STAGE 2 — SIMPLE ELIMINATION DIET

You should have completed at least a month of Stage 1, before starting Stage 2, and you should still be eating the Stage 1 diet. Continue with all the Stage 1 restrictions during Stage 2. Do not begin if you have any sort of infection, especially diarrhoea.

Before starting Stage 2, look at the Stage 3 diet and think about how you would do it if you had to. One possible outcome of Stage 2 is that you go straight into Stage 3 – you need to be prepared to do this.

Exclusion phase

Cut out the following foods:

Wheat, rye, barley, oats, maize (corn)

Rice, if this is normally part of your diet and you eat it more than once or twice a week

Milk and all milk products, including butter Eggs

Oranges, lemons, grapefruit, tangerines, Clementines, limes and all other citrus fruits

Yeast and yeast extract, including Oxo cubes, other stock cubes, Bovril etc Mushrooms

Peanuts and any other nuts you eat reasonably often Beef and chicken

Any food that you eat every day, or eat in large quantities, or have a craving for Any food that a member of your family reacts to, or which you suspect for any reason.

You should still be avoiding all items that were disallowed on Stage 1.

As soon as you start the exclusion phase, keep a record of everything you eat, including a rough idea of how much and when. Record your symptoms too and continue this throughout the diet. Be very careful not to eat too much of any one food. Don’t have blow-outs – little and often is the best way to eat.

Stay on the exclusion phase of the diet for two weeks or until you feel better – whichever is the sooner. Someone with a serious problem, such as rheumatoid arthritis, may take a little longer to respond, and they should continue for three weeks. Patients with Crohn’s disease (who must have full medical supervision for such a diet) take about nine days, on average, to respond. They may need to continue the elimination phase for longer than 14 days.

If you do feel better you should not delay in reintroducing foods.

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