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MyNutritionSix food elimination diet for eosinophilic oesophagitis in adultsThis information is for people completing the six food elimination diet (6FED). It should beused with the resource Elimination diet for eosinophilic oesophagitis in adults whichdescribes the disease process, diagnosis, elimination diet options and other treatments.The Six Food Elimination Diet (6FED) involves strict removal of the following for 6-8weeks: Animal milk Egg Nuts Wheat Soy Fish and shellfishHow do I remove milk from my diet? Avoid all animal milks (cow, goat, sheep etc.) and foods made from milk, such asMyMyNutritionRead the labels on foods and drinks toNutritioncheck for milk or milk products, including foodscheese and yoghurt. that ‘may contain’ milk. Look for hidden names: milk solids non-fat, milk solids, milk powder, whey protein,milk, casein, curd – these are added to some processed and ready-made foods.What about calcium?Calcium is important for bone health. Your bones can become weak if you are not eatingenough calcium rich foods. When avoiding milk it can be hard to eat enough calcium. Youcan do the do the following to make sure you get enough: Include milk alternatives with added calcium (oat, rice or coconut). Include sesame seeds, tahini, dried figs, green leafy vegetables (bok choy, broccoli,spinach), baked beans and legumes (no soy beans).How do I remove wheat from my diet? Avoid any food made from wheat and foods that have wheat in the ingredients list. Check the label and avoid foods that ‘may contain’ wheat.This is a consensus document from Dietitian/ Nutritionists from the Nutrition Education Materials Online, "NEMO", team.Disclaimer: www.health.qld.gov.au/global/disclaimerDeveloped: December 2020Copyright: e for review: December 2022
Wheat contains a protein called gluten so if the product is Gluten Free it is also WheatFree. However, you do not have to include only foods labelled as Gluten Free. Thereare other gluten containing cereals that can be included: oats, barley and rye.Read food labels and ingredient lists carefully. Avoid the food if you see the words:WheatMatzohDurumWheat starchSeitanFarinaBulgarSpeltKamutBurghulCornflour (wheat)TriticaleWheatThickeners 1400-1450maltodextrin(wheat derived)Starches and thickeners are safe for you to eat unless listed as being made from wheat.How do I remove eggs from my diet? Avoid any food that contains egg from any type of poultry (e.g. eggs from chicken,duck or quail). Read the labels on foods and drinks to check for egg and foods that ‘may contain’ egg– it is often used in baked and ready-made foods. lysozyme). MyNutritionNutritionLook out for hidden names (e.g. albumen,Myapovitellin, avidin, globulin, livetin,Most pre-packaged ‘egg substitutes’ contain egg. Some safe substitutes are:o 1 tsp baking powder, 1 tbsp water, 1 tbsp vinegaro ¼ cup of unsweetened applesauceo ¼ cup of mashed bananao 1 tbsp of flaxseeds in 3 tbsp watero 1 tsp yeast dissolved in ¼ cup warm water Removing egg from your diet means you can miss out on important nutrients includingprotein, omega-3 fatty acids and vitamin D and A. You can use flaxseed oil andfortified milk alternatives to replace these nutrients. Egg lecithin (3220) is a food additive used for its emulsifying properties. It is allowed.How do I remove soy from my diet? Avoid all forms of soy, including soy beans (edamame), soy sauce, tofu, soy milk andany product where soy is listed as an ingredient.This is a consensus document from Dietitian/ Nutritionists from the Nutrition Education Materials Online, "NEMO", team.Disclaimer: www.health.qld.gov.au/global/disclaimerDeveloped: December 2020Copyright: e for review: December 2022
As soy is added to foods you may not expect, you will need to read the food label tocheck for soy, including foods that ‘may contain’ soy. Look out for hidden names;hydrolysed plant protein, hydrolysed soy protein, hydrolysed vegetable protein, miso,okara, soya, soja. Soy based foods that are safe: soy bean oil (not cold-pressed) and soy lecithin (322).How do I remove nuts from my diet? Avoid all tree nuts and peanuts. Read food labels and avoid foods that ‘may contain’ nuts. You can replace nuts with seeds (sesame seeds, sunflower seeds, linseeds, pepitas). Nutmeg and water chestnut are safe.How do I remove fish and shellfish from my diet? Avoid all forms of fish and shellfish including fish sauce and oyster sauce. Read food labels and avoid foods that ‘may contain’ fish or shellfish.The following tables will show you what youMycan and can’t eat while on the 6FED, avoidingMywheat (W), milk (M), eggs (E), soy (S), nuts(N)and fish/shellfish (F).NutritionNutritionFood GroupFOODS TO AVOIDFOODS TO INCLUDEBreads &Wheat, including; spelt, kumut,OatsGluten free cornCerealscouscous, durum, atta (W)RyetortillasWheatstarch (W)BarleyGluten free pasta andSemolina (W)RicelasagneTriticale (W)Corn/MaizeLentil floursBran (W)PolentaGlutinous rice flourRegular bread and rolls, rye bread,QuinoaPotato starch/flourpumpernickel bread, sourdough (W)MilletPlain rice and cornRegular biscuits, cakes, doughnuts,Buckwheatcerealsmuffins (W)(M)(E)Sago/tapiocaPlain rice crackersIce-cream cones or wafers (W)Rice porridge/Sorghum, teff,Bread crumbs/breaded food (W)noodlesarrowroot, amaranth,Almond meal (N)Oat porridgegramRye Bread (noTaco shellswheat)This is a consensus document from Dietitian/ Nutritionists from the Nutrition Education Materials Online, "NEMO", team.Disclaimer: www.health.qld.gov.au/global/disclaimerDeveloped: December 2020Copyright: e for review: December 2022
Food GroupFOODS TO AVOIDFOODS TO INCLUDEFoods to watch out for (READLABEL):Corn and rice tortillas/wraps (W)Vermicelli noodles (W)Soba noodles (W)Flavoured rice cakes and crackers(W)(M)Quinoa wraps (W)Gluten free muesli (N)Gluten free bread (S)VegetablesEdamame (S)All othersFoods to watch out for (READLABEL):Frozen & canned vegetables (check foradded thickeners and ‘may contain’statements) (W)MyMyFrozen or take-away chips Nutrition(W) (watchNutritionTabbouleh (W)out for beer battered and sharing ofcontaminated oil)Canned legumes - may contain wheat(W)Vegetable/potato salad (W)(M)Mashed potato (M)FruitFoods to watch out for (READAll othersLABEL):Commercially thickened fruit products(W)Fruit mince (W)Fruit smoothies with milk, yoghurt,whey (M)This is a consensus document from Dietitian/ Nutritionists from the Nutrition Education Materials Online, "NEMO", team.Disclaimer: www.health.qld.gov.au/global/disclaimerDeveloped: December 2020Copyright: e for review: December 2022
Food GroupFOODS TO AVOIDFOODS TO INCLUDEMeatEgg (e.g. whole, dried, powdered, solids, white, yolk,Lamb&egg substitutes) (E)BeefAlternativesSoy (S), Tofu (S), Tempeh (S)ChickenSoy milk/cheese/ yoghurt (S)DuckTextured vegetable protein (S)TurkeyAll seafood (e.g. fish, crab, tuna, shrimp, prawns,Porkoysters, mussels) (F)Legumes e.g. baked beans,Foods to watch out for (READ LABEL):kidney beans, four bean mixCrumbed meats (W)SeedsCanned legumes - may contain wheat (W)Processed meats (sausages/ hamburgers) (W)(E)Canned stew/soups (W)Vegetarian sausages (S).Surimi (E)(W)(S)Felafel (W)Milk & DairyCow’s milk (M)Soy milk (S)Rice milkGoat’s milk/Soy yoghurtMy(S)Coconut milkyoghurt/cheese (M)Sheep’s milk/MyNutritionAlmondmilk and other nutNutritionmilks (N)Oat milkCoconut yoghurt or ice-creamyoghurt/cheese (M)Cream (M)Milk/dairy terms;Cheese (M)Milk, Milk solids (M)Dairy Desserts (M)Sodium caseinate (M)Malted Milk (M)(W)Lactoglobulin (M)Yoghurt (M)Lactalbumin (M)Drinking chocolateCasein (M)(M)(W)Whey (M)Coffee sachets (M)Curds (M)Milo (M)(W)Butter (M)This is a consensus document from Dietitian/ Nutritionists from the Nutrition Education Materials Online, "NEMO", team.Disclaimer: www.health.qld.gov.au/global/disclaimerDeveloped: December 2020Copyright: e for review: December 2022
Food GroupFOODS TO AVOIDFOODS TO INCLUDESpreads,Vegemite ,Foods to watch out forHoneysauces,Promite , Marmite (READ LABEL);Jam/ marmaladedressings(W)Salad dressings &Olive oilNutella (M)(N)mayonnaise (M)(W)(E)Nuttelex Butter (M)Asian sauces (soy, hoisin)Molasses, TreacleCream cheese (M)(W)(S)(F)Golden & Maple SyrupMayonnaise (M)(E)All commercial saucesOzEmite (Dick Smith)Creamy dressings(tomato, BBQ, sweet chilliOur Mate (M)etc.) (W)SalsaMalt vinegar (W)Stock cubes & gravy mixesSoy bean oil (safe)Milk based sauces(W)Peanut oil (safe)(M)Curry powder & pastes (W)HummusPeanut butter andVanilla & flavouring essenceAvocadoother nut butters (N)(W)OilsMargarine (M)VinegarPizza sauce (F)Balsamic vinegarTahiniSnacksAny food with gluten,wheat, milk, soy,nuts or fish/shellfishFoods toMywatch out forMyNutrition(READLABEL);NutritionPlain potato chipsPlain corn chipsFlavoured crisps and chipsPlain popcornin the ingredients/(W)(M)Rice crackersallergy list:Lollies/sweets (W)Corn thinsChocolate (M)Tinned and packet soupsVegan chocolate (nut-free)Custard/ ice-cream/(W)(M)Boiled sweetscheese cake (M)(E)Icing mixture (W)(M)SugarsPavlova/meringueJelly(E)Nuts (N)DrinksBeer (W)WaterSports drinksMilk or dairy based liquors (M)Mineral/ soda/Fruit/VegetableEggnog (E)tonic waterjuiceCordialRed/white wineFoods to watch out for (READ LABEL);Soft drinkSpiritsCider (W)Black tea/ChampagnecoffeeThis is a consensus document from Dietitian/ Nutritionists from the Nutrition Education Materials Online, "NEMO", team.Disclaimer: www.health.qld.gov.au/global/disclaimerDeveloped: December 2020Copyright: e for review: December 2022
Sample meal plan – 6 food elimination diet (avoids wheat, milk, soy, eggs, nuts,fish/shellfish)BREAKFASTRice or oat porridge or wheat free cereal with milk (rice/oat/coconut) and fruitCoconut yoghurt with fruit and seedsBircher muesli (no nuts) with milk (rice/oat/coconut), apple juice, fruit and coconutyoghurtSmoothie with milk (rice/oat/coconut), banana, dates and cinnamonGluten free toast with spreads (jam, avocado, tahini, honey)Baked beans with gluten free toastGluten free sausages with cooked mushrooms, tomato, spinach and hash brownMORNING TEA/ AFTERNOON TEACorn chips with tomato salsaPlain salted popcornVege sticks with hommusPotato or sweet potato chipsRice cakes with tahini and honeyJerkyFruit (fresh or dried) and seedsCorn thins with avocado and tomatoCoconut ice-creamRice, oat or coconut milk smoothie withRoasted chickpeas or fava beasberries and honeyMyLUNCH/ DINNERMyNutritionGluten free wrap or toasted sandwich withham or roast meat and saladNutritionSalad with falafel and hommusStir fry with beef, pork or chicken, vegetables, sweet chilli sauce and riceRoast chicken, beef or pork and vegetablesCurry with meat and curry paste of choice, coconut milk, vegetables and riceRissoles (beef, lamb, pork or chicken) with salad and oven baked chipsRisotto with chicken and vegetablesSpaghetti bolognaise with gluten free spaghetti (no cheese)Vegetable soup such as pumpkin or cauliflower and gluten free toastNachos with mince, kidney beans, vegetables, Mexican spices and guacamoleThis is a consensus document from Dietitian/ Nutritionists from the Nutrition Education Materials Online, "NEMO", team.Disclaimer: www.health.qld.gov.au/global/disclaimerDeveloped: December 2020Copyright: e for review: December 2022
Other meal and snack ideas: MyNutrition MyNutritionFor further information contact your dietitian or nutritionist:This is a consensus document from Dietitian/ Nutritionists from the Nutrition Education Materials Online, "NEMO", team.Disclaimer: www.health.qld.gov.au/global/disclaimerDeveloped: December 2020Copyright: e for review: December 2022
Avoid all animal milks (cow, goat, sheep etc.) and foods made from milk, such as cheese and yoghurt. Read the labels on foods and drinks to check for milk or milk products , including foods that 'may contain' milk. Look for hidden names: milk solids non-fat, milk solids, milk powder, whey protein,
