3 thoughts on “The Health Edge: Functional Medicine and the N=1

  1. Allissa Harter

    Hi Mark and Hi John,
    I am not sure where to find correct information about Fructose Malabsorption. After a year long struggle of digestive and intestinal issues after a food poisoning episode, a friend of mind – Jane- was diagnosed with Fructose Malabsorption. She is currently off her acid blockers and this has helped her to feel better. I pointed her some of your past podcasts where Rifaximin was discussed. But, now I wonder – is this a real diagnosis a garbage can label?
    If so, now what? A low FODMAP diet, which sounds impossible to live off of.

    Could you recommend some appropriate reading material and resources?
    Thank you from an Avid Listener!

    • Allissa,
      Thank you for connecting with The Health Edge and for your question. I will address this in more detail with our next podcast. Fructose malabsorption is a bit of a “waste basket” diagnosis based on an individuals response to a FODMAP (or a similar approach like the specific carbohydrate diet). There have been some studies suggesting a FODMAP diet to be helpful with symptoms from IBS. To your point. this is not a sustainable long-term nutritional strategy and best considered for someone struggling with IBS for e.g. 4-8 weeks, to see how they respond. There are many modifiable factors that might contribute to intolerance of simple sugars like fructose; e.g. long-term acid blockers, dysbiosis, SIBO (small intestinal bacterial overgrowth); gluten sensitivity; chronic stress and disruptive sleep patterns. I’ll provide more detail in our next HE episode! Thanks so much for checking in. Mark

      • Allissa

        Your help is sooooo appreciated!!

        Thank you and I look forward to your podcasts with John. Thank you for the work the two of you do!

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