleApricotAvocadoBerries: cranberry 2 Tblueberry 80/100gblackberryraspberry 50 eaCherries 6 eaCitrus, grapefruit 1ea207gCurrent, dried 2TbCustard AppleDate, driedFig, driedMango*NectarinePapaya, driedPeachPearPear: nashiPersimmonPlumPomegranate 1 ea/76g, ½ c seedsPrunesRaisonsTamarillo*WatermelonJam/Jelly: homemade(no pectin, sugar)Canned fruit in highfodmap fruit juiceDr. Siebecker 9/18/14SCD “ILLEGAL”PlantainJam/Jelly: commercial

SIBO Specific Diet: Food GuideLegumes/BeansLESS FERMENTABLESCD “LEGAL”LOW FODMAPLentil: brown ½ cgreen & red ¼ cLima ¼ cMORE FERMENTABLESCD “LEGAL”MODERATE FODMAPBlackLentil green & red ½ cLima 1/3 cSCD “LEGAL”HIGH FODMAPSCD “ILLEGAL”Borlotti/CranberryKidney/RedLima ½ cNavy/White/HaricotBakedSpilt dPintoSoyNuts/SeedsLESS FERMENTABLESCD “LEGAL”LOW FODMAPAlmonds 10 ea/.42ozflour 2 TCoconut:flour/shredded ¼ cupmilk (w/no thickeners)Hazelnuts 10 ea/15gMacadamia 20 ea/40gPeanuts 32 ea/28gPeanut butter 4 TPecans 10 ea/22gPine nuts 1 T/14gPumpkin seeds 2 T/23gSesame seeds 1 T/11gSunflower seeds 2 t/6gWalnuts 10 ea/30gMORE FERMENTABLESCD “LEGAL”MODERATE FODMAPSCD “LEGAL”HIGH FODMAPChestnuts, handfulFlaxseed 1THazelnuts 20 ea/30gPecans 40 ea/100gWalnuts 100gAlmonds 20 ea/.85ozflour 4 TCashewsHazelnuts 80 ea/100gPine nuts 8 T/100gPistachiosPumpkin seeds 100gSesame seeds 100gSunflower seed 100gDr. Siebecker 9/18/14SCD “ILLEGAL”Chia seedsCoconut milk- withthickeners (guargum, carageenan)Seed flour

SIBO Specific Diet: Food GuideDairyLESS FERMENTABLESCD “LEGAL”LOW FODMAPButterCheese: aged 1 mo ,dry curd cottagecheese, yogurtcheese/labnehGheeSour Cream:homemade 24 hourYogurt: homemade 24hourMORE FERMENTABLESCD “LEGAL”MODERATE FODMAPCream: lactasetreated ¼ cupMilk: 100% LactoseFree commercialSCD “LEGAL”HIGH FODMAPSCD “ILLEGAL”Yogurt: lactose-freecommercial (pectin)Cheese: creamcheese, cottagecheese, fresh cheese(feta, cheve, freshmozzarella), ricottaKefir: commercial,homemade 24 hourCreamMilkSour cream:commercialYogurt: commercialProtein/MeatsLESS FERMENTABLEMORE FERMENTABLESCD “LEGAL”LOW FODMAPSCD “LEGAL”MODERATE FODMAPBacon- with honeyBroth: homemademeat or marrowbones (no cartilage)BeefEggsFishGameLambOrgan MeatsPorkPoultrySeafoodBacon- w/sugar 1x wkSCD “LEGAL”HIGH FODMAPBroth: homemadebone/cartilageDr. Siebecker 9/18/14SCD “ILLEGAL”Bacon- w/highfructose corn syrupDeli/Processed Meatwith sugar, carrageenan, highfodmap or SCDillegal additives

SIBO Specific Diet: Food GuideSweetenersLESS FERMENTABLESCD “LEGAL”LOW FODMAPAspartameoccasionallyGlucose/DextroseHoney: alfalfa, cotton,clover, raspberry 2 TSaccharine- pure (nohigh fodmap or SCDillegal additives)Stevia- pure (no inulin)in small amounts,occasionallyMORE FERMENTABLESCD “LEGAL”MODERATE FODMAPHoney*: blackberry,buckwheat,citrus/orangeblossom 1 TSCD “LEGAL”HIGH FODMAPHoney*: acacia, sage,tupeloDr. Siebecker 9/18/14SCD “ILLEGAL”Agave syrupBarley Malt syrupBrown Rice syrupCane sugar(Rapadura, Sucanat)Coconut sugarFructose, powderedHigh-fructose cornsyrupMaple syrupMolassesSugar/SucroseSucralosePolyols/Sugar alcohol:isomalt, erythritol,lactitol, maltitol,mannitol, sorbitol,xylitol

SIBO Specific Diet: Food GuideBeverages & AlcoholLESS FERMENTABLESCD “LEGAL”LOW FODMAPCOMMON DRINKSCoffee 1 c/day (weak)Cranberry juice- pureOrange juice, fresh½ c/ 125mlFruit Juice: from LowFodmap fruits ⅓ c/100mlTea: black (weak),chamomile, ginger,green, hibiscus,lemongrass, mate,mint, oolong,rooibos/rooibos chai,rose hipWaterMORE FERMENTABLESCD “LEGAL”MODERATE FODMAPSCD “LEGAL”HIGH FODMAPCOMMON DRINKSCOMMON DRINKSTea: green 2Fruit Juice: from Highcups/dayFodmap fruitsSeltzer/CarbonatedOrange juice 1 c/beverages (CO2/gas) 125mlACOHOLRum: light/gold*ALCOHOLOccasionally inmoderate amounts:BourbonGinVodkaWhiskey/ScotchWineLiquor moderate amounts:Women – 1 oz/day, 3-5x weekMen – 2.5 oz/day, 3-5x weekSCD “ILLEGAL”COMMON DRINKSCoffee SubstitutesSoda (fructose,sucrose)Tea: chicory root,licorice, pau d’arcoALCOHOLBeerBrandyHard CiderLiqueurs/CordialsRum: darkSherryTequilaWine: dessert/sweet,sake, sparkling, portWine moderate amounts:Women – 4 oz/day, 3-5x wkMen – 9 oz/day, 3-5x wkDr. Siebecker 9/18/14

SIBO Specific Diet: Food GuideFats/OilsLESS FERMENTABLESCD “LEGAL”LOW FODMAPMORE FERMENTABLESCD “LEGAL”MODERATE FODMAPBacon fatButterCoconut oilCod liver oil & Fish oilDuck fatGarlic-infused oilGheeLard & TallowMedium Chain Triglyceride/MCT oilMacadamia oilOlive oilPalm oilPolyunsaturatedVegetable Oils:Borage, Canola, Flax,Grape seed, Hemp,Pumpkin seed,Sesame, Sunflower,WalnutSCD “LEGAL”HIGH FODMAPSCD “ILLEGAL”Soybean oilNotes: T Tablespoon, t teaspoon, g gram*Contains excess fructose- only necessary to avoid in cases of fructose malabsorption.·Starting the diet: Follow the “Intro” from the SCD, Gaps or SCDLifestyle plans with Low & Moderate Fodmapfoods. Wait 1-3 months to introduce celery root, rutabagas, cruciferous vegetables, beans, seeds, nuts(including nut flours, butters & milks) coffee, alcohol, raw vegetables/salads and raw fruit. Cook, peel, de-seedand puree vegetables & fruit at 1st. Dairy is best avoided for the 1st few weeks if unsure of its’ tolerability.·Moderate Fodmap Column Foods: limit to 1 per meal. Meal eating separated by 3-4 hours.·Quantity listings are adult portions: decrease amounts for children.·Tailor the diet: individual variations from this list are to be expected- trust your body’s reactions over the list.·Tolerances change over time: periodically re-try previously intolerant foods.·This guide is a combination of SCD, Low Fodmap Diet & the clinical experience of Dr. Siebecker in treating SIBO.Dr. Siebecker 9/18/14

SIBO Specific Diet: Food GuideSeasonings/CondimentsLESS FERMENTABLESCD “LEGAL”LOW FODMAPMORE FERMENTABLESCD “LEGAL”MODERATE FODMAPSCD “LEGAL”HIGH FODMAPAll spices (except onion& garlic)Garlic-infused oilGinger (fresh & dried)Mayonnaise,homemade orcommercial w/ honeyMustard- without garlicPickles/ Relish- nosweetener or garlicTabasco (McIlhennyCo)Wasabi- pureVinegar: apple cider,distilled/white, red &white wineSCD “ILLEGAL”Asafoetida powderChicory root (leavesok)Cocoa/chocolateunsweetenedGums/ Carrageenan/ThickenersSauces or Marinadeswith High Fodmap/SCD Illegal itemsSoy Sauce/TamariSpices: Onion & GarlicpowderVinegar: balsamicCompiled by Dr. Allison Siebecker (www.siboinfo.com) with the following sources: (formatting thanks to Dr. Michele Bartlett)·Gottschall E, and SCD Community. Specific Carbohydrate Diet Legal/Illegal /listing/. Accessed October 22, 2012, January 20 & December 6 2013.·Gibson P, Muir J, Barrett J, Shepard S, et al. The Low Fodmap Diet, Edition 3. Central Clinical School, MonashUniversity. Melbourne, Victoria Australia. June 2012. www.med.monash.edu/cecs/gastro·Gibson P, Muir J, Barrett J. The Monash University Low Fodmap Diet App. Monash University. Melbourne, VictoriaAustralia. -app.html. Accessed January 13,December 6 2013.·Hamdan, K. Crystallization of Honey. Bee World. Vol.87 (4) 2010 pp. 71-74. PDF.·Hebblethwaite C. Your Low FODMAP Diet Plan. Dietary Specialists Limited, Christchurch New Zealand. June 2012.·Kajiwara S, Gandhi H, Ustunol Z. Effect of honey on the growth of and acid production by human intestinalBifidobacterium spp.: an in vitro comparison with commercial oligosaccharides and inulin. J Food Prot. 2002Jan;65(1):214-8. PMID: 11808799·Siebecker A. Clinical Experience, SIBO specialty private practice. SIBO Center for Digestive Health at NCNM Clinic,Portland, Or. 2010-present. www.siboinfo.com.·Wright S. The SCD Diet and Alcohol: Part III – The SCD Guide to Liquors. art3/. Accessed October 22, 2012.Dr. Siebecker 9/18/14

Sep 18, 2014 · Cabbage 1 c/98g Cabbage: Savoy 3/4 c Leek ½ ea/42g Parsnip Pepper: Chili 40g Peas, green 1/3c Spinach 15 leaves/ 150g Tomato: soup/juice Tomato: Sun-dried 2 T/15g Asparagus 4 spears Artichoke Avocado Beet 4 slices Bok Choy 1½ c/127g Broccoli 1 c Brussels Sprouts 6 ea/ 114g Cabbage: Savoy1 c Cau