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Written by Jan Modric

Table of Contents Nutrition Guide For Fructose Nutrition Guide For Fructose Malabsorption Malabsorption

In the table below there are lists of – safe to eat, to try, and to avoid in fructose malabsorption (FM), according to several ’ and fructose malabsorbers’ recommendations. The list may serve only as the orientation, since absorption of fructose and other may vary considerably among individuals with FM, so everyone should make lists of not/allowed foods and their tolerable amounts, according to personal experience. In small children, fructose absorption often improves with age.

Table: Foods – safe, to try, and to avoid in fructose malabsorption Featured Health Articles Ask a Doctor Online Now! Folliculitis Pictures

FOOD GROUP SAFE TO TO TRY (IN TO AVOID WHEATStaph Skin InfectionsIndividuals with FM who cannot safely eat (white , , EAT MODERATION) (containing breakfast etc) may also have problems with , Itchy Legs - Causes and Treatment ) , chicory , chicory (whitlof, Belgium endive), AND Acesulfam , brown syrup (in Skin Rashes chicory based coffee substitutes, dandelion greens, leeks, (after SWEETENERS syrup, brown , Tex-Mex foods, Skin Cancer Picturescooking, and Treatment throw onions away and enjoy the ), , spring onions. (Nutrinova, (if no fructose , Tiny amounts of wheat in wheat thickener, and dextrose are Sweet One, is added), syrup, , soft Head and Face Numbness not problematic. Sunnett, , sorghum ), , Ace-K, syrup, (table or Chinese rock Individuals with FM who cannot safely eat beans may also have problems Acesulfame cane sugar). sugar, corn syrup (containing with other (, soy, ), broccoli, Brussel’s sprouts, Top Health Articles K), , Sugar substitutes: , fructose, , , cauliflower, kale, turnip greens, and whole . , dulcitol, , lactalol, ) lacticol, litesse, , concentrate, Left side (dextrose, , , ADDITIONAL Cooked (like ) may have higher fructose content then glucodin), (Sweet ‘n (cane syrup), LOW raw ones. Whole- bread has more fructose than refined bread. High Fructose FRUCTOSE Brown rice has more fructose than . New potatoes have more , Low), , trimoline, Leg numbness maltodextrin . Corn Syrup TIPS fructose than old ones. like , and (modified (HFCS), , supplements, often contain fructose or , so it is suggested to find their fructose/sorbitol free alternatives. ), invert sugar Right side abdominal pain moducal, (), licorice, . , raw sugar (Turbinado, Numbness in arm Demerara, , – gur); Intestinal parasites sweets in excess (>50g), soft drinks with sucrose Itchy Scalp http://www.healthhype.com/nutrition-guide-for-fructose-malabsorption.html[4/10/2012 12:03:11 PM] Nutrition Guide for Fructose Malabsorption | Healthhype.com

(>375 mL); Sugar substitutes: Excessive burping hydrogenated starch hydrolysates (HSH), sorbitol, Sweetener Myths and Facts stevia, . Sweeteners & Your Dietary Health: Learn the Dietary Facts Here. Cumquat, Avocado, , , cherries, www.SweetSurprise.com/ , blackberries, dates, figs, Custom Plan , boysenberries, (black), Create a Healthy Meal Plan With These limes. blueberries, guava, Recipe Ideas. Start Here. cantaloupes, , melon, lychee, merckengage.com grapes (white), jack-fruit, , nashi kiwi, mandarins, fruit, , B12 Info Find B12 Information & Resources Free oranges, passion fruit, , Doctor Discussion Guide , rhubarb, persimmon, www.B12NasalSpray.com , plumes, prunes, , tamarillo, raisins, star fruit, ;, sultana, , nectarines, , watermelon. Dried (not for persons fruits, fruit sensitive to sorbitol). compotes and jams in general.

VEGETABLES Bouillon, Asparagus, beets, , , carrots, dandelion , escarole, greens, cauliflower, peppers, green hash- endive, legumes (beans, cabbage, kale, browns, peas and lentils), lettuce, leeks, lettuce mushrooms, onions, (iceberg), pickles greens, green onions, soy, sweet (e.g. sweet pods potatoes, turnip greens, cucumbers), (immature), zucchini. , squash, potatoes tomatoes, turnips, (white), watercress. pumpkin, shallots, spinach, Swiss chard.

BREADS AND Barley, Wheat (including dinkle, Brown rice, CEREALS and kamut, , sweetened pasta without , wholemeal and breakfast cereals fructose or wheat products: , (or with raisins, -free, , pasta, ). honey). wheat-free bread, corn meal (degermed), cornflakes (non- flavored), grits, grouts, , http://www.healthhype.com/nutrition-guide-for-fructose-malabsorption.html[4/10/2012 12:03:11 PM] Nutrition Guide for Fructose Malabsorption | Healthhype.com (cooked oatmeal), plain muffins, rice (white), rice or buckwheat noodles, rye , tortilla

PROTEINS (fresh, Legumes: chick peas, Meat, (if (MEAT, FISH, not lentils, lima, mung, soy processed, , NUTS) commercially (including ); sweetened, or breaded), Nuts commercially fish (fresh or breaded); coconut tinned /cream. without ), other , eggs, grains, nuts, : , flax , millet, poppy, pistachios, sesame, , sunflower

DAIRY Plain, Sweetened milk unsweetened products, ice milk, , cream .

SAUCES AND , bay, Distilled . : , Coriander, , onions, Barbeque’s, cumin, curry, parsnip, spring onions. Sweet&Sour, Hot marjoram, mustard, , , , , parsley, , , vinegar ( . cider, balsamic); Spices: chervil, weed, , hot , pumpkin pie .

DRINKS : tap Fruit : Fruit juices water, non- blackberry, , (apple, , flavored white grapes; mango, , bottled : dry white or , , water, red (1 prune, sweat glass/serving). cherry), soft water, tea, drinks with http://www.healthhype.com/nutrition-guide-for-fructose-malabsorption.html[4/10/2012 12:03:11 PM] Nutrition Guide for Fructose Malabsorption | Healthhype.com coffee (not sorbitol or HFCS; chicory alcohol (except based coffee dry ); substitutes). powdered sweetened beverages, sweetened milk//soy drinks, coffee substitutes with chicory.

NOTE: the above list of safe foods is pretty strict. A person with mild fructose malabsorption will be probably able to safely eat most foods from to try list and even some foods from to avoid lists.

Individuals with fructose malabsorption often have , glucose or gluten intolerance, so they might need an additional lactose-free, sugar-free, gluten-free or FODMAP diet.

The following substances, listed on (and supplements) nutrition facts labels, may be problematic in fructose malabsorption:

Arabitol Corn syrup solids Dulcitol Fructose (fruit sugar) (FOS) Fructose- Fruit juice concentrate (GOS) Glycol High fructose corn syrup (HFCS) Hydrogenated starch hydrolysates (HSH) Invert sugar, saccharin, sucanat Isomalt Lactalol Maltitol Mannitol Oligofructose Polyglycitol Polyols Raffinose Sorbitol Sucanat Sugar Trimoline Xylitol

The list above is probably not complete (some polyols ending with -tol are missing), but the point is that not just any “” or “sweetener” is problematic in FM.

The following substances, listed on nutrition fact labels should NOT be problematic in FM (and if they are, http://www.healthhype.com/nutrition-guide-for-fructose-malabsorption.html[4/10/2012 12:03:11 PM] Nutrition Guide for Fructose Malabsorption | Healthhype.com

this is probably from other reasons than FM):

Agar Acesulfam potassium Artificial dyes Carrageenan Dextrin Dextrose Erythritol Essential oils Gelatin Glucodin Glucose Gluten Glycogen Lactose Lecithin Maltodextrin Moducal hydrolisate Sodium nitrite (and other nitrites and nitrates) Sulfites Trehalose Vitamins

To understand fructose malabsorption better, you may read about mechanism, symptoms and diagnosis of fructose malabsorption, principles of low fructose diet, and check the list of foods high in fructose/sorbitol/fructans/ .

Related Articles:

Foods to Avoid in IBS – Low-FODMAP Diet Foods that Cause and Lactose-Free Diet Gluten-Free Diet Common Food Intestinal Parasites

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Article reviewed by Dr. Greg. Last updated on March 27, 2011

Suggested Reading Low Fructose Diet in Fructose Malabsorption Fructose Malabsorption – Causes, Symptoms, and Diagnosis Foods, High in Fructose, Sorbitol, Fructans and FODMAPs

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