The document provides guidance on completing an elimination diet to identify food sensitivities and allergies. It outlines the following steps: 1) Create a list of foods to eliminate with your doctor, such as dairy, wheat, soy, eggs, etc. 2) Keep a food diary before starting the diet to provide your doctor. 3) Follow the elimination diet as directed by your doctor, typically avoiding the suspected foods for 1-2 weeks. It then provides tips on reintroducing foods one at a time after the elimination period and monitoring any symptoms. The goal is to identify triggers to ultimately eliminate from the diet long term.

1. ELIMINATION DIET
Tipsfor the eliminationstage
1) First makea list with your physician of the foods that arecausing the possible issues. Common food allergies are:
dairy, wheat, soy, peanuts, tree nuts, shellfish, fish, and eggs.
2) Keep food diaries outlining your symptoms for at least three days beforeyou begin the elimination diet. It helps to
provide this to your physician before startingthe elimination diet.
3) Follow the food cleanse that your physician has directed for 1-2 weeks, depending on the physicians orders. It
sometimes takes 2-3 days beforesymptoms begin to subside.
Foodsto eat during the elimination step
Foods of known low allergens, rawfoods are the best. NOPROCESSED FOODS
a. Grains: rice, millet, amaranth, buckwheat, quinoa. Avoid corn, wheat, barley, rye.
b. Proteins: Lamb, turkey, legumes/ lentils, beans, chicken, Avoid soy products.
c. Fresh Fruits: most fruits except strawberries, citrus or other fruits that might be suspected.
d. Fresh Vegetables: most aresafe except suspected vegetables from your physician.
e. Dairy: eat only if your doctor recommends or if for sure no known issue.
f. Spices: useonly fresh spices stay away from processed seasoning packets.
Tipsfor the reintroductionstage
1) Once the food cleanse is complete start with one food at a time
2) Only take smallamounts of the food item you are introducing twice a day
3) Wait 48 hours before introducing a new food
4) Continue to keep a food journal with your symptoms listed if present
5) Reintroduce foods in their purest form
a. Example: if the suspected intolerance are tomatoes, eat a tomato and not canned spaghetti sauce. The
spaghetti saucehas other ingredients added in and may interfere with the results
Sample foods to try introducing first:
a. Vegetables
b. Fruits
c. Grains
d. Protein
Once your list is complete, talk with your physician about the plan for you, and eliminate thesefoods for at least 3 months.
Once this timeperiod is completed reintroduce the foods in the sameprocess as listed above. Your doctor will determine
whether you should continue eating the foods or not depending on the results.
Note: This processis not appropriate if you have had an allergy panel runand are known to have serious
anaphylaxis reactions to the foods in question.