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Diagnosis of food intolerance can include hydrogen breath testing for lactose intolerance and fructose malabsorption, professionally supervised elimination diets, and ELISA testing for IgG-mediated immune responses to specific foods.
Diagnosis is usually based on a medical history, elimination diet, skin prick test, blood tests for food-specific IgE antibodies, or oral food challenge. [1] [2] Management involves avoiding the food in question and having a plan if exposure occurs. [2]
An elimination diet, also known as exclusion diet, is a diagnostic procedure used to identify foods that an individual cannot consume without adverse effects. [1] Adverse effects may be due to food allergy, food intolerance, other physiological mechanisms (such as metabolic or toxins), [2] or a combination of these.
During an elimination diet, you generally remove foods known to be common allergens or intolerances. These can encompass gluten-containing grains such as wheat, barley, rye, and sometimes oats ...
Worldwide, around 65% of adults are affected by lactose malabsorption. Other mammals usually lose the ability to digest lactose after weaning. Lactose intolerance is the ancestral state of all humans before the recent evolution of lactase persistence in some cultures, which extends lactose tolerance into adulthood.
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