Why does fruit make me bloated?FRUCTOSE INTOLERANCE 101

Why does fruit make me bloated? FRUCTOSE INTOLERANCE 101

WHAT IS FRUCTOSE?

Fructose is a type of sugar found in fruit, honey, and high-fructose corn syrup.

The body can only process and absorb a certain amount of fructose at a time, and that capacity varies on a bioindividual basis.

Once that threshold has been exceeded, excess fructose draws water into the intestine and is fermented by gut microbes, causing abdominal pain, gas, bloating, belching, nausea, and loose stools.

CONSEQUENCES OF FRUCTOSE INTOLERANCE

Fructose malabsorption can also interfere with the absorption of certain nutrients, including tryptophan, folate, and zinc.

Beyond gastrointestinal symptoms, some people also experience fatigue, headaches, joint and muscle stiffness, diminished concentration, or depression after consuming excessive amounts of fructose.

Fructose intolerance can be diagnosed by a breath test or blinded consumption challenge, but the easiest way to identify your fructose tolerance is to eliminate high-fructose foods and see if your symptoms improve.

Fructose intolerance can be diagnosed by a breath test or blinded consumption challenge, but the easiest way to identify your fructose tolerance is to eliminate high-fructose foods and see if your symptoms improve.

HIGH-FRUCTOSE FOODS

  • apples

  • pears

  • grapes

  • melon

  • cherries

  • plums

  • peaches

  • apricots

  • mangoes

  • dried fruit

  • beets

  • juice

  • soda

  • agave

  • honey

  • high-fructose corn syrup

  • sweet sauces

    -------

  • sugar alcohols (erythritol, xylitol, etc)*

  • wheat & barley**

  • onions & garlic**

  • zucchini**

  • inulin**

*Sugar alcohols do not technically contain fructose, but they interfere with absorption & worsen symptoms.

**Some people are also sensitive to grains & alliums that contain fructans, which are long chains of fructose molecules.

high-fructose foods

MANAGING FRUCTOSE INTOLERANCE

Just as sugar alcohols interfere with fructose absorption, certain molecules improve it.

Consuming glucose or amino acids with fructose-containing foods can improve tolerance.

In other words, try to pair high-fructose foods with protein to reduce symptoms.

HEALING THE GUT

Most importantly, supporting a healthy gut lining can improve fructose tolerance.

The body's ability to absorb nutrients is hindered when there is damage or inflammation from infection, gluten intolerance, autoimmune issues, intestinal hyperpermeability, or IBS.

As the gut heals, fructose absorption can improve and allow you to enjoy fructose-containing foods without issue.


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References

Choi , Y. K., F. C. Johlin , et al. (2003). "Fructose Intolerance: An Under Recognized Problem." Am J Gastroenterol 98 (6): 1348 1353.Corpe , C. P., C. F. Burant , et al. (1999). "Intestinal Fructose Absorption: Clinical and Molecular Aspects." Journal of Pediatric Gastroenterology and Nutrition 28 (4): 364 374.

Douard , V. and R. P. Ferraris (2008). "Regulation of the fructose transporter GLUT5 in health and disease." American Journal of Physiology Endocrinology And Metabolism 295 (2): E227 E237.

Jones, H. F., R. N. Butler, et al. (2011). "Intestinal fructose transport and malabsorption in humans." Am J PhysiolGastrointest Liver Physiol 300 (2): G202 206.

Kim, Y., S. C. Park, et al. (2011). "Combination of erythritol and fructose increases gastrointestinal symptoms in healthy adults." Nutrition Research 31 (11): 836 841.

Latulippe , M. E. and S. M. Skoog (2011). "Fructose Malabsorption and Intolerance: Effects of Fructose with and without Simultaneous Glucose Ingestion." Critical Reviews in Food Science and Nutrition 51 (7): 583 592.

Ledochowski , M., B. Sperner Unterweger , et al. (1998). "Fructose malabsorption is associated with early signs of mental depression." Eur J Med Res 3 (6): 295 298.

Ledochowski , M., F. Uberall , et al. (1999). "Fructose malabsorption is associated with lower plasma folic acid concentrations in middle aged subjects." Clin Chem 45 (11): 2013 2014.

Ledochowski , M., B. Widner , et al. (2001). "Decreased serum zinc in fructose malabsorbers." Clin Chem 47 (4): 745 747.Ledochowski , M., B. Widner , et al. (2001). "Fructose malabsorption is associated with decreased plasma tryptophan." Scand JGastroenterol 36 (4): 367 371.

Ledochowski , B. W., H. Bair, T. Probst , D. Fuchs (2000). "Fructose and Sorbitol reduced Diet Improves Mood and Gastrointestinal Disturbances in Fructose Malabsorbers." Scandinavian Journal of Gastroenterology 35 (10): 1048 1052.

Park, Y. and E. Yetley (1993). "Intakes and food sources of fructose in the United States." The American Journal of Clinical Nutrition58 (5): 737S 747S. 58 (5): 737S 747S.

Skoog , S. M. and A. E. Bharucha (2004). "Dietary Fructose and Gastrointestinal Symptoms: A Review." Am J Gastroenterol 99 (10): 2046 2050.

Szilagyi , A., P. Malolepszy , et al. (2007). "Fructose Malabsorption May Be Gender Dependent and Fails to Show Compensation by Colonic Adaptation." Digestive Diseases and Sciences 52 (11): 2999 3004.

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12 High-Fructose Foods

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