This book (and Van Vorous' other work) has helped me tremendously. My symptoms were debilitating. When I was diagnosed, I asked my gastrenterologist if there were any diets in particular that might have an impact. He said "It's different for everyone." And while that is true to some extent, he didn't even mention that caffeine and alcohol were triggers, let alone fats and insoluble fibers. When I discovered this book and started following the guidelines, my condition improved dramatically. Before I discovered this book, I could not have gone near a half-cooked, let alone raw, vegetable without getting sick. Whole grain cereal, oatmeal, or pasta would have caused excruciating pain. But after first following the guidelines to the letter, I was eventually able to incorporate more of these foods--in the right amounts, combinations, and at the right time of day--into my diet. For those who have critiqued this diet because it tells you to eliminate insoluble fibers, you need to reread the title. This is titled "The First Year."You don't have to eat like this forever, just until your gut is is under enough control to tolerate such foods.
And the fact is that you're never going to be able to go on Atkins diet, but you don't have to eliminate insoluble fibers completely. You do, however, have to limit your portions, eat your insoluble fibers after you've consumed a good soluble fiber base, and recognize that certain times of day are worse when it comes to eating insoluble fiber. For me, the morning is the worst time, so I don't have salads or raw vegetables for dinner. That simple.
Another critic claimed that this diet is not good for the constipation form of IBS. Apparently they have not read Van Vorous' medically accurate description of why constipation occurs in IBS sufferers. The trigger foods cause the gut to seize up.By following the diet and eliminating the trigger foods for a time, drinking lots of water (even more than you're thirsty for), and engaging in mild exercise, constipation sufferers can benefit. Obviously, if you're a constipation sufferer and you don't have the nausea associated with the diarrhea form of IBS, then no, you wouldn't need to snack on a piece of sourdough bread.
The other critical point that Van Voroous makes in this, her other books and her website is that the severity of the reaction to certain trigger foods depends on the person. This is where the reader/IBS sufferer actually has to determine what he or she can or can't tolerate based on his or her own experience with food.For example, I can now tolerate--after a good soluble fiber base--small amounts of artichoke.I cannot, under any circumstances, have even the smallest amount of spinach (not even cooked) no matter how much bread, oatmeal, or anything else I've had before hand.
Another critic claimed that she stopped reading the book because it didn't include detailed and accurate information about fats. I'm sure that the fats she recommended could help some IBS sufferers eventually, but if you're just trying to get your IBS under control for the first time, then fats of any kind may not be tolerated and should be avoided until such time as you are able to tolerate them again. Remmeber, this book is titled "The First Year" not "The Rest of Your Life."
As with anything, we each have to take the advice given in such books and apply them to our unique situations. That is the purpose of a guide or a set of guidelines. For example, Van Vorous recommends giving up dairy; however, I can now easily tolerate fat-free cow's milk and other fat-free dairy products. But I was only able to do so after I got my symptoms under control, and I only got them under control by following the guidelines in this book.
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