I was able to get a hold of my dietician about my vinegar question. Apparently balsamic has more glucose than fructose but I should limit it to 1-2 tsp servings. White distilled vinegar has no fructose and cider vinegar trace amounts of fructose. There are also times that HFCS is also added to vinegar apparently. Looks like I will have to start reading the labels. And limiting how much vinegar I’m taking in with the foods I eat. Unless the vinegar is upsetting my stomach for a completely different reason from the fructose intolerance.

Symptom Flare Up

Go figure. Two days after I tell everyone that most of my symptoms have gone away but a few I have a flare up. I noticed the last day or two that my abdomen is getting very distended and I’ve been burping a lot. I have a feeling the culprit may be vinegar or I’ve just been eating too much chocolate recently. I’m not really sure. Unless the SIBO has come back ­čśŽ

The main reason why I think that it may be the vinegar is because I’ve been eating a lot of pickles and prepared horseradish. I’ve also been making a white balsamic vinaigrette that I really like. All of these have vinegar in them. I’m not really sure if there’s types of vinegar that I’m not supposed to have. My dietician never mentioned it but some of the paperwork that I have from my GI specialist says that I can’t have apple cider vinegar. Food labels don’t really say what kind of vinegar is in the product. For all I know they are using apple cider vinegar.

I’m hoping that Monday or Tuesday I will get some time to call my dietician and ask her about it. Although it will probably be Tuesday because Monday will already be pretty busy with stuff for work. I definitely plan on taking it easy this weekend with the chocolate and other foods that do have vinegar in them. Hopefully my stomach will settle back down. I’d really rather not have to go back on a restricted diet for another 4 weeks.

Sweeteners to Avoid

A lot of people have been curious as to what sweeteners I have to avoid. Here is the list I received from my dietitian:

  • Agave Syrup
  • Brown Sugar(made with molasses)
  • Caramel
  • High Fructose Corn Syrup(HFCS)
  • Fructose
  • Honey
  • Corn Syrup
  • Molasses
  • Mannitol
  • Maple Syrup
  • Palm Sugar
  • Sorbitol
  • Splenda(Sucralose)
  • Xylitol
  • Beet Sugar

The ones that are the hardest for me to avoid so far are HFCS and corn syrup. They’re in everything. From the ice cream you get at Diary Queen to the bread you get at the super market. It’s been a struggle to avoid that stuff. Especially when I go out to eat. But I am slowly getting better at avoiding it. It just means that I can’t eat at some of my favorite places anymore. Which is a bummer.

My First Dietitian Appointment

I finally got to see the dietitian today. The lady I saw was very nice and helpful. She was able to answer many of the questions I have. I’m on a pretty strict diet for the next four weeks. After that I can start to reintroduce some of the foods I have to avoid for now. Like watermelon!

There are more foods and sweeteners that I have to avoid now unfortunately. I’m pretty bummed out that I’m not supposed to have maple syrup anymore seeing how I love home made maple syrup. There will be times where I’ll have it with french toast or something. It definitely won’t be an every day thing. I’m also going to have to find new gum to chew because I can’t have the Xylitol or Sorbital that is in many different gums out there.

I’m also going to have to figure out some new BBQ sauces because I’m not supposed to have molasses anymore. It unfortunately has too much fructose in it or something like that. Although I may try a strictly cane sugar molasses. But the problem may be that the fructose and glucose aren’t bonded together. Apparently I can digest fructose that is attached to glucose that is a 50/50 combination but there isn’t really any way to tell this. I can have cane sugar though which makes me very happy.

I will probably be making more home made bread for the next moth. I’m not supposed to have any commercially made cookies, cakes or breads because of the fructose sweeteners that they may contain. These breads may also contain a fiber called inulin. I have to avoid all foods containing that for the next month which also means no chocolate for me ­čśŽ

My dietitian believes that I may also have a Small Intestinal Bacterial Overgrowth(SIBO)┬áproblem. But when I looked up the symptoms they’re the same as the ones for a fructose intolerance and countless other GI diseases/disorders. Even if I do have it the diet I will be on will starve out the bacteria so I’m not that concerned about it.

If my symptoms persist for more than four weeks I may have to go on a FODMAP┬ádiet. I already have a book coming that explains this diet so I will be doing some research on it just in case I need it. It will be an interesting month with all of these diet changes. I just can’t wait to start feeling better.