⭐Criteria for starring system:
- Incorporates appropriate microbiome strategies
- Incorporates appropriate gut healing strategies
- Inflammation reduction is a priority
- Long-term symptom reduction
- Easily implemented
- Reduces disordered eating patterns
⭐Caveat for starring system: This system is our opinion based on the available research at this time. We reserve the right to modify our recommendations as new literature is published and we learn more about the complexities of IBD. Review our recommendations with an appropriate amount of discretion and understand that oftentimes there is not a one size fits all approach for every situation.
CDED: Crohn’s Disease Exclusion Diet
Overview: Removes components of the Western diet proposed to upset the gut or increase permeability. The diet is typically used in conjunction with enteral nutrition in patients with Crohn’s Disease.
- Some studies have shown an improvement in mucosal healing, inflammatory markers, and patient-reported outcomes
- CDED seems to be most helpful for pediatric patients
- “The latest multicenter randomized trial comparing treatment of children with CDED+PEN (parenteral nutrition) or EEN (exclusive enteral nutrition) showed that either treatment resulted in 63% and 67% remission rates after 3 and 6 weeks of treatment, respectively.15 Diet treatment favored increased abundance of Clostridia species, including Faecalibacterium prausnitzii, Roseburia hominis, and Eubacterium eligens.”
- Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8942410/
⭐Meets criteria for:
- Short-term symptom reduction
- Inflammation reduction is a priority
- Incorporates some gut healing strategies
⭐Does not meet criteria for:
- Incorporates appropriate microbiome strategies
- Incorporates appropriate gut healing strategies
- Long-term symptom reduction
- Easily implemented
- Reduces disordered eating patterns