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This will allow you to further optimize your keto IBS diet by identifying which foods or ingredients you can tolerate or are more sensitive to. Foods to Avoid (“Diet Triggers”)Here’s a list of foods to avoid since they’re likely to worsen gas, bloating, pain, and other IBS symptoms. Note that most items on the list are high in carbs; however, some of them are keto-friendly but should also be removed from your diet if you’re looking to treat IBS. Grains: wheat, rye, barley, couscous, durumDairy: milk, cheese, ice cream with lactoseFoods high in fructose: processed foods, salad dressings, sweetened yogurt, canned fruits, canned soup, fast food items Vegetables: cruciferous veggies like cauliflower, broccoli, and cabbageFruits: sweet fruits like apples, bananas, pears, watermelons, mangoes Sugar alcohols: sorbitol, mannitol, maltitol, lactitol Caffeine: coffee, tea, cola, energy drinks with caffeine, dark chocolate bars and candiesAlcohol: rum, cider, beer (unless gluten-free), dessert wines Tip: While you’re avoiding these trigger foods, make sure you’re also stocking up with keto and IBS-friendly foods for breakfast, lunch, snacks, and dinner. Also, consider speaking with your healthcare provider about meeting your micronutrient needs — possibly through supplementation — to ensure that you won’t get any vitamin and mineral deficiencies due to eliminating certain foods in your diet. Natural Remedies to Support Your Keto and IBS Diet Keto as a dietary change can go a long way toward reducing IBS symptoms, in addition to helping you achieve healthy blood sugar levels and weight loss.