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FODMAPs: the five sugar families behind the IBS diet

FODMAP is an acronym, not a substance: Fermentable Oligosaccharides, Disaccharides, Monosaccharides And Polyols. The five families share a mechanism rather than a chemistry — they are small carbohydrates that a lot of people absorb poorly, so they pull water into the small bowel and are then fermented to gas in the colon.

5categories
a few weeksrestriction phase
structured reintroductionthen
licensed, not copiedmeasured values

Not a diagnosis, and not a first step. Coeliac disease must be tested for BEFORE cutting wheat, because the test needs gluten in the diet to work. Weight loss, bleeding, anaemia, a first onset after 50, or a family history of coeliac disease, inflammatory bowel disease or bowel cancer are reasons to see a doctor rather than start an elimination diet. The low-FODMAP diet is a supervised three-phase protocol with a dietitian, not a permanent way of eating.

The five categories, and which foods carry them

Oligosaccharides come in two kinds. Fructans are chains of fructose, and the dominant dietary sources are wheat, rye, onion and garlic — which is why so many people conclude they cannot tolerate bread when what they cannot tolerate is fructan. Galacto-oligosaccharides are the ones in legumes, and essentially nobody digests them, which is why beans behave the way beans behave.

Disaccharides here means lactose, and lactose is only a FODMAP for people whose lactase activity has declined — which globally is most adults, though far less so in northern Europe, where lactase persistence is common.

Monosaccharides means fructose in excess of glucose. Fructose is absorbed comfortably when glucose accompanies it; when a food carries substantially more fructose than glucose, the surplus is not. Honey, apple, pear, mango and high-fructose corn syrup are the usual entries.

Polyols are the sugar alcohols — sorbitol, mannitol, xylitol, maltitol — which occur naturally in stone fruit, mushrooms and cauliflower and are added to sugar-free chewing gum and sweets, where the laxative warning on the packet is telling you exactly what a polyol does.

Why this is a protocol and not a diet

The low-FODMAP approach has three phases and only works if all three happen. Restriction removes high-FODMAP foods for a few weeks — long enough to see whether symptoms respond, and no longer. Reintroduction then tests each category separately, in graded amounts, to find which ones actually cause trouble for this person and at what threshold. Personalisation keeps only the restrictions that earned their place.

In trials, a substantial proportion of people with IBS improve during the restriction phase — the figure varies between studies but sits somewhere between half and three quarters. Almost nobody turns out to be sensitive to all five categories, which is the entire reason the reintroduction phase exists: the restriction phase is a diagnostic instrument, and stopping there throws away the answer.

Stopping there also has costs. Long-term restriction reduces fibre and fermentable substrate, and measurable shifts in the gut microbiota — bifidobacteria in particular — have been reported. A diet designed to be run for six weeks with a dietitian is not a diet designed to be run for six years off a website.

Why this page has no numbers on it

The measured FODMAP content of individual foods, and the serving thresholds that go with it, are the product of a specific laboratory programme at Monash University in Melbourne, and that dataset is licensed. Reproducing those values would be copying someone else’s work, so this page does not.

What is not licensed is the biochemistry: which category a food family belongs to, how the protocol works, and what the categories do in the gut. That is what is here. For the serving-level thresholds — which matter, because most FODMAP problems are dose problems rather than food problems — the Monash app is the primary source and is worth the money if you are actually doing the protocol.

The dose point is worth dwelling on. Very few foods are simply “not allowed”: most have a serving size below which they are fine and above which they are not, and that threshold is personal. A list that says “no onion” is a much cruder instrument than a threshold that says how much onion.

FODMAPsruokaryhmän mukaan

Vyöhykkeet, ei desimaaleja. Missä julkaistua määrää tietylle ruoalle ei voitu varmistaa asiakirjaa vastaan, tämä pinta painaa vyöhykkeen eikä lukua — ja jokainen ruoka alla linkittää omalle ravinnesivulleen jotta näet mitä muuta siinä on.

CategoryWhat it isMain food sources
Fructans (oligosaccharides)Chains of fructose that humans have no enzyme for. The single biggest contributor in a Western diet, and the reason wheat gets blamed for problems gluten did not cause.White bread, Rye bread, Pasta, Onion, Garlic
Galacto-oligosaccharides (oligosaccharides)The legume oligosaccharides. Essentially nobody digests them; the colon does.Lentils, Chickpeas, Kidney bean, cooked, Soybeans, Peas
Lactose (disaccharide)Only a FODMAP for people with reduced lactase activity. Hard aged cheeses have almost none left; milk and soft dairy do.Whole milk, Yogurt, Kefir, Ricotta, cottage cheese and other soft cheeses
Excess fructose (monosaccharide)Fructose beyond what the accompanying glucose can carry across the gut wall.Honey, Apple, Pear, Mango, High-fructose corn syrup
PolyolsSugar alcohols, natural in some fruit and vegetables and added to sugar-free products — where the packet’s laxative warning is the mechanism in plain sight.Mushrooms, Cauliflower, Apricot, Sorbitol, mannitol, xylitol and maltitol, Stone fruit generally
Usually well toleratedFoods with little or no FODMAP content, which is what the restriction phase is built from.White rice, Potato (boiled), Carrot, Cucumber, Egg (hard-boiled), Chicken breast, Salmon, Cheddar cheese, Olive oil, Banana

Mikä muuttaa lukua

Missä muualla nämä ruoat on merkitty

Ruoat jotka on nostettu tällä sivulla ja istuvat myös nostetussa vyöhykkeessä ainakin kahdessa muussa viidestätoista. Rauhoittavia vyöhykkeitä ei lasketa, joten rivi täällä tarkoittaa että ruoka aidosti kerää merkintöjä pikemminkin kuin vain tulee mainituksi paljon.

Kannattaa lukea ennen kuin poistaa mitään. Tämän pinnan listat kirjoitettiin kukin eri ihmiselle eri ongelmaan, ja ne kertyvät samaan pieneen ravinnerikkaiden ruokien ryhmään. Kaikkien täyttäminen kerralla tuottaa dieetin jota kukaan ei suunnitellut eikä kukaan ole testannut.

RuokaMuut listatMitkä
Soybeans6Nickel, Purines, Oxalate, Phytate, Lectins, Struumageenit
Lentils4Nickel, Purines, Phytate, Lectins
Chickpeas4Nickel, Purines, Phytate, Lectins
White bread3Happokuorma (PRAL), Lectins, Akryyliamidi
Rye bread3Happokuorma (PRAL), Phytate, Akryyliamidi
Kidney bean, cooked3Nickel, Phytate, Lectins
Peas3Nickel, Purines, Lectins
Cauliflower2Purines, Struumageenit
Apricot2Ruoan pH, Salicylates

Puhuminen jollekulle joka voi oikeasti testata

Nothing on this surface is personal medical advice. If a food genuinely makes you ill, if you have had a kidney stone or a gout attack, or if you are considering removing a food group from your diet, the person to talk to is your doctor, pharmacist or a registered dietitian — they can test for the things that can be tested for, which a table cannot.

Lähteet:Monash University low-FODMAP programme — the laboratory that measures FODMAP content and publishes the serving thresholds. Values are licensed and are not reproduced here. · British Dietetic Association and national gastroenterology guidance on the three-phase structure and on dietitian supervision. · Guidance that coeliac serology must be performed while gluten is still in the diet.· Ruokanimet ja linkit: sivuston ruokatietokanta. Tarkistettu2026-09-06.

Usein kysytyt kysymykset

Is a low-FODMAP diet permanent?

No. It is a three-phase protocol: a few weeks of restriction, then structured reintroduction of each category, then a personalised diet that keeps only the restrictions that proved necessary. Stopping after phase one discards the answer and narrows the diet for no reason.

Should I test for coeliac disease first?

Yes, and it has to be first. Coeliac testing requires gluten in the diet to be accurate, so cutting wheat before testing can produce a false negative and leave a serious condition undiagnosed.

Is it the gluten or the fructans in bread?

For most people with IBS and no coeliac disease, the fructans. That is why some people who feel better without wheat also feel fine with slow-fermented sourdough, where fermentation has degraded much of the fructan.

Why are there no numbers on this page?

Because the measured per-food values and serving thresholds come from a licensed dataset developed at Monash University, and copying them would be taking someone else’s work. The categories and the mechanism are freely explainable; the measurements are theirs.

Does it work?

In trials a substantial share of people with IBS improve during restriction — somewhere between half and three quarters depending on the study. Almost nobody reacts to all five categories, which is why the reintroduction phase matters so much.

Muut yhdes sivut

Purines

People with gout or hyperuricaemia, and people with uric-acid kidney stones

Stones, gout and the gut

Oxalate

People who have had a calcium-oxalate kidney stone

Stones, gout and the gut

Happokuorma (PRAL)

Munuaiskiven muodostajat, krooninen munuaissairaus, ja kuka tahansa joka on tavannut ”emäksisen dieetin”

Acid, base and pH

Ruoan pH

Kotisäilöjät ja etikkasäilöjät, kuka tahansa hammaskulumalla, kuka tahansa jota ”emäksiset ruoat” hämmentävät

Acid, base and pH

Histamiini

Ihmiset jotka tutkivat punoitusta ja päänsärkyä aterioiden jälkeen; kuka tahansa jolla on ollut reaktio kalaan

Amines and elimination diets

Tyramine

People prescribed a monoamine oxidase inhibitor; people told tyramine triggers their migraine

Amines and elimination diets

Kaikki16yhdes sivua

Reintroduction needs a record

Phase two only works if you can see which challenge produced which symptom, days later. TempoLife keeps meals and symptoms on one timeline.

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