On Instagram @AndreaHardyRD, I share what is worth spending your money on when it comes to IBS management and what isn’t.

In this Instagram post Andrea Hardy RD shares what you should and shouldn't spend your money on for IBS management.

IBS management can be expensive
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Well…. it can be, if you don’t have a plan in place. SO many tests & supplements exist that AREN’T evidence based⁠ ❌
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What does this mean? You’re wasting your 💰❗⁠
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🧪 IgG testing – IgG testing does NOT have good quality evidence to support its use. ⁠
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Yes. I know. There’s 1 slightly positive RCT. BUT. ⁠⠀
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The study design? Poor. Wheat & dairy, known FODMAP’s were primarily excluded in the true diet group not the sham group – so why do we need an expensive test for that when we have a highly evidence based approach to managing IBS that reduces intake of these foods?! ⁠
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I hear ‘but some people feel better’ [point above] and ‘it helps improve patient compliance’ [Uhhh you charge $500 to ‘help patient compliance? Please explain the ethics of that.]⁠

🥚 Glutamine. In 1 small scale human trial – beneficial to IBS symptoms and ?intestinal permeability. HOWEVER. We need to ask ourselves the population we’re using it in – the research is specifically in post infectious IBS-D. In our practice, it’s something we may consider if we’ve exhausted all other options because glutamine has low risk, and a small possibility of benefit.

💩 Gut Microbiota testing. I’m so EXCITED for research to evolve – but fact of the matter is – the research is no where close using gut microbiota testing to dictate what diet we should follow. Go watch my IG TV video on this.

💊 OTC General Digestive Enzymes. Great evidence for lactase, and alpha-galactosidase. Not great evidence for ‘general digestive enzymes’. Unless your pancreas isn’t functioning properly, you don’t need em. ⠀
So what is a good, bang for your buck investment?

🥝 Dietary intervention with a dietitian. This may be the low FODMAP diet, or a version of the NICE diet (or a combo of both!)⠀

🏃‍♀️ Exercise has a CLEAR impact on IBS management. Not only is it good for IBS, but sleep, stress, and mood! Get some gentle movement into your day.

💬 Psychology – The gut brain connection OFTEN plays a role in IBS. Work with a psychologist to learn how tapping into your body awareness can transform your IBS symptoms.

Looking for help with your nutrition? Book an appointment with our private practice gastroenterology dietitians at Ignite Nutrition.