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THE IBS DIETITIAN

Kirsten Jackson Consultant BSc Hons PG Cert RD

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Can you drink alcohol on the low FODMAP diet?

by Kirsten Jackson Consultant Dietitian BSc Hons, RD, PG Cert Leave a Comment

Yes, you can drink alcohol on the low FODMAP diet. 

This post will explain the advice on alcohol when you have IBS, including which alcoholic drinks and mixers are low FODMAP.

Table of Contents

  • WHAT IS ALCOHOL?
  • THE IMPACT OF ALCOHOL ON IBS
    • Changes in the speed of gastric-emptying
    • Reduced nutrient absorption 
    • Effect on gut microbiota 
    • Causes dehydration
  • Which alcoholic drinks contain FODMAPs?
    • Is wine low FODMAP?
    • Is beer low FODMAP? 
    • Other low FODMAP alcoholic drinks
  • Low FODMAP alcoholic mixers  
  • Long term effects of alcohol on the digestive system
  • IBS and alcohol – what is the overall advice?
  • Summary 

WHAT IS ALCOHOL?

Like fat, protein and carbohydrates, alcohol is a macronutrient. When we drink alcoholic drinks, we are drinking the type known as ethanol. Alcoholic drink production has been going on for centuries and is made through the fermentation of grains, fruits or vegetables.

THE IMPACT OF ALCOHOL ON IBS

Around 1 in 3 people with IBS find that alcohol worsens their symptoms (7). Sadly, we do not have any specific research on how alcohol impacts IBS symptoms but we do have research looking at alcohol and gut health in general.

The information given below is based on studies that do not specifically look at IBS but in the general population (1, 2).

Changes in the speed of gastric-emptying

Alcohol consumption changes the rate at which stomach contents are emptied (known as gastric emptying). Some research has shown that gastric emptying is delayed when the alcohol content is above 15%, but sped up for drinks such as beer and wine (3). 

Rapid gastric emptying is linked to symptoms such as bloating and diarrhoea, which is a commonly reported IBS symptom after drinking alcohol (4).

Reduced nutrient absorption 

Alcohol can reduce the absorption of nutrients, such as B vitamins and zinc (5). Over time, alcohol can also damage the lining of your gut (6), which may further reduce nutrient absorption.

Effect on gut microbiota 

Alcohol can alter the microbiota in your gut, as there have been correlations seen between alcohol consumption and gut bacteria (7, 8).

Some studies have shown that for regular drinkers there is a decrease in Clostridiales, while Bifidobacterium, Lactobacillus and Enterobacteriaceae are increased (9).

Causes dehydration

Alcohol acts as a diuretic, meaning it can draw water from your body and increase urination.

It does this by decreasing how much vasopressin your body makes (10) Vasopressin normally helps your body hold onto more water, so when its levels are decreased you need to urinate more frequently, losing water and leading to dehydration.

The colour of your urine is a good indicator of how hydrated you are, and you should be aiming for a clearer colour.

Which alcoholic drinks contain FODMAPs?

This section will discuss which alcoholic drinks you can enjoy whilst on the low FODMAP diet.

Is wine low FODMAP?

Most wines are low FODMAP for 150ml serving sizes, including red, white, rose, and sparkling (11). However, there can be high fructose levels in fortified wines like sherry and port, so you should avoid these if you are on a low FODMAP diet. 

Is beer low FODMAP? 

One can of beer (375ml) counts as a low FODMAP option (11). 

Beer is made from ingredients that contain FODMAPs. However, the beer-making process breaks down the fructans, leaving a low FODMAP alcohol option.

For some people, the bubbles in beer can affect symptoms such as bloating and gas (non-FODMAP related).

Other low FODMAP alcoholic drinks

You may be surprised that you can still drink some wine and beer while on the low FODMAP diet, but the options do not end there. If spirits are your tipple of choice, the following options are low FODMAP (11):

  • Gin 
  • Vodka
  • Tequila 
  • Whisky
  • Brandy

Low FODMAP alcoholic mixers  

It’s not just the alcohol part that you need to consider! Many popular mixers are also high in FODMAPs.

Mixed drinks often use fruit juices or fizzy drinks, triggering IBS symptoms due to the fact that they contain FODMAPs. 

Some low FODMAP options are (11):

  • Cranberry juice (check for added fructose)
  • Club soda
  • Schweppes diet ginger ale
  • Fever-Tree Indian Tonic Water
  • Tomato juice
  • Lime juice

It is also worth noting that the UK’s guidelines on IBS management suggest decreasing fizzy drinks to reduce IBS symptoms (12). This advice is not based on FODMAPs, but since the bubbles in fizzy drinks can cause bloating and gas in those who are sensitive.

Long term effects of alcohol on the digestive system

We have provided you with some useful information and tips on how to enjoy alcohol with IBS in the long term. However, it is important to highlight that alcohol can damage the parts of your digestive system, including the mouth, oesophagus, and stomach. 

It can put you at greater risk of developing certain types of cancers, such as mouth and throat cancers. It may also cause damage to the lining of the digestive system and damage the muscles that prevent food from coming back up – this means you can get acid reflux (14).

IBS and alcohol – what is the overall advice?

The British Society of Gastroenterology advises that people with IBS should reduce their alcohol intake. The evidence suggests that people with IBS should try to have less than two units of alcohol per day, having at least two alcohol-free days per week (13).

Please note though, these are general guidelines and will depend on your tolerance, as some people may have a reduced tolerance to others.

Some top tips to reduce alcohol-induced IBS symptoms are: 

  1. Avoid drinking alcohol at home
  2. Appreciate that the UK alcohol guidelines are general may be too high for someone with IBS.
  3. Have alcohol free days or try non-alcoholic alternatives.
  4. Drink on a full stomach – this avoids a rapid increase in absorption of alcohol.
  5. Opt for flat drinks rather than carbonated – this will reduce the rate at which alcohol is absorbed and may help prevent bloating (1).
  6. Try ‘low alcohol’ content drinks.

And of course, if FODMAPs are a problem for you, then pick the low FODMAP options listed above.

Summary 

Moderating alcohol consumption is vital for general health and managing IBS symptoms. 

If you are on a low FODMAP diet, you can still enjoy a drink if you want to. Low FODMAP alcohol options include most wines, beers and many spirits. But don’t forget about mixers – you will need to choose low FODMAP options there too! 

Written by Annabelle Green, Student Dietitian and reviewed by Beth Willson BSc Hons RD, Specialist Dietitian 

Kirsten Jackson Consultant Dietitian BSc Hons, RD, PG Cert

Kirsten Jackson is a UK registered Consultant Gastroenterology Dietitian and founder of The Food Treatment Clinic. She has undergone many qualifications to get where she is today, including a UK BSc Honours Degree in Dietetics and Post-Graduate Certificate in Advanced Dietetics. In addition to this, she has FODMAP Training from Kings College London University. Kirsten set up The Food Treatment Clinic in 2015 after first experiencing digestive problems herself. She felt that the NHS was unable to provide the support individuals needed and went on to specialise in this area before opening a bespoke IBS service. Kirsten also participates in charity work as an Expert Advisor for the IBS Network. In addition, she can be seen in publications such as Cosmopolitan and The Telegraph discussing IBS as an Official Media Spokesperson to the IBS Network.

Filed Under: Low FODMAP diet Tagged With: low FODMAP alcohol, low FODMAP drinks

About Kirsten Jackson Consultant Dietitian BSc Hons, RD, PG Cert

Kirsten Jackson is a UK registered Consultant Gastroenterology Dietitian and founder of The Food Treatment Clinic. She has undergone many qualifications to get where she is today, including a UK BSc Honours Degree in Dietetics and Post-Graduate Certificate in Advanced Dietetics. In addition to this, she has FODMAP Training from Kings College London University. Kirsten set up The Food Treatment Clinic in 2015 after first experiencing digestive problems herself. She felt that the NHS was unable to provide the support individuals needed and went on to specialise in this area before opening a bespoke IBS service. Kirsten also participates in charity work as an Expert Advisor for the IBS Network. In addition, she can be seen in publications such as Cosmopolitan and The Telegraph discussing IBS as an Official Media Spokesperson to the IBS Network.

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the.ibsdietitian

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I would love to know - how does your work impact y I would love to know - how does your work impact your gut health?👇👇​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​
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😥 We spend a lot our lives at work and if you have IBS, this routine can be quite stressful. You may feel frustrated at the difficulties you face trying to thrive in the workplace and you may lack energy to achieve your absolute best. ​​​​​​​​
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😊  Instead of accepting that work needs be this anxiety triggering thing in your life - adopt the Take Control approach of making small, sustainable changes over time like 10 minutes of meditation per day or going for a walk in your lunch break. Small changes over time add up to = big results!​​​​​​​​
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😪 Constipation is a common symptom of IBS (IBS-C). Some of the symptoms include straining on the toilet, loose or hard stools, and abdominal pain (these are just a few!😪) Constipation can leave my clients feeling bloated, fatigued, suffering from lack of appetite and overall totally fed up!! ​​​​​​​​​​​​​​​​
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😬 Do you have a food intolerance? Comment below 😬 Do you have a food intolerance? Comment below.

😳 Despite the multiple tests out there claiming to diagnose food intolerances, you can't actually test for an intolerance 😅. This means many people are wasting 💰💰 and following restrictive diets unnecessarily.

🙏 If you have symptoms of an intolerance then 1/ go to your GP to have some routine tests to ensure the symptoms aren't coming from other conditions and then if these all come back negative adopt our Take Control approach of using the scientifically backed low FODMAP diet approach to identify your actual intolerances with a registered dietitian support.

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Can you relate? Comment below 👇 ​​​​​ Can you relate? Comment below 👇 ​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​
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😓 IBS feels like a continuous emotional rollercoaster. Yes there are physical IBS symptoms, but there are also many unseen struggles of IBS including social anxiety and loneliness. This can leave us feeling exhausted and not knowing where to turn to next. ​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​
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😊️ Instead of going through this alone, adopt the Take Control approach of community..​this could look like taking a step to reach out to a loved one that will you trust or joining an online group of other people with IBS who 'get it'. Doing this will make you feel seen when your IBS takes you for a ride. 
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Having IBS can really take a toll on your mental​​​​​​​​​​​​​​​​
health. There is a higher prevalence of mental health related symptoms and disorders in IBS compared to those without IBS😔. ​​​​​​​​​​​​​​​​
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For anyone struggling out there with either gastrointestinal symptoms or psychological symptoms check in with a health professional. Whether it be your regular psychologist, dietitian or doctor, there is support available for you. ​​​​​​​​​​​​​​​​
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😢 The question I often get asked by many of my 😢 The question I often get asked by many of my clients is ‘where do I start’. Misinformation about IBS is rampant on social media and can often leave us feeling confused and overwhelmed about what is actually best to help manage our IBS and where we should start making changes.​​​​​​​​​​​​​​​​
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🙌 In the Take Control Approach 2.0 focuses on research proven advice around the 4 pillars of IBS management - sleep, movement, nutrition and diet. By following research based advice that you can trust, you can start to see improvements and feel like you again. ​​​​​​​​
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😬 Anyone relate? 💩 Many people I talkt to a 😬 Anyone relate?

💩 Many people I talkt to are trying to manage their IBS through restriction. The irony being that even with avoiding multiple foods, they still have symptoms.

🙏 Whilst you may have some food intolerances, it shouldn't be multiple. A restrictive diet will worsen your gut health. Instead of avoiding multiple foods and Still having symptoms adopt the Take Control approach of following the low FODMAP diet to identify specific food triggers and tolerance levels.

❤️ Don't forget to download your free IBS morning routine -  link in bio.

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📰Check out my interview contributions in @cosmo 📰Check out my interview contributions in @cosmopolitanuk

🧅🍹🍎 Whilst this article points out 10 common IBS triggers, it's important to note that everyone will have different tolerance levels and there is no 1 cookie cutter diet for people with IBS.

🙏 To find out your intolerances it is important to work through the low FODMAP process which will give you specific answers.

👀 Read the full article https://www.cosmopolitan.com/uk/body/diet-nutrition/a13057878/foods-to-avoid-ibs/

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CAN YOU RELATE? COMMENT BELOW ⬇️​​​​​​​​
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👉Anyone else feel like they just can't catch a break from IBS for just one minute? IBS is a debilitating condition that can impact so many aspects of your life, the big and the small things - they can all be a struggle when you have IBS!​​​​​​​​
⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀​​​​​​​​
👍 But what if you could fully understand your IBS so you were able to identify your triggers AND improve your gut health so it was less sensitive? This would allow you to get on with tasks big or small without feeling overwhelmed. The Take Control 2.0 approach allows you to look at all aspects of your life to give you back control of your life!​​​​​​​​
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Can you add anymore? Comment below👇 ​​​​​​​​​​​​​​​​
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😪 When following a low FODMAP diet, consuming enough fibre may be challenging as often high fibre foods are restricted. However, eating enough fibre is essential for helping bulk and soften stools! ​​​​​​​​​​​​​​​​
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🤩 Life should not have to be this challenging! ​​​​​​​​Using the Take Control 2.0 approach can allow you to discover foods and drinks which you can tolerate to improve your fibre intake - which is so important for gut health!​​​​​​​​
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🥳 Fed up of trying everything you can but nothing seems to be working? Download my FREE IBS morning guide! Link in bio.​​​​​​​​​​​​​​​​
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📰 Check out my feature in @insider 🙋🏼‍ 📰 Check out my feature in @insider

🙋🏼‍♀️ I am a huge advocate of the Mediterranean diet because it is repeatedly shown to be the best option for our health regardless of what is studied. AND especially in gut health.

💩 Including wholegrain, oily fish, plenty of veggies, fruits, nuts and olive oil is easy with a few tweaks to any diet!

✅ Swap your white carbs to brown
✅ Add 2 portions of fish per week - one should be oily like mackerel or salmon
✅ Eat the rainbow with fruit and veg
✅ Snack on nuts
✅ Switch your oil to olive oil

💩💩 What could you do this week to make your diet more in line with the Mediterranean diet? comment below 👇
DO YOU MOVE FOR YOUR GUT HEALTH? Comment below 👇​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​
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🥵 We get told that the more intense we exercise, the better. But exercising intensely can trigger our IBS, making us feel confused about the best way to stay healthy and control our symptoms. ​​​​​​​​
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🤔 In reality, people like to over complicate exercise. This is why we use the term 'movement' in the Take Control method. Avoid the confusion and keep it simple by going for a daily 30 min gentle walk and you will see the benefits!​​​​​​​​
​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​
🎉 Fed up of trying everything you can but nothing seems to be working? Download my FREE IBS morning guide! Link in bio.​​​​​​​​​​​​​​​​​​​​​​​​
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#ibs #walking #movement #irritablebowelsyndrome #ibsexpert #ibs diet #ibs #guthealth #ibsfood #guthealth #lowfodmapdiet #guthealthy #guthealthiskey #healthylife #bloating #irritablebowelsyndrome #fodmapfree  #healthygut #goodguthealth #gutfood #fermentedfoods #trustyourgut #chronichealth
🤔 Can you relate to any of these comments? Let 🤔 Can you relate to any of these comments? Let me know below 👇 ​​​​​​​​
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😔 When you have IBS, you may feel that how you come across appears rude at times. IBS impacts every area of your life and you can feel you are constantly having to cover it up. Over time, this style of 'coping' can leave you feeling pretty isolated.​​​​​​​​
⠀⠀⠀⠀⠀⠀⠀​​​​​​​​
🙏 Instead of treading water with your symptoms, use research proven methods such as the low FODMAP diet process and mindfulness (part of the Take Control approach) to move forward with your symptoms and regain confidence in yourself and your social life!​​​​​​​​
⠀⠀⠀⠀⠀⠀⠀⠀⠀​​​​​​​​
🎉 🎉 I am giving away a FREE IBS morning routine guide which you can download via the link in my bio.​​​​​​​​
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#ibs #ibsdiet #guthealth #ibsfood #guthealth #lowfodmapdiet #guthealthy #guthealing #guthealthdiet #guthealthiskey #bloating #gutmicrobes #gutscience #healthylife #lowfodmapdiet #bloating #irritablebowelsyndrome #fodmapfree  #gutinstinct #healthygut #ibsd #ibd #chronichealth
⏩ Do you suffer from bloating? Comment below 👇​​​​​​​​
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🤰 Bloating is a common symptom for those suffering with uncontrolled IBS. Having bloating which is unpredictable and there everyday will make you feel tired, impact your relationship with your body and give you real anxiety about eating food.​​​​​​​​
​​​​​​​​​​​​​​​​
⏩ Instead of suffering with unpredictable bloating try the Take Control 2.0 approach of using the low FODMAP diet to identify your dietary triggers. By doing this, you can avoid foods which cause you bloating and start to feel more confident in your body.​​​​​​​​
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🎉 Would you like to start the day in a way which would benefit your gut? Download my FREE IBS morning guide! Link in bio.​​​​​​​​​​​​​​​​
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#ibsbloattips #ibsbloat #ibs #ibsdiet #ibsmanagement #guthealth #ibsfood #guthealth #lowfodmapdiet #guthealthy #guthealing #guthealthdiet #guthealthiskey #bloating #gutmicrobes #gutscience #healthylife #lowfodmapdiet #bloating #irritablebowelsyndrome #fodmapfree #gutinstinct #healthygut #ibsd #ibsmanagement #ibssymptomrelief #ibshelp
WHAT WOULD YOU ADD? Comment below 👇 ​​​​​​​​​​​​​​​​
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😣 IBS is a condition that others cannot see. As humans, we struggle to understand or truly believe in things that we can't touch, hold or see. As a result, IBS sufferers often feel quite alone.⠀⠀⠀⠀⠀⠀⠀⠀⠀​​​​​​​​​​​​​​​​
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😇 IBS is estimated to affect 5-10% of the worldwide population - so you really aren’t alone! Follow the Take Control process of finding a community to support you - there are lots of online forums where you can chat and share your worries with other people who completely understand. ​​​​​​​​
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🎉 🎉 Fed up of trying everything you can but nothing seems to be working? Download my FREE IBS morning routine guide! Link in bio.⠀⠀⠀⠀⠀⠀​​​​​​​​​​​​​​​​
⠀⠀⠀⠀⠀⠀⠀⠀⠀​​​​​​​​​​​​​​​​
#ibsdiet #guthealth #ibsfood #guthealth #lowfodmapdiet #guthealthy #guthealing #guthealthdiet #guthealthiskey #bloating #gutmicrobes #gutscience #healthylife #lowfodmapdiet #bloating #irritablebowelsyndrome #fodmapfree  #gutinstinct #healthygut #mumlife #dubaimom #constipation #chronicpain #chronicallyunwell #women'shealth #ibswishes
⁉️ Have you heard of these symptoms before?

😳 Both of these symptoms can be caused by a few things and one of them is bowel cancer. But we don't know based on symptoms alone so please go and get checked.

🩸Blood can appear on a toilet tissue, in the toilet bowl or it can look like part or all of your stool is black.

⚖️ Unexplained weight loss means that you have lost weight despite eating adequate calories and not really changing your exercise routine. It can be common in IBS to lose weight but this is due to eating less food and so it is explainable.

🙏🙏 If you have either of these symptoms please see your doctor to get checked, don't take the chance.

#bowelcancer #cancer #theibsdietitian
😭 Can you relate? Comment below👇👇​​​​​​​​​​​​​​​​​​
😫 Suffering from IBS can be difficult and burdensome especially when trying to go about your daily life. IBS is a condition that cannot be seen which makes it even more difficult for others to understand and can often feel very isolating😢. 

👉 Instead of keeping this condition to yourself, adopt the Take Control principle of community and get support from people who also have this condition. You can do this by opening up to friends (1 in 10 people have this!) or joining  online FB groups - this way you won't feel so alone in your fight! 
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🎉 🎉 Fed up of trying everything you can but nothing seems to be working? Download my FREE IBS morning guide - link in bio.​​​​​​​​

#ibs diet #ibsbehindthescene ibs #guthealth #ibsfood #guthealth #lowfodmapdiet #guthealthy #guthealing #guthealthdiet #guthealthiskey #bloating #gutmicrobes #gutscience #healthylife #bloating #irritablebowelsyndrome #fodmapfree  #healthygut #goodguthealth #gutfood #fermentedfoods #trustyourgut #chronichealth #microbiome #dubaidietitian #londondietitian #dubailife #dairyfree #prebiotics
🤔 WHICH ONES DID YOU KNOW? Comment below 👇 ​​​​​​​​​​​​​​​​
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😞 IBS is a very complex disorder to navigate by yourself. It’s more than just altering your diet, a lot of factors are at play with your IBS. Trying to work out what triggers your IBS is an absolute mind field.​​​​​​​​​​​​​​​​
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Adopting the Take Control Method, where the 4 pillars of IBS relief are all addressed (diet, movement, mental health and sleep), has helped so many of my clients to achieve that ultimate symptom relief because it considers EVERYTHING, not just what you out in your mouth.​​​​​​​​​​​​​​​​
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🎉 🎉 Fed up of trying everything you can but nothing seems to be working? Download my FREE IBS morning guide - link in bio.​​​​​​​​​​​​​​​​
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#ibsdiet #guthealth #ibsfood #guthealth #lowfodmapdiet #guthealthy #guthealing #guthealthdiet #guthealthiskey #bloating #gutmicrobes #gutscience #healthylife #lowfodmapdiet #bloating #irritablebowelsyndrome #fodmapfree  #gutinstinct #healthygut #ibsd #ibd #tea #5steps #chronichealth #multifactorial. #chronicallyunwell #endo #ibstype #ibstyping #ibsc
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