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Diagnosis of Food Intolerance

Bread and warning sign indicating food intolerance or gluten sensitivity

Identifying trigger foods like wheat is key to managing food intolerance effectively

Treatment of Food Intolerance

The treatment of food intolerance focuses on symptom management through dietary modification. Unlike food allergies, which require complete avoidance of the allergen, food intolerance may allow for small or occasional consumption of the trigger food, depending on individual sensitivity.

Avoiding or Reducing Trigger Foods

Identify the problematic food to take appropriate action:

Avoid or limit intake based on tolerance threshold

Choose low-lactose, low-fructose, or additive-free alternatives

Prepare more meals at home to control ingredients and reduce exposure

Use food apps or online databases to identify safe products

For example, those with lactose intolerance may tolerate hard cheeses or lactose-free milk, while individuals with sulphite sensitivity should avoid processed meats and wine.

Dietary Planning and Substitutions

A registered dietitian can help:

Identify safe food substitutes to maintain a balanced diet

Ensure you don’t miss out on essential nutrients (e.g., calcium, fibre, B-vitamins)

Introduce elimination diets safely without excessive restriction

Plan FODMAP-friendly meals if following a low-FODMAP approach for IBS-like symptoms

The goal is to support digestive health without unnecessary food anxiety or nutritional compromise.

Enzyme Supplements

Manage some intolerances with dietary adjustments, enzyme supplements, or medical guidance:

Lactase tablets to help digest lactose

Alpha-galactosidase enzymes for legumes and cruciferous vegetables

Take these supplements with meals to reduce symptoms when completely avoiding the food isn’t practical

You can buy them over the counter, but use them only under medical advice.

Symptom Relief

To manage discomfort:

Use antispasmodics for cramps or bloating (under a doctor’s guidance)

Peppermint oil capsules may relieve digestive discomfort in some individuals

Probiotics might improve gut health over time, although results vary

These remedies are supportive but do not replace dietary changes.

Gradual Reintroduction

Some people can reintroduce small portions of the trigger food after a period of avoidance:

This should be done slowly and methodically

Tolerance levels differ—while one person may tolerate a slice of bread, another may react to a few crumbs

Monitor symptoms carefully and keep your healthcare provider informed

Diagnosis of Food Intolerance

The treatment of food intolerance is personalised and adaptable. With professional guidance and a clear understanding of trigger foods, most people can manage symptoms and maintain a full, satisfying diet.

[Next: Treatment of Food Intolerance →]

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