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Overall, however, the keto diet is essentially a low-FODMAP diet, which improves IBS. Another way that the keto diet may
help with IBS is by reducing inflammation,
another factor that plays a role in IBS. One study on inflammatory bowel disease (IBD) found that the diet protects the intestinal barrier and reduces the expression of inflammatory cytokines. [4]Research Studies on Keto and IBSHere’s a list of studies suggesting that low-carb diets may be effective for people with IBS:In a 6-week study, participants (mostly women) with moderate to severe IBS-D (IBS with diarrhea) were given meals with the following macro percentages: 51% fat, 45% protein, and 4% carbs. 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. [7]Foods for IBS (Low-FODMAP, Gluten-Free, and Keto-Friendly) This section lists foods helpful for IBS symptom relief that are low in carbohydrates.