Dietary advice while on Predisnolene

[Ndnd]

Can anyone help with dietary advice to avoid weight gain, and hopefully lose weight. I was diagnosed with pmr in July, started on 15 mg now down to 10 & trying slow taper to 9. Low carb difficult as I can’t eat lots of fruit & veg. Any advice really appreciated

[SnazzyD]

Hello there. What is your problem when you eat fruit and veg?

[Ndnd in reply to SnazzyD]

Irritable bowel so I try to follow a low FODMAP diet as advised by my doctor & lots of fruit and veg are high fodmap & just don’t agree with me although I do like them

[tangocharlie in reply to Ndnd]

My understanding is that with IBS etc you need to avoid the fibrous cruciferous type vegetables like cabbage and broccoli? So start with the vegetables you CAN eat and add a small amount of protein and large helpings of good fats eg cheese, cream, olive oil. keep fruit low apart from occasionally apples pears and a few berries as it's high sugar.

[Hidden]

I am afraid Green leafy veg and over above ground veg are the lowest carb in terms of veg. If you eat meat then you can top up there as its allowed. I had creamed spinach yesterday which was great. Butter and cream gets it and other veg an extra dimension. You can have cheese, full fat yoghurt, green salads with olive oil dressings. Full keto diet is basically meat so you might be suited to that. Here's a couple of websites on low carbs to explore.

ditchthecarbs.com/guide-to-...

dietdoctor.com/low-carb

[Ndnd in reply to Hidden]

Thank you. I would like to compile a list of recipes that include foods I can eat and these sites look very helpful.

[Hidden in reply to Ndnd]

We are both blessed and cursed by the info available online!

[PMRpro Ambassador]

If you can't eat fruit and veg then low carb is hardly difficult I would have thought. I DO eat a lot of veg because I like them but they are the salad variety mainly, but not root veg and no fruit as both are relatively high in carbs and so restricted on low carb just as they are on low FODMAP which is limiting fermentable oligosaccharides, disaccharides, monosaccharides, and polyols, or FODMAPs. In other words, this eating plan limits foods that contain types of sugars that are not absorbed well in the digestive tract, especially by those with digestive conditions like irritable bowel syndrome - sugars of all sorts are carbs so not found at high levels in low carb.

What you can eat on low carbs is easy: meat, fish, poultry, eggs and cheese are all no or next to no carb - some cheeses have some carbs.

medicalnewstoday.com/articl...

is a clear and simple article.

This

casadesante.com/blogs/low-f...

shows you that low FODMAP and low carb overlaps a lot as long as you are careful about about the nuts and cheese if you must be very low FODMAP. It is actually very similar to the sort of diet I eat on a permanent basis - I only use good quality olive oil for cooking and butter and cook from scratch - no hidden sugars in processed foods to worry about.

[Hellyowl]

Just a message from someone who does not follow diets. I understand from this site that quite a few of us just eat a normal mixed diet but ensure our portions don't go up and are sensible round sweets and cakes. I only put 2.5 kilo at the highest level of Pred and when my face and neck swelled up. 4 years down the line and I am 10 kilo and one clothes size smaller than before I had GCA. That is because Rheumy got me exercising more than I did. ( which was zero). So don't beat yourself up if you are rubbish at following specialist diets. Some of us don't do so well and keep healthy.