CFS specialist Paul Cheney, MD, PhD, reports he has documented food sensitivities in roughly 50 percent of cases of Chronic Fatigue Syndrome, says Clinical Nutritionist Blake Graham.cfs专科保罗切尼,md,phd,报导说他已记载食物敏感性大约50%的例慢性疲劳综合症.说临床营养学家布莱克格雷厄姆. And a large proportion of Fibromyalgia patients suffer from food intolerances, though many do not know it.而大部份纤维肌痛病人患有食物intolerances,虽然很多人都不知道这一点. Graham believes an elimination diet is the best method of assessing food sensitivities, and has developed a protocol for patients with chronic diseases that includes a preliminary step for Chronic Fatigue Syndrome patients specifically.格雷厄姆认为,消除饮食是最佳的方法评估粮食的敏感性,并制定了一项议定书,为慢性疾病患者,其中包括一个起步,慢性疲劳症候群患者具体来说. The protocol requires time and careful food label detective work.该议定书规定时间和周密食品标签的侦缉工作. But the effort could be very beneficial for individuals who detect one or more potential troublemakers.但这种努力是非常有益的人发现一个或更多的潜在的麻烦.
Blake Graham specializes in nutritional and environmental treatments for patients with CFS, FM, and other chronic conditions.布莱克格雷厄姆专门从事营养和环境目前治疗此病,外交部和其他慢性病. He is an associate of the Australasian College of Nutritional and Environmental Medicine in Perth, Western Australia (AACNEM).他是一个准为Australasian学院营养与环境医学在珀斯,西澳大利亚(aacnem). This article is reproduced with permission from his website Nutritional-Healing.com.au这篇文章是转载经许可从他的网页营养healing.com.au
There are many reasons why individuals react negatively to foods, and laboratory assessment methods test for specific mechanisms of reaction and exclude others (such as IgG).* An elimination diet is not reliant on a particular mechanism, encapsulates all food reactions, and is the best method of assessing food sensitivities.有很多原因,个人的消极反应食品实验室考核方法,检验的具体机制反应和排斥他人(如免疫球蛋白)*消除饮食不是依靠一种特殊机制,凝聚所有食物的反应,是一种最好的方法评估粮食的敏感性.
The elimination diet described below is:消除饮食下面是:
- Limited to unrefined/whole/fresh foods--限于不登大雅之堂/全/生鲜食品
- Devoid of food additives/colorings/artificial sugars-没有食品添加剂/着色/人工糖份
- Gluten free, casein free, and lactose free面筋免费,酪免费,免费乳糖
- Very low in salicylates-极低salicylates
- Very low in dietary yeasts-极低体重酵母菌
- Very low in dietary glutamates-极低体重glutamates
- Very low in dietary biogenic amines-极低体重胺类
- Very low in dietary solanines-极低体重solanines
- Generally hypoallergenic-一般席梦思
- Devoid of caffeine and alcohol.-无咖啡因和酒精.
Adhering to the following diet for a period of time enables a person to determine if any of these key, and common, food sensitivities are present.坚持以下饮食在一段时间内使一个人的决定,如果没有这些键,而常见的食物敏感性. Observing benefits in any aspect of health while on this diet indicates one or more of the points listed above are significantly related to your symptoms.观测好处任何方面的健康,而这个饮食表明一个或更多的上市点以上有显著相关,你的症状.
This diet provides a snapshot in time of what you may feel like while taking into consideration all the factors listed above.这种饮食提供了快照的时候,你会觉得像在考虑所有因素上列.
ELIMINATION DIET PROTOCOL消除饮食议定书
Chronic Fatigue Syndrome Patients - First, Go Gluten & Casein Free For 30 Days慢性疲劳综合征患者的第一次,去蛋白与酪免费为30天
In the weeks before an elimination diet , eat a nutrient-rich, unrefined and varied diet.在数周之前,消除饮食,多吃营养丰富,拙而多样化的饮食. In the case of Chronic Fatigue Syndrome, this diet trial should come after a gluten/casein-free diet trial of 30 days or more.在发生慢性疲劳综合征,这应该是饮食审判后面筋/酪免费试用30天的饮食或更多. Sensitivity to gluten and casein, two dietary proteins [defined below], can sometimes take a more extended time period to become evident than a standard elimination diet allows.敏感度和酪蛋白、蛋白饲料2[定义如下]有时可以采取更延长期限显然不是一个标准来消除国会允许.
To attempt this diet you must carefully read the ingredients list of every food you eat, and truly do it 100 percent, to see real results.尝试这样的饮食你一定要仔细阅读成份表每食物你吃,真正做到百分之百,见到实效. No lab test negates the need for this trial.实验室试验没有否定这种需要审判. Most people who react negatively to gluten do not have true celiac disease (and therefore test negative to celiac blood tests), but rather another form of gluten sensitivity.大多数人呈阴性面筋没有真正腹腔疾病(因而对腹腔血液检验阴性测验),而是另一种形式的面筋敏感.
Sources of gluten include:来源面筋包括:
- Anything containing wheat, barley, rye, oats & spelt [a species of wheat grown in parts of Europe since ancient times, and now often a 'health food'].-任何含有小麦,大麦,黑麦,燕麦及说明[品种小麦种植部分欧洲自古现在常常'健康食品'].
- Anything that contains the words gluten, gliadin & glutenin.-凡是包含文字面筋,及醇溶谷.
- Foods which state they may contain traces of wheat/gluten.-食品哪个国家,他们可能含有微量的小麦/gluten.
- Maltodextrin/malt (unless it states it is derived from rice or corn).-麦芽/麦芽(除非它的国家,它是由大米或玉米).
- Soy sauce (unless or states it is gluten free).-酱油(除非或国是面筋免费).
- Bran (unless it states it is gluten free and/or derived from rice or corn).米糠(除非该国是面筋自由和/或衍生的稻米或玉米).
- Hydrolyzed vegetable protein (HVP).-水解植物蛋白(HVP).
- Bulgur, couscous, durum, dinkle, kamut, semolina & triticale [all AKA wheat].-bulgur,粉蒸肉,硬粒,町,水土,semolina&黑麦[所有aka小麦].
Sources of casein include:来源酪包括:
- Anything containing milk, yoghurt, cheese, butter, cream, icecream, goat's milk derived products, etc.-任何含有牛奶,酸奶,奶酪,黄油,奶油,冰淇淋,羊奶衍生产品等.
- Milk solids.乳固体.
- Anything that says casein or caseinate.-什么叫酪酪.
Choose the most convenient time to try this diet .选择最方便的时间来尝试减肥. For example not when relatives are staying over or when traveling.例如当亲人不留行或以上. Ask for the support of your family.请支持你的家人.
First 7 to 10 Days Very Limited第7到10天的非常有限
For 7 to 10 days, consume nothing but the foods listed below .7至10天,消耗无非食品上市下文. If there are any foods on this list you know or suspect you may be sensitive to, eliminate these foods also.如果有任何食品对这份名单你知道或怀疑可能是你敏感、消除这些食品还. (Aspirin should also be avoided during this period due to its high salicylate content.) Consume a varied diet, eating some [of these] fruits, vegetables, meats, and grains daily.(阿斯匹林也应避免在此期间,由于其高含量的水杨酸).耗多样化的饮食,有的吃[这些]水果、蔬菜、肉类、谷物每日.
- GRAINS - Whole grain rice (rinse before cooking)粮食-稻米整个粮食(涮烹调前)
- MEAT - All unrefined (non aged/processed/smoked/seasoned) fresh meats, except beef肉都不登大雅之堂(无年龄/加工/烟/老练)新鲜肉、牛肉除外
- VEGETABLES - Cabbage, celery, green beans, iceberg lettuce, & swedes [rutabagas]蔬菜--白菜、芹菜、绿豆、莴苣一角,与瑞典[萝卜]
- FRUITS - Peeled pears水果-梨去皮
- OILS/SEASONINGS - Olive oil & sea salt油类/调味品--橄榄油与海盐
- DRINKS - Water (filtered)饮品水(过滤)
Keep a diary of symptoms and note any changes.日记说明任何改变和症状.
- If symptoms worsen (or new symptoms appear) in the first 2 to 4 days, this may indicate withdrawal from food allergy or addiction.如果症状恶化(或新出现的症状)2至4年第一天这可能显示撤出食物过敏或成瘾.
- If after 7 to 10 days symptoms have improved, this may indicate food sensitivities of some kind.如果经过7至10天症状已改善,这可能显示某种食物敏感.
Add Back Food Categories One at a Time加上回来一个一类食品
Add back foods one at a time and in a pure form (fresh corn, for example), or with a non-eliminated food, taking note of symptoms changes.加上一个一回食品、纯形式(新鲜的玉米,例如)或与非淘汰食物,注意到症状变化. Consume plenty of the foods you are testing.食用大量的食物你测试. (Corn at lunch and dinner, for example.)(玉米,午餐和晚餐,譬如).
The following order is recommended:以下命令推荐:
1.1. Dairy (in the form of whole cream or plain yogurt)乳制品(形式整个平原霜或酸奶)
2.2. Yeast [see below]酵母[见下]
3.3. Citrus柑桔
4. Corn玉米
5.5. Cocoa.可可.
Allow about 48 hours between adding new foods.允许添加新的食品大约48小时之间.
Note changes in symptoms upon adding back foods [see list of "Common food allergy and intolerance symptoms/signs" below].回来后症状变化说明加入食品[见清单"食物过敏常见症状及容忍/标志"下文].
Any foods you react to should be eliminated, as you go on to test others.你对任何食品应当消除,因为你去试探他人. If you react to specific foods wait until the resulting symptoms have cleared before adding new foods.如果你对特定食品等到症状已消除由此才加入新食品.
Patterns to Look Out For图案寻找
Some people are sensitive to dietary salicylates .有些人是敏感的饮食salicylates. [Found in many fruits and vegetables, often concentrated just under the skin and in the outer leaves of vegetables, such as cabbage and lettuce.记者发现,在许多水果和蔬菜,往往只集中在皮肤下的外叶蔬菜甘蓝、莴苣等. Levels decrease as fruit/vegetable ripens.各级下降水果/蔬菜熟. Discard outer leaves; peel thickly; go for ripe.抛开外叶;果皮月桂;去成熟. For information on the relative salicylate levels of scores of fruits and vegetables, nuts and snacks, sweets, herbs/spices/condiments, coffees/teas, alcoholic beverages, and fats & oils, go to http://www.zipworld.com.au/~ataraxy/Salicylates_list.html资料水杨酸水平相对分数蔬果、坚果、糕点、糖果、药材/香料/调味料,咖啡/茶叶、含酒精的饮料,和油脂及油脂,去http://www.zipworld.com.au/~ataraxy/salicylates_list.html
Some people are sensitive to dietary yeasts .有些人是敏感的饲料酵母. [Found in many foods including yeast raised breads; fermented beverages; vinegar; fruits eaten with skin, from berries, cherries, and grapes to prunes and raisins; olives; peanut butter.记者发现,在许多食品,包括面包酵母提高;发酵饮料;醋;皮肤吃水果,浆果、樱桃、以葡萄、梅子和葡萄干;橄榄;花生酱. To print out a small chart of "permitted" and "not permitted" foods in a yeast-free diet, go to http://www.Nutritional-Healing.com.au/content/Yeast%20free%20diet.pdf ]打印出的小图表"允许"和"不允许的"食品酵母免费饮食,去http://www.nutritional-healing.com.au/content/yeast%20free%20diet.pdf]
Some people are sensitive to dietary glutamates .有些人是敏感的饮食谷氨酸. Glutamates are contained in MSG, hydrolyzed vegetable protein, anything that contains the word glutamic or glutamate, and foods including roquefort cheese, parmesan cheese, soy sauce, walnuts, fresh tomato juice, grape juice, peas, etc. [For a more complete food list with relative glutamate levels, go to msgfacts.com/lookatfacts.html/ ]谷氨酸载味精、水解植物蛋白,凡是含有谷氨酸字或谷氨酸、roquefort和奶酪等食品,parmesan奶酪、酱油、核桃、新鲜番茄汁、葡萄汁、豌豆、等[供一个较完整的食品名单,相对谷氨酸含量,去msgfacts.com/lookatfacts.html/]
Some people are sensitive to dietary amines .有些人是敏感的饮食胺. Amines are contained in chocolate, cheese, fish, aged/processed meats, bananas, oranges, avocados, tomatoes, wine/beer, etc. [For a more complete food list with relative amine content levels, go to http://www.zipworld.com.au/~ataraxy/Amines_list.html ]胺载巧克力、奶酪、鱼、年龄/加工肉、香蕉、柑桔、鳄梨、番茄、葡萄酒/啤酒、等[供一个较完整的食品名单,相对胺的含量水平,去http://www.zipworld.com.au/~ataraxy/amines_list.html]
Some people are sensitive to solanine containing foods.有些人是敏感solanine含食品. Solanines are contained in tomatoes, potatoes, peppers, eggplant.solanines载西红柿、土豆、辣椒、茄子. [They function as the plant's natural defense against pests and fungus.][他们作为植物的天然防虫害和真菌.
Common Food Allergy and常见的食物过敏症及
Intolerance Symptoms/Signs容忍症状/迹象
-Hives-麻疹
-Increased mucus production in throat, regularly clearing throat, coughing-增加生产喉咙粘液,清理喉咙,咳嗽
-Irregular flattened patches on tongue or mottled tongue-斑驳或不规则的扁平斑舌舌
-Dark areas and/or blue, black or pink circles around eyes-黑暗领域和/或蓝、黑色或粉绕眼
-Nose rubbing/Itchy nose-碰鼻/鼻痒
- Nasal/sinus congestion or postnasal drip鼻腔/窦阻塞或postnasal滴灌
- Puffy eyes, nose, face-puffy眼睛,鼻子,面部
- Abnormally red cheeks/nose and/or flushed appearance-abnormally红色脸颊/鼻子和/或冲水露面
- Ears turn red for no apparent reason-耳朵转红,不知何故
- Inner corners of eyes itch-内眼角发痒
- Skin problems (eczema, rash or pale ring around mouth, dermatitis, itching, 'burning' feeling of skin, 'creepy crawlies' under skin feeling, numb skin, etc.)-皮肤病(湿疹,疹子或苍白圈口,皮肤发痒,'烧'的感觉,皮肤'鬼魅crawlies'下皮肤感觉麻木皮肤等)
-Diarrhea or loose stools or constipation-腹泻或便秘或大便松散
- Abdominal pains, bloating or nausea after meals腹部疼痛,bloating恶心或饭后
- Increased frequency of stools-增加班次凳子
- Feel/act best when don't eat-感受/法时,最好不要吃
- Strong particular food likes (cravings) and dislikes强特别喜欢的食物(cravings)和厌恶.
- Unexplained intermittent +/- sudden irritability, depression, hyperactivity, anxiety, anger, crying, giggling, hiding in dark places, rage, vulgarity, not wanting to be touched-原因不明的间歇性+/-突然烦躁不安,忧郁症,焦虑,愤怒,哭泣,顽皮,躲在暗处,狂怒,庸常不想被感动
- Unexplained intermittent +/- sudden changes in walking, reading, writing, speaking-原因不明的间歇性+/-突然改变散步,阅读,书写,会话
- Fatigue/lethargic-疲劳/没精打采
______________
* [ For example, IgG-specific antibody tests look for the immunoglobulin G antibodies associated with non-atopic or 'delayed' food reactions to specific foods that can worsen or contribute to many different health problems.*[例如,IgG特异抗体试验研究的免疫球蛋白抗体,与非过敏或'延误'的食物反应特定食品能恶化或导致许多不同的健康问题. These tend to be frequently eaten foods that are hard to avoid, including milk, corn, and wheat.这些地区往往是经常吃的食品,是难以避免的,包括牛奶,玉米和小麦. Another type of test - the IgE antibody assay - addresses less frequent but more immediate, high-profile atopic food sensitivities, such as those to peanuts or shellfish.另一种类型的试验IgE抗体检测-地址那么频繁,但更为迫切,高调过敏食物敏感,如花生或贝壳. ]]
Note: This information has not been evaluated by the FDA.注:此资料尚未评价了林业局. It is not intended to diagnose, cure, treat, or prevent any illness, disease, or condition.它不是要早期诊断,早期治疗,治疗或防止任何疾病,或条件. Importantly, you should never make any change in your health care or support plan without researching and discussing it in consultation with your professional healthcare team .重要的是,你千万不要改变你在卫生保健和支持的计划,研究和讨论协商与你的专业医疗团队.
