Tables

Notes on Stages/Phases Used in the Tables

All of the diets provide some guidance, if not official stages/phases, for introducing foods when beginning. With some exceptions as noted below, the Food Table is based on the last and most inclusive phase or stage of the diet (most foods included) that does not involve adding back in random tolerated food choices. If stages/phases are recommended or required, all of the potentially included items listed in the tables may not be available at the start. The phase/stage presented for each diet is as follows:

SCD and mSCD

The final stage of SCD and mSCD are described in the table. While SCD does not have official stages (it does have an introductory diet to last no more than 5 days and a short list of advanced foods) , the stages described on pecanbread.com are often adopted by patients with symptoms and active disease. These stages are not part of the official diet but can be used as a guide when food introduction proves difficult. Both SCD and mSCD allow for introduction of other healthy foods outside the normal parameters of the diet after sustained remission (generally recommended to wait until 1 or 2 years of sustained remission). Because these food additions could be anything tolerated by the patient, they are not included in the food table. Many recommend sticking with the diet as written and not deviating outside the defined parameters, so addition of foods should be considered carefully.

IBD-AID

The IBD-AID defines three phases based on the level of symptoms present and it is extremely important to begin the diet at the proper phase. The table represents the foods included in the third and final phase of the diet, intended for those in remission. The IBD-AID aims for 80% compliance or above, noting that better results may come with better compliance. Any foods added within the 20% noncompliance buffer are not included in the table.

AIP

The AIP is a little different from the other diets. The AIP begins with a restrictive Elimination Phase, which must be followed for a minimum of 30 days, but may require longer use. It then shifts to a Reintroduction Phase in which patients test adding back in other foods. In the Maintenance Phase, the foods that were tolerated in the Reintroduction Phase are incorporated back into the diet. Unlike some other therapeutic diets in which reintroductions are de-emphasized or cautioned against, AIP emphasizes and encourages the adding back in of tolerated foods to achieve healthy diversity. Our table represents the Elimination Phase of AIP, which is actually the first and most restrictive phase of the diet, and not the most inclusive phase as with most of the other diets. This was done because the Elimination Phase is the only phase to define specific foods as being included and excluded. It is important to note that while AIP may look very restrictive as defined in the table, the actual diet used in Maintenance Phase will include more diversity than suggested in the table, but that diversity will be highly individualized.

CDED

The CDED is managed a little differently from the other diets. The CDED is divided into three phases. The first two 6-week phases are grouped together as the Induction Phase, which is used for inducing remission. The first six-week phase of the Induction Phase limits insoluble fiber to prevent bowel obstructions. The second 6-week phase adds back in many of those vegetables by week 10. The Induction Phase is the most important phase of the diet and is required for efficacy. The Maintenance Phase is used after remission is achieved and is intended to sustain that remission. However, the principles of the diet are best represented by the Induction Phase, with the Maintenance Phase opened up to include some foods not recommended in order to promote better long-term compliance if necessary. The published studies to date primarily look at the Induction Phase, so the scientific evidence is strongest at this time for the Induction Phase and still in progress for the Maintenance Phase. However, a patient may like to know what the diet might look like long term, so it was decided that the most complete picture would be provided by showing data for both the Induction Phase and the Maintenance Phase separately. The Maintenance Phase requires five contiguous days following the diet as written, then allows for a maximum of two contiguous days (generally weekends) that allow two free meals per day (maximum of four free meals per week), excluding only hot dogs, sausages, soft drinks, luncheon meats, bacon, and frozen dough from those free meals. Those free meals are not included in the table.