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Harley Street Dietitians
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Evidence-Based Approach
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Our Services

women suffering IBS gut pain

IBS Management – Low FODMAP Diet Support

Important: Getting an IBS Diagnosis First

IBS is diagnosed by your GP or gastroenterologist — not by blood tests or scans alone. Your doctor uses a set of recognised clinical criteria based on your symptoms and history.

You may have IBS if you experience:

  • Recurring tummy pain (at least once a week)
  • Pain that gets better or worse when you go to the toilet
  • Changes in how often you go to the toilet, or changes in your stools
  • Symptoms that have been going on for at least 3–6 months

Your GP may also look for:

  • Bloating and a feeling of fullness
  • Urgency — needing to rush to the toilet
  • Feeling like you haven't fully emptied your bowels
  • Mucus in your stools

Please don't self-diagnose — it's important to rule out other conditions before starting the Low FODMAP diet. Your GP can arrange the right tests and referrals for you.

The 3-Phase Low FODMAP Programme

Phase 1 — Elimination

2–6 weeks

High-FODMAP foods are temporarily removed from your diet. Most people notice a significant reduction in symptoms during this stage. This is not meant to be a long-term way of eating.

Phase 2 — Reintroduction

6–10 weeks

Foods are carefully reintroduced one at a time to identify exactly which ones trigger your symptoms. This step is essential — it tells us what your gut can and cannot tolerate.

Phase 3 — Personalisation

Ongoing

Using what we learn in Phase 2, we build a long-term diet that is as varied and enjoyable as possible, while keeping your symptoms under control. Most people can eat a much wider range of foods than they expect.

What We Do — and What We Don't

We help you with:

  • A personalised Low FODMAP plan tailored to you
  • Identifying your specific food triggers
  • Keeping your diet varied and nutritionally balanced
  • Strategies to eat out, travel, and enjoy food again
  • Ongoing support and adjustments as your symptoms change

We don't:

  • Diagnose IBS — that must come from your GP or specialist
  • Prescribe or advise on medication
  • Recommend IgG food intolerance tests — these are not supported by evidence
  • Keep you on a restricted diet forever — the goal is always to expand what you eat

Our Professional Standards

All IBS patients are seen by our HCPC-registered Dietitians, who are also members of the British Dietetic Association (BDA). Our team specialises in gut health and will work with you one-to-one throughout your Low FODMAP journey. All advice follows NICE guidelines and is based on the best available clinical evidence. The Low FODMAP diet is delivered following the Monash University protocol — the gold standard approach developed and continuously updated by the world's leading FODMAP researchers.

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