1. Advanced
Nutrition
Protocols
-‐
The
Elimination
Diet
By
Ru
Anderson
The
elimination
diet
is
an
accurate
protocol
that
can
be
used
to
resolve
food
sensitivity,
allergies
and
intolerances.
The
user
must
follow
a
strict
set
of
rules
and
eat
a
highly
restrictive
diet
for
some
time
in
order
for
it
to
be
successful,
thus
making
it
one
of
our
advanced
nutrition
protocols.
What
Is
An
Elimination
Diet
In
general
we
get
two
main
types
of
clients:
1) Those
with
current
eating
habits
that
are
poor
or
inconsistent,
or
2) Those
who
are
eating
good
food
choices
with
consistency,
yet
not
seeing
results.
If
a
client
falls
into
number
1,
and
eating
habits
are
poor
and
lack
any
structure,
the
use
of
an
elimination
process
is
not
required
–
they
just
need
an
improved
diet.
However,
it
is
possible
that
some
clients
may
still
not
get
the
desired
benefits/results
from
an
improved
diet,
and
it
is
therefore
necessary
to
look
a
little
deeper
into
their
eating
habits,
particularly
their
food
choices.
In
my
experience,
it
is
food
sensitivities
or
intolerances
in
the
diet
that
may
be
causing
a
lack
of
results.
Of
course,
this
is
assuming
you
have
already
addressed
overall
energy
balance
(calories
in
vs.
calories
out)
to
match
current
goals,
macro
and
micronutrients
breakdown,
along
with
nutrient
timing
and
frequency
in
the
daily
diet.
If
not,
then
this
should
be
your
starting
point,
and
will
actually
be
a
much
easier
option.
It’s
important
to
note
that
this
is
not
a
fat
loss
protocol,
so
it
shouldn’t
become
the
‘go
to’
diet
for
those
who
are
having
difficulty
in
losing
bodyfat,
but
it
could
be
an
option.
Instead,
it
is
likely
to
become
one
of
your
‘go
to’
diets
to
help
treat
those
with
the
following
conditions:
− Fibromyalgia
− Chronic
Fatigue
Syndrome
− Psoriasis
− Arthritis
− Asthma
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2. − Eczema
− IBS
− Infertility
− Chronic
Migraines
− GERD
− Anxiety
− Constipation
/Diarrhoea
− Sinus
problems
It
is
therefore
a
protocol
that
is
based
on
improving
the
user’s
health
by
removing
food
sensitivities
and
intolerances.
Of
course,
not
everyone
has
been
diagnosed
with
these
conditions,
and
other
symptoms
or
problems
of
the
digestive
system
may
prescribe
the
use
of
an
elimination
diet:
− Gas
after
a
meal;
− Stomach
cramps
or
aches;
− Poor
mood/energy
levels;
− Slow
digestion,
bloating;
− Poor
stools.
So
this
protocol
is
ideal
for
anyone
who
feels
their
gut
is
working
sub
optimally
and
is
seeking
improved
body
composition
and
health.
How
It
Works
Some
of
our
clients
will
have
intolerances/allergies/sensitivities
to
certain
food
groups
which
can
suppress
hormones
and
disrupt
the
digestive
system.
This
usually
results
in
poor
outcomes
and
despite
people’s
best
efforts,
progress
can
come
to
a
complete
halt.
As
this
area
of
nutrition
coaching
becomes
more
popular
and
is
researched,
it’s
important
to
understand
the
difficulties
between
the
terminologies
when
discussing
it
with
clients:
1) Food
allergy:
an
immediate
food
reaction
that
will
always
provide
an
immune
response
within
minutes.
The
perfect
example
is
a
nut
allergy,
and
this
will
always
remain
with
the
person.
2) Food
sensitivity:
a
delayed
reaction
to
foods
which
can
take
up
to
some
days
before
symptoms
are
felt.
Typical
symptoms
are
diarrhoea,
bloating,
skin
conditions,
constipation
and
tiredness.
3) Food
intolerances:
defined
as
“an
adverse
physiological
response
to
food(s)’”
and,
unlike
allergies
or
sensitivities,
there
is
no
immunological
mechanism
of
adverse
food
response.
The
perfect
example
is
lactose
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3. intolerance,
which
essentially
means
you
are
lacking
the
enzyme
lactose
to
aid
digestion
of
lactose
(milk/dairy).
It
is
important
to
find
the
foods
causing
these
issues
and
remove
them.
For
some
people
a
general
clean
up
of
the
diet
works
just
fine,
for
others
a
stricter
approach
is
needed.
Enter
The
Elimination
Diet
A
good
elimination
diet
is
a
strict,
controlled
eating
plan
that
removes
typical
food
intolerances
along
with
those
that
may
be
individual
to
that
person.
There
are
a
number
of
ways
you
can
start
to
apply
elimination,
and
one
of
the
easiest
places
to
start
is
to
simply
remove
the
common
offenders:
− Gluten
(wheat)
− Dairy
− Soy
− Eggs
Another
approach
is
to
make
it
more
personal
to
the
client
by
using
a
food
diary
(like
the
one
contained
in
this
article)
to
track
the
client’s
food
intake
and
link
their
symptoms
to
timing
of
meals
and
certain
foods.
It
can
also
be
helpful
to
ask
a
few
key
questions:-‐
− What
foods
do
you
eat
most
often?
− What
foods
do
you
crave?
− What
foods
do
you
eat
to
feel
better?
− What
foods
do
you
have
trouble
giving
up?
This
will
allow
you
to
create
a
more
personal
perspective
of
the
client’s
issues
which
may
lead
you
to
quicker
results.
Often,
the
answers
to
these
questions
seem
to
be
the
foods
that
are
most
important
to
eliminate
and
test.
The
last
option
is
to
head
straight
into
the
full
elimination
diet
that
will
be
the
most
restrictive,
reducing
all
possible
offenders.
Although
this
might
sound
daunting
at
first,
it
can
be
the
quickest
and
most
accurate
method
of
all
–
the
more
you
remove
the
more
likely
you
are
to
discover
foods
you’re
intolerant
to.
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4. When
following
this
type
of
elimination
diet,
the
following
table
gives
an
example
of
what
to
include
and
exclude:-‐
Foods
To
Include
Foods
To
Exclude
Fruits:
whole
fruits,
unsweetened,
frozen
or
water-‐packed,
canned
fruits
and
diluted
juices
Oranges
and
orange
juice
Dairy
Substitutes:
rice
milk
Dairy
and
eggs:
milk,
cheese,
eggs,
cottage
cheese,
cream,
yogurt,
butter,
ice
cream,
frozen
yogurt,
non-‐dairy
creams
Non-‐gluten
grains
and
starch:
rice
(all
types),
millet,
quinoa,
amaranth,
teff,
tapioca,
buckwheat,
potato
flour
Grains:
wheat,
corn,
barley,
spelt,
oat
Animal
protein:
fresh
or
water-‐
packed
canned
fish,
wild
game,
lamb,
duck,
organic
chicken
and
turkey
Pork,
beef/veal,
sausage,
cold
cuts,
canned
meats,
frankfurters,
shellfish
IF
YOU
ARE
A
VEGETARIAN:
Split
peas,
lentils
and
legumes
If
you
are
not
a
vegetarian,
do
not
include
these
foods.
Soybean
products
(soy
sauce,
soybean
oil
in
processed
foods,
tofu,
soy
milk,
soy
yogurt,
textured
vegetable
protein)
Nuts
and
seeds:
Coconut,
pine
nuts,
flax
seeds
Peanuts
and
peanut
butter,
walnuts,
sesame,
pumpkin,
sunflower
seeds,
hazelnuts,
pecans,
almonds,
cashews,
nut
butters
such
as
almond
or
tahini
Vegetables:
all
new,
steamed,
sautéed,
juices
or
roasted
vegetables
Corn,
creamed
vegetables.
If
you
have
arthritis
avoid
nightshades:
tomatoes,
potatoes,
eggplants,
peppers,
paprika,
salsa,
chilli
peppers,
cayenne,
chilli
powder
Oils:
cold
pressed
olive,
ghee
Butter,
margarine,
shortening,
processed
oils,
salad
dressings,
mayonnaise,
and
spreads,
flax,
safflower,
sesame,
almond,
sunflower,
walnut,
canola,
pumpkin
Drinks:
filtered
or
distilled
water,
decaffeinated
herbal
teas,
seltzer
or
mineral
water
Alcohol,
coffee
and
other
caffeinated
beverages,
soda
pop
or
soft
drinks
Sweeteners:
use
sparingly:
brown
rice
syrup,
agave
nectar,
stevia,
fruit
sweetener,
blackstrap
molasses
Refined
sugar,
white/brown
sugars,
honey,
maple
syrup,
high
fructose
corn
syrup,
evaporated
cane
juice
Condiments:
vinegar,
all
spices,
including
salt,
pepper,
basil,
carob,
cinnamon,
cumin,
dill,
garlic,
mustard,
oregano,
parsley,
rosemary,
tarragon,
thyme,
turmeric
Chocolate,
ketchup,
relish,
chutney,
soy
sauce,
barbecue
sauce,
teriyaki,
and
other
condiments
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5. If
you
are
avoiding:
Also
avoid:
Dairy
Caramel
sweets,
carob
confectionery,
casein
and
caseinates,
custard,
curds,
lactalbumin,
goats
milk,
milk
chocolate,
nougat,
protein
hydrolysate,
semisweet
chocolate,
yogurt,
pudding,
whey.
Also
beware
of
brown
sugar
flavouring,
butter
flavouring,
caramel
flavouring,
coconut
cream
flavouring,
“natural
flavouring,”
Peanuts
Egg
rolls,
“high-‐protein
food,”
hydrolysed
plant
protein,
hydrolysed
vegetable
protein,
marzipan,
nougat,
candy,
cheesecake
crusts,
chili,
chocolates,
pet
food,
sauces.
Egg
Albumin,
apovitellin,
avidin,
béarnaise
sauce,
eggnog,
egg
whites,
flavoprotein,
globulin,
hollandaise
sauce,
imitation
egg
products,
livetin,
lysozyme,
mayonnaise,
meringe,
ovalbuman,
ovogycoprotin,
ovomucin,
ovomucoid,
ovomuxoid,
Simplesse.
Soy
Chee-‐fan,
ketjap,
metiauza,
miso,
natto,
soy
flour,
soy
protein
concentrates,
soy
protein
shakes,
soy
sauce,
soybean
hydrolysates,
soby
sprouts,
sufu,
tao-‐cho,
tao-‐si,
taotjo,
tempeh,
textured
soy
protein,
textured
vegetable
protein,
tofu,
whey-‐soy
drink.
Also
beware
of
hydrolysed
plant
protein,
hydrolysed
soy
protein,
hydrolysed
vegetable
protein,
natural
flavouring,
vegetable
broth,
vegetable
gum,
vegetable
starch.
Wheat
Atta,
bal
ahar,
bread
flour,
bulgar,
cake
flour,
cereal
extract,
couscous,
cracked
wheat,
durum
flour,
farina,
gluten,
graham
flour,
high-‐gluten
flour,
high-‐protein
flour,
kamut
flour,
laubina,
leche
alim,
malted
cereals,
minchin,
multi-‐grain
products,
puffed
wheat,
red
wheat
flakes,
rolled
wheat,
semolina,
shredded
wheat,
soft
wheat
flour,
spelt,
superamine,
triticale,
vital
gluten,
vitalia
macaroni,
wheat
protein
powder,
wheat
starch,
wheat
tempeh,
white
flour,
whole-‐wheat
berries.
Also
beware
of
gelatinized
starch,
hydrolysed
vegetable
protein,
modified
food
starch,
starch,
vegetable
gum,
vegetable
starch.
Although
there
are
a
number
of
tolerance
tests
now
available,
it
is
important
to
know
that
they
may
not
show
all
intolerances
and
do
not
work
as
effectively
as
a
good
old
fashioned
elimination
diet.
However,
they
are
a
good
addition
when
starting
an
elimination
diet
to
ensure
all
bases
have
been
covered.
Time
In
order
for
the
diet
to
work
successfully,
it
is
important
to
give
it
sufficient
time
in
order
to
help
heal
the
GI
system,
before
testing.
This
is
usually
anywhere
between
2-‐4
weeks,
depending
on
the
severity
of
the
problem
initially.
This
is
known
as
the
removal
phase.
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6. Below
is
a
typical
elimination
shopping
list
that
can
be
used
throughout
the
removal
phase
(unless
known
intolerances).
Fruit:
• Apples,
applesauce
• Apricots
(fresh)
• Bananas
• Blackberries
• Blueberries
• Cantaloupe
• Cherries
• Coconut
• Figs
(fresh)
• Grapefruit
• Huckleberries
• Kiwi
• Kumquat
• Lemons
and
limes
• Loganberries
• Mangos
• Melons
• Mulberries
• Nectarines
• Papayas
• Peaches
• Pears
• Prunes
• Raspberries
• Strawberries
*all
the
above
fruit
can
be
consumed
raw
or
juiced
Vegetables:
• Artichoke
• Asparagus
• Avocado
• Bamboo
shoots
• Beets
and
beet
tops
• Bok
choy
• Broccoflower
• Broccoli
• Brussels
sprouts
• Cabbage
• Cauliflower
• Celery
• Chives
• Cucumber
• Dandelion
greens
• Aubergine
• Endive
• Kale
• Kohlrabi
• Leeks
• Lettuce
• Mushroom
• Okra
• Pak-‐choi
• Parsley
• Potatoes
• Sea
Vegetables
• Spinach
• Sweet
potatoes
and
yams
• Snow
peas
• Swiss
chard
• Tomatoes
• Watercress
• Courgettes
*
all
above
can
be
consumed
raw,
juiced,
sautéed
or
baked.
If
you
have
arthritis
avoid
nightshades.
• Animal
Protein:
• Free-‐range
chicken,
turkey,
duck
• Fresh
ocean
fish:
salmon,
halibut,
haddock,
cod,
sole,
pollock,
tuna,
mahi-‐
mahi
• Lamb
• Water-‐packed
canned
tuna
(watch
for
added
protein
from
soy)
• Wild
game
Oils:
• Ghee
• Flax
• Olive
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coconut
Herbs,
Spices
&
Extracts:
• Basil
• Black
pepper
• Cinnamon
• Cumin
• Dandelion
• Dill
• Dry
mustard
• Garlic
• Ginger
• Nutmeg
• Oregano
• Parsley
• Rosemary
• Salt-‐free
herbal
blend
• Sea
salt
• Tarragon
• Thyme
• Turmeric
• Purse
vanilla
extract
Breads
&
baking
• Arrowroot
• Baking
soda
• Gluten
free
breads
• Flours:
rice,
teff,
quinoa,
millet,
tapioca,
amaranth,
potato
• Michi
• Rice
bran
• Rice
flour
pancake
mix
• Rice
tortillas
7. Non-‐gluten
Grains:
• Amaranth
• Millet
• Quinoa
• Rice
–
brown,
white,
wild
• Teff
• Buckwheat
• Rice
crackers
Cereals
&
Pasta
• Cream
of
rice
• Puffed
rice
• Puffed
millet
• Quinoa
flakes
• Rice
pasta
• 100%
buckwheat
noodles
• Rice
cakes
Dairy
Substitutes:
• Almond
milk
• Rice
milk
• Coconut
milk
• Oat
milk
Beans:
If
you
are
a
vegetarian
include
these
foods.
If
you
are
eating
animal
foods,
eliminate
these
foods.
• All
beans
except
soy
• Lentils
–
brown,
green,
red
• Split
peas
*
all
the
above
beans
can
be
dried
or
canned
Nuts:
• Coconut
Vinegars:
• Apple
cider
• Balsamic
• Red
wine
• Rice
• Tarragon
• Ume
plum
Sweeteners:
• Fruit
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sweetener
(100%
juice
concentrate)
• Agave
nectar
• Rice
syrup
• Stevia
Condiments:
• Mustard
(made
with
apple
cider
vinegar)
Beverages:
• Herbal
tea
(non-‐
caffeinated)
• Mineral
water
• Pure
unsweetened
fruit
or
vegetable
juices
• Spring
water
One
of
the
further
difficulties
with
this
diet
during
the
removal
phase
is
coming
up
with
great
tasting
meals
with
plenty
of
variety.
This
tends
to
force
people
into
eating
a
plain
meat
and
veg
diet
which
can
result
in
poor
dieting
compliance
with
the
protocol
as
people
‘fall
off
the
wagon’
due
to
hunger
and
cravings.
It
is
important
to
highlight
the
importance
of
variation
and
some
creativity
when
following
the
protocol,
so
below
are
some
ideas
to
stimulate
your
own
creativity.
Breakfasts:
• Cooked
whole
grain
(oatmeal,
cream
of
brown
rice,
buckwheat,
teff,
millet
or
quinoa)
served
with
fresh
or
frozen
fruit.
Can
add
a
bit
of
coconut,
ghee,
sweetener
and/or
cinnamon.
To
boost
protein,
have
rice
protein
powder
drink.
• Home-‐fried
potatoes:
Cut
onions,
peppers,
broccoli,
mushrooms
and
other
vegetables
of
your
choice
into
small
pieces
and
sauté
in
olive
oil
or
ghee.
Cut
pre-‐baked
potatoes
into
cubes
and
add
to
vegetables.
Add
salt/pepper/herbs/spices.
• Fried
rice:
use
recipe
above.
Add
rice
instead
of
potatoes.
• Toasted
rice
or
lentil
flax
bread
with
coconut
oil
or
ghee,
100%
fruit
jam
or
apple
or
pear
butter,
fresh
fruit
and
herbal
tea.
8. • Fruit
smoothie:
blend
rice
milk
with
fruit.
Possible
choices:
berries,
bananas,
pears,
pineapple,
mango,
papaya,
etc.
Add
flax
seeds
or
psyllium
seeds
as
desired.
Add
fish
oil
as
desired.
Drink
on
its
own
or
as
part
of
a
breakfast.
• Rice
pancakes
topped
with
apple
butter
or
apple
sauce
or
sautéed
apples.
• Cold
rice
or
amaranth
or
other
gluten-‐free
cereal
(read
label
carefully)
with
fresh
fruit
(bananas,
berries,
pears,
apples,
etc)
and
rice
milk.
• Sweet
potato
delight,
half
a
cantaloupe
filled
with
blueberries
or
half
a
papaya
with
lime
juice.
• Mochi
rice
waffles
topped
with
sautéed
apples
and
fruit
smoothie
with
rice
protein
powder.
• Breakfast
rice
pudding,
rice
milk,
berries.
Lunch
or
Dinner:
• Large
salad
with
grilled
chicken
or
fish.
Serve
with
non-‐gluten-‐containing
bread
or
baked
potato
or
winter
squash
or
boiled
new
potatoes.
• Broiled
salmon
plus
streamed
or
oven-‐roasted
vegetables
with
cooked
millet
or
baked
potato
or
sweet
potato
or
quinoa
salad.
Can
also
add
a
salad
with
vinaigrette
dressing.
• Asparagus
soup(or
other
soup),
cabbage
salad,
rice
cakes
with
ghee,
fresh
fruit.
• Broiled
lamb
chop,
green
rice,
cooked
vegetables,
fruity
spinach
salad.
• Fruit
salad
with
coconut/or
pine
nuts.
Serve
with
protein
and
rice
crackers.
• Broiled
or
poached
halibut,
baked
winter
squash
sprinkled
with
cinnamon
and
ghee,
mixed
green
salad
with
vinaigrette
dressing,
mocha
rice
squares
and
fruit
for
dessert.
• Brown
rice
and
grilled
chicken,
steamed
greens,
baked
potato
or
sweet
potato.
• Halibut
salad:
mixed
greens
of
your
choice,
leftover
halibut
cut
into
chunks,
vinaigrette
dressing.
Serve
with
baked
potato
with
ghee.
• Chicken
breast
sprinkled
with
garlic
powder
and
tarragon,
steamed
asparagus
or
broccoli,
brown
or
wild
rice
or
kasha,
ghee
or
olive
oil.
• Quinoa
with
chicken-‐vegetable
soup
or
vegetable
soup.
• Quinoa
salad:
leftover
chicken,
mixed
greens,
guacamole,
millet
with
pine
nuts.
• Fresh
tuna
steak
topped
with
herbs
and
broiled,
rice
pasta
with
olive
oil
and
mock
pesto,
steamed
kale
or
collard
greens
tossed
with
olive
oil
and
garlic
and
vinegar,
mixed
green
salad
with
vinaigrette
dressing.
Fruit
for
dessert.
• Tuna
salad:
canned
tuna
mixed
with
vinaigrette
or
eggless
mayonnaise,
baking
powder
biscuits,
fresh
fruit.
• Roast
turkey
breast
or
broiled
turkey
burger,
brown
or
wild
rice,
steamed
vegetable,
salad
with
vinaigrette.
Baked
apple
or
poached
pear
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9. • Turkey
salad:
leftover
turkey
breast,
mixed
greens,
other
fresh
vegetables,
lemon
or
oil
and
vinegar,
rice
crackers
or
baking
soda
biscuits,
fresh
fruit
or
cup
of
soup.
• Rice
pasta
primavera,
pickled
beets,
mixed
green
salad
with
vinaigrette,
leftover
breakfast
rice
pudding
topped
with
berries.
Snacks:
• Rice
cakes
or
crackers
with
ghee
or
unsweetened
apple
butter
or
coconut
oil,
raw
carrot
• Guacamole
on
rice
cakes
• Vegetables
dipped
into
guacamole
• Baked
apple
• Poach
pear
Again,
it
is
important
to
avoid
any
foods
that
you
know
or
believe
may
cause
problems,
even
if
they
are
on
the
‘allowed’
list.
Re-‐introduction
Once
symptoms
have
improved
it
is
time
to
start
‘challenging’
the
body
with
the
eliminated
foods.
To
challenge
the
body,
add
a
food
group
every
three
days.
It
take
three
days
to
be
sure
that
symptoms
have
time
to
come
back
if
they
are
going
to.
On
the
day
that
the
eliminated
food
is
tested
again
for
the
first
time,
start
with
just
a
small
amount
in
the
morning.
If
there
are
no
symptoms,
eat
two
larger
portions
in
the
afternoon
and
evening.
After
a
day
of
eating
the
new
food,
remove
it,
and
wait
for
two
days
to
see
if
you
notice
any
symptoms.
If
a
food
doesn’t
cause
symptoms
during
the
challenge,
it
is
unlikely
to
be
a
problem
food
and
can
be
introduced
back
into
the
diet.
However,
don’t
add
the
food
back
until
you
have
tested
all
the
other
foods
on
the
list.
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10. Below
is
a
summary
of
the
process
just
discussed;
Day
Number
Step
1
Begin
Elimination
Diet
2-‐7
You
may
notice
symptoms
worse
for
a
day
or
two
8-‐14
Symptoms
should
go
away
if
the
right
foods
have
been
removed
15
Re-‐introduce
food
#1
(for
example,
dairy)
16-‐17
Stop
food
#1
and
watch
the
symptoms*
18
Re-‐introduce
food
#2
(for
example,
wheat)
19-‐20
Stop
food
#2
again
and
watch
for
symptoms
21
Re-‐introduce
food
#3
…and
so
on
*
you
only
eat
a
new
food
for
one
day.
Do
not
add
it
back
into
your
meal
plan
again
until
the
elimination
diet
is
over.
Throughout
the
removal
and
re-‐introduction
phases
it
can
be
beneficial
to
keep
a
food
log
to
track
foods
and
possible
symptoms
in
reaction
to
this.
The
following
food
diary
can
be
used
to
help
with
this:-‐
A
ONE
WEEK
FOOD
DIARY
CHART
Log
in
foods
eaten
and
times.
Note
the
symptoms
you
experience
and
at
what
times.
DAY
1
DAY
2
DAY
3
DAY
4
DAY
5
DAY
6
DAY
7
MORNING
FOODS
MORNING
SYMPTOMS
AFTERNOON
FOODS
AFTERNOON
SYMPTOMS
EVENING
FOODS
EVENING
SYMPTOMS
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11. Benefits
And
Negatives
The
key
benefit
from
the
elimination
diet
is
it’s
potential
to
reduce
and
even
resolve
any
number
of
the
health
problems
previously
mentioned.
It
is
one
of
the
best
options
for
those
suffering
from
GI
issues,
and
can
even
reduce
the
need
for
medication.
When
used
for
the
right
symptoms,
it
really
can
make
people
healthy.
Another
added
benefit
from
following
an
elimination
diet
is
the
amount
of
biofeedback
you
get
from
your
body
in
the
process.
By
devoting
a
number
of
weeks
to
a
detailed
and
restrictive
eating
plan
you
can
learn
a
lot
about
how
certain
foods
can
affect
you.
This
experience
is
a
great
tool
for
anyone
who
is
interested
in
understanding
how
nutrition
can
work
for
them.
You
learn
a
lot
more
than
any
test
or
medication
protocol
can
show
you.
The
major
downside
to
this
is
that
it
is
hard.
Even
if
you
know
that
it
may
benefit
a
client,
they
may
not
want
to
do
such
a
protocol
due
to
its
restrictiveness.
Also,
if
a
client
‘falls
off
the
wagon’
at
any
stage,
the
whole
process
may
be
ruined.
Many
people
notice
that
in
the
first
week,
especially
in
the
first
few
days,
their
symptoms
will
become
worse
before
they
start
to
improve.
If
these
continue,
it’s
important
to
see
a
medical
practitioner.
On
some
occasions
people
will
find
that
they
still
cannot
source
the
problem
and
they
have
to
repeat
the
process
using
a
number
of
different
foods
as
their
base.
At
this
point,
some
testing
may
be
of
benefit.
It
is
possible
some
clients
will
not
go
on
to
replace
some
of
the
eliminated
foods
and
therefore
missing
out
on
adequate
nutrition.
For
example,
if
a
client
gives
up
dairy,
it
is
important
to
highlight
a
calcium
supplement
to
replace
this.
Overall
this
is
a
perfect
test.
It
can
also
be
confusing
and
difficult
to
truly
track
all
of
the
issues
or
the
‘trigger’
foods.
The
key
is
to
be
consistent
throughout
the
protocol.
Summary
This
article
has
shown
you
what
an
elimination
diet
is,
how
it
works,
and
how
to
successfully
apply
it
to
your
clients.
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12. References
And
Further
Reading
1. http://wholelifenutrition.net/programs/elimination-‐diet/
2. http://www.fammed.wisc.edu/sites/default/files/webfm-‐
uploads/documents/outreach/im/handout_elimination_diet_patient.pdf
3. http://global.oup.com/us/companion.websites/9780195371109/pdf/00
_Mullin_Appendix_3.pdf
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