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All participants reported adequate relief from IBS-D symptoms, especially during the last week of the diet. [ref ID = 5]A randomized, placebo-controlled, double-blind clinical trial found a significant decrease in clinical symptoms of IBS in all groups that followed a low-FODMAP diet. However, five participants who were given gluten supplementation on top of their low-FODMAP diet experienced worsening symptoms. [ref ID = 6] In other words, avoiding gluten (which is found in high-carb foods like bread, cereals, and baked goods) also helps to resolve IBS. Data from a 2021 study showed that the keto diet was able to reduce the effects of stress on the gut in Wistar rats with IBS. As you may already know, stress can result in the overactivity of the gut, which worsens IBS symptoms. Foods for IBS (Low-FODMAP, Gluten-Free, and Keto-Friendly) This section lists foods helpful for IBS symptom relief that are low in carbohydrates. They’re also low-FODMAP and gluten-free. However, keep in mind that everyone’s body is different; some foods that work for others may not work for you, and vice-versa. Meats and eggs: top sirloin steak, top or bottom round roast, lamb, veal, pork tenderloin, chicken eggs (unless you have an egg allergy) Poultry: skinless chicken breast or thighs, turkey, duck, geeseFish and seafood: tuna, salmon, tilapia, sea bass, shrimps, mussels, and other shellfishVegetables: spinach, kale, zucchini, tomatoes, green beans, choy sum, red bell peppersFruits: blueberries, strawberries, cantaloupe, lemons, avocado (only in small amounts) Nuts and seeds: almonds, walnuts, pecans, Brazil nuts, chia seeds, sunflower seeds Fermented foods: tempeh, coconut milk kefir, unsweetened Greek yogurt (for those who can tolerate dairy)Sweeteners: pure stevia, monk fruit, erythritolLow FODMAP, IBS-friendly foodsTip: Keep a food journal. It could be a simple notebook or app where you can track what you eat or drink daily.