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Dietary interventions form a cornerstone of IBS management: General dietary advice : Regular meal patterns, adequate hydration (8 glasses of fluid daily), limiting caffeine and alcohol, and reducing fatty or spicy foods Fibre modification : Soluble fibre (such as ispaghula/psyllium) may help, whilst insoluble fibre (bran) can worsen symptoms Low FODMAP diet : A structured elimination and reintroduction protocol, supervised by a registered dietitian, can identify specific carbohydrate triggers Probiotics : Certain strains may provide benefit, though evidence varies Pharmacological treatments are tailored to predominant symptoms: For IBS-D : Loperamide (antimotility agent) for diarrhoea

Choosing the best weight loss treatment depends on your individual health profile, your goals and preferences

Now, in people who are, I certainly use it a lot in patients who are either underweight or normal weight, because that's a lot of the MCAS population because they have food intolerances, they can't eat, they have gastroparesis

Anything with calories, including protein shakes and fat-based coffees

How Does Metabolism Work