I was trying to follow Paleo too only little did I know I was consuming lots of foods high in FODMAPs. I think that's why a lot of others feel worse when they jump into Paleo dieting.
I think that's the reason that most people have for not having good results with diet in general.
That's why i always recommend something like SCD/GAPS intro stages[1] which stress (usually on deaf ears) the importance of adding one food back at a time to see if it is tolerated.
My first attempt at SCD i just started eating everything on the 'legal' list and telling myself i was eating SCD.
Had to go back to the start after it was drummed into me that "if you didn't do the intro diet you're not doing SCD"
It takes a while for things to settle down and a food that is not tolerated at the beginning may be fine later
Interesting that fructose and fructan malabsorption go hand in hand.
Not so surprising, fructans are long chains of fructose molecules
Terminology gets a bit confusing, fructose malabsorption used to be called "dietary" fructose intolerance, but there is a rarer genetic condition called "hereditary" fructose intolerance. Dietary FI is treated by not eating (or severely limiting) fructose and can correct once bacteria is normalised, it's a symptom, not a condition.
" The third and more likely scenario is that small intestinal bacterial overgrowth is in full swing and the bad bacteria are gobbling up the fructose in the small intestine before it has a chance to be escorted to the bloodstream in the first place."
FODMAPS is a great diet to work out what is causing problems, and it is an elimination diet with staged reintroduction of the FODMAPS to see if it is correcting.
I thought this was a great podcast laying FODMAPS out clearly and explaining the testing procedure
Dr. Siebecker Explains the Art and Science of the FODMAP Diet (Podcast 45)
http://scdlifestyle.com/2012/09/dr-...rt-and-science-of-the-fodmap-diet-podcast-45/
Yes, problems with stone fruits and artificial sweeteners. I'm on the fence about my lactose intolerance, just have real grass fed cow Irish butter (Kerry Gold) and I do fine with it. Haven't tested real milk and ice cream in the last year or more. One of my worst reactions was to freeze dried apple chips. I was crippled up for about 10 days. Dehydrating and or drying fruits increases the amount of fructose by huge amounts.
You would be getting a tiny amount of lactose in butter (0.01 gram of lactose per tablespoon) so unless you are eating it by the block you probably aren't reaching your threshold.
If you had a tablespoon of milk you might not notice any ill effects but a glass would set you over.
Ice cream would have the lactose, along with sugar and (depending on the brand) god knows what else.
And just to be picky , drying doesn't increase the amount of fructose, but it greatly increases the amount you can eat by reducing the bulk (water).
A dehydrated apple has the same amount of fructose as a fresh apple, but one can eat 10 apples worth of dehydrated before one is satisfied, whereas one would probably not have two apples in a row
[1] If anyone is interested this link is to SCDlifestyles'
"Learn What Most People Don't Know About Properly Starting the Specific Carbohydrate Diet".
they will ask for an email and will send you emails about podcasts and offers but it is low profile and zero pressure.......
http://scdlifestylebook.com/free.ph...433421035?_ga=1.45444835.698976509.1433421035