Using Enterolab results for elimination diet

[EllieWhite84]

Hello,

I’ve recently had Enterolab results back for the panel B2 and C2 tests as I have always had a vegetarian diet. I was diagnosed with collagenous colitis 5 years ago and have taken 2 courses of Budesonide and I course of pepto bismol before deciding to try and manage it with diet changes.

I initially thought I needed to cut out the 3+ foods but having read a few more examples on here it looks like I need to cut out the 2+ food too? And possibly white potato as well? Would quinoa be ok instead of rice? And also are there any milks I can have if rice and almond are out?

Also, having got my results I have decided to try eating meat and fish to get enough safe protein in my diet to heal. Would you say that most meats should be ok for me as I have never eaten any before?

Many thanks and sorry for the list of questions!

Best wishes,

Ellie White


Fecal Anti-gliadin IgA 353 Units (Normal Range is less than 10 Units)

Fecal Anti-Oat IgA 16 Units (Normal Range is less than 10 Units)

Fecal Anti-tissue Transglutaminase IgA 87 Units (Normal Range is less than 10 Units)

Fecal Anti-Saccharomyces cerevisiae (dietary yeast) IgA 45 Units (Normal Range is less than 10 Units)

Mean Value 11 Antigenic Foods 36 Units (Normal Range is less than 10 Units)

While all of the foods tested can be immune-stimulating, the hierarchy of reactions detected were as follows:

Food to which there was no significant immunological reactivity: none
Food to which there was some immunological reactivity (1+): white potato
Food to which there was moderate immunological reactivity (2+): rice, almond, walnut, soy
Food to which there was significant and/or the most immunological reactivity (3+): corn, cashew, milk, egg, garbanzo bean, sesame seed

Within each class of foods to which you displayed multiple reactions, the hierarchy of those reactions detected were as follows:

Grains:
Grain toward which you displayed the most immunologic reactivity: Corn
Grain toward which you displayed intermediate immunologic reactivity: Rice

Nuts:
Nut toward which you displayed the most immunologic reactivity: Cashew
Nut toward which you displayed intermediate immunologic reactivity: Almond
Nut toward which you displayed the least immunologic reactivity: Walnut

Nightshades:
You displayed immunologic reactivity to white potato, the member of the nightshade family usually consumed most often and in greatest quantities. While this does not necessarily mean you would react to all other nightshade foods (tomatoes, peppers, eggplant), it is possible. In the realm of elimination diets for immunologic disorders, nightshades are usually eliminated as the entire food class (i.e., all four previously mentioned foods in this class). This is especially important to the clinical setting of arthritis.

[Gabes-Apg]

Milk wise - Looking at that batch of results I was thinking that maybe Oat milk would be an option. but it is also showing high inflammation levels
what are you using the milk for ie how much would you be consuming each day?

Quinoa might be ok - be careful about serving size as it does have more fibre than rice

Regarding meats - I would tend towards meats that are not feed grains. that is why we suggest wild game, lamb etc

[Gabes-Apg]

of note your gluten result is very very high. Are you eating gluten?

[EllieWhite84]

Thanks so much for the quick response.

I forgot to mention that I’m also reactive to oats so have had to cut them out, I did eat a lot of oats previously. Maybe coconut milk is the best option? I don’t have a lot of milk - just a bit in tea at the moment.

I have cut gluten out totally now but only started that about 3 months ago as I was eating my normal diet until then. Maybe that is why it is still so high?

Ah right - that makes sense on the meat, I’ll aim to stick to the stuff on the safe list.

Thanks again, Ellie

[Gabes-Apg]

it can take about 6 months for your body to clear the gluten

did you replace cookware and utensils?

are you sharing kitchen or still cooking with gluten for others in the household?

there is a great article by the MC foundation from June last year about gluten cross contamination
https://www.microscopiccolitisfoundatio ... d91296.pdf

[EllieWhite84]

Thank you for the article - an interesting read.

I am still cooking with gluten for my children so I guess there is a chance of cross-contamination there. I do cook my meals separately from theirs but all in the same kitchen. I obviously need to refine it all a bit further!


Thank you so much for your help.