Which dietary approach is classically used to assess FRD?

Which dietary approach is classically used to assess FRD?

• A. Hydrolyzed/novel protein diet.
• B. Gluten-free diet.
• C. High-fat diet.
• D. High-fiber diet.

Answer: (B)

The idea being tested is using a dietary elimination trial to identify a food-triggered enteropathy. A gluten-free diet is a classic way to do this because it removes gluten, a common dietary antigen that can drive symptoms in susceptible individuals. If symptoms improve on removing gluten and then recur when gluten is reintroduced, this supports a food-responsive component to the disease. This approach is straightforward and often used as a first step to pinpoint whether diet is driving the condition. High-fat or high-fiber diets don’t specifically test for a dietary antigen causing the problem, so they aren’t targeted elimination tests. A hydrolyzed or novel protein diet is also used in practice to minimize antigen exposure, but the classic, familiar elimination approach highlighted in many guidelines is removing gluten to see if there’s a response.

The idea being tested is using a dietary elimination trial to identify a food-triggered enteropathy. A gluten-free diet is a classic way to do this because it removes gluten, a common dietary antigen that can drive symptoms in susceptible individuals. If symptoms improve on removing gluten and then recur when gluten is reintroduced, this supports a food-responsive component to the disease. This approach is straightforward and often used as a first step to pinpoint whether diet is driving the condition.

High-fat or high-fiber diets don’t specifically test for a dietary antigen causing the problem, so they aren’t targeted elimination tests. A hydrolyzed or novel protein diet is also used in practice to minimize antigen exposure, but the classic, familiar elimination approach highlighted in many guidelines is removing gluten to see if there’s a response.