A Sample of Amber's Daily Diet

People often ask me what Amber can actually tolerate to eat and how does she get enough nutrients.  It is a very fine balance of counting calories, watching out for free fructose (and fructans), and counting grams of sucrose.  We keep a detailed log of everything that goes into Amber's mouth as well as details of her daily condition so that problems can be more easily tracked back to the food culprit.

Amber is still, basically, on the elimination food from the low FODMAP diet.  We've been able to add in a few things successfully, while several fruits, wheat, most processed foods, and dairy (with lactose) have had some degree of failure. She needs mostly natural or homemade food. The few store bought products she can tolerate all have very limited, identifiable ingredients.

Below is a sample of three days, directly from Amber's January 2014 food log.  Some days are blander than others because if we are doing an active food trial / challenge, then the only food she eats that could remotely cause a problem is the challenge food.

UPDATE: I'm going to have to change the samples below.  The regular breakfast muffins with almond flour were found to be too large a source of fructans.  All almond flour is out.  The popcorn and all whole corn products also failed their test.   We are currently challenging casein because it appears Amber is reacting to more than lactose.  I'll change the sample meals again in a few weeks when we hopefully have a better handle on the latest challenges.

Day 1
Breakfast: 2 homemade vanilla muffins (almond flour & dextrose), 3 Thorne vitamins, water
Lunch: Baked boneless pork chop (left over from dinner the night before), Oreida simply fries, 2 low fructose homemade chocolate cookies, Tropical Punch Koolaid (powder packet mixed with 1/3 cup sugar and 2/3 cup dextrose) mixed with daily dose of Miralax, then a glass of water
Snack: Snyder's gluten free pretzel twists (24 pretzels), water
Snack: Natural peanut butter (2 tablespoons) on nut thins (15 crackers), water
Dinner: Grilled chicken (2/3 of breast eaten), baked potato with butter, unsweetened Silk almond milk (with added stevia and vanilla)
Snack: Colby jack cheese cubes (10 cubes), Cape Cod Kettle cooked Waffle Potato Chips (3 ingredient chips),  1 serving homemade chocolate almond milk ice cream, water.

Day 2
Amber can eat at some restaurants, but it has to be plain meat and a baked potato, usually.

Breakfast: 2 homemade vanilla muffins (almond flour & dextrose), 3 Thorne vitamins, water.
Lunch: Texas Roadhouse: 2/3 of 6 oz. Dallas filet (no seasoning, no butter), 1/2 of a large baked potato with butter and bacon, water

Snack: Low fructose homemade snicker doodle, water

Snack: 7 Colby jack cheese cubes, 10 nut thins, 2 Low fructose homemade snicker doodles, Tropical Punch Koolaid (powder packet mixed with 1/3 cup sugar and 2/3 cup dextrose) mixed with daily dose of Miralax. 
Dinner: Omaha steak burger, Udi's gluten free white hamburger bun, Annie's Gluten free shells and white cheese, unsweetened Silk almond milk (with added stevia and vanilla)

Snack: air popped popcorn - 1 cup popped, with tbsp melted butter. Water (This was the first trial of popcorn. Her braces had just come off a few days prior).

 Day 3
Breakfast: 3 homemade vanilla muffins (almond flour & dextrose), 3 Thorne vitamins, water 
Lunch: Parmesan chicken (1 breast), bacon wrapped potato bites (6 ),  Strawberry Koolaid (powder packet mixed with 1/3 cup sugar and 2/3 cup dextrose) mixed with daily dose of Miralax.  
Snack: Snyder's Gluten free pretzel twists (24) and 7 Colby jack cheese cubes, water 
Snack: 2 homemade low fructose graham-style crackers with natural peanut butter (2 tbsp), water 
Dinner: 3 scrambled eggs (with 1 tbsp of coconut oil), 3 slices of bacon (no sugar of any kind), 3 slices of homemade gluten free, low fructose bread - toasted with butter, cinnamon, and dextrose. unsweetened Silk almond milk (with added stevia and vanilla) 
Snack: Homemade vanilla almond milk ice cream (1 serving)

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