Hi, I'm Stella Metsovas, and today we're going to discuss a meal guide for fructose malabsorption, a digestive condition. So, what is fructose malabsorption? Fructose malabsorption occurs when there is an inability for the small intestine to break down fructose molecules. And this results in an increased concentration of fructose in the entire intestines. There are similarities and symptoms with those that have irritable bowel syndrome and those with fructose. Make sure to have your doctor order a fructose or hydrogen breath test. Also important to note, a small proportion of patients with both fructose malabsorption and lactose intolerance also suffer from celiac disease. In a study from the American Journal of Gastroenterology, researchers suggest of all dietary poorly absorbed short chain carbohydrates have a similar and an additive effect in the intestines. This concept is actually called FODMAPs; Fermented oligosaccharides, disaccharides, monosaccharides and polyols. And to evaluate a dietary approach that restricts them all is the best intervention. In patients with IBS, there is now an accumulating body of evidence based on observational and comparative studies that FODMAPs trigger gastrointestinal symptoms in patients with functional bowel disorders. And that a diet low in FODMAPs offers considerable symptom relief in the majority of patients who use it. You want to stay far away from fruits that are high in fructose like watermelon, pineapple, pears, oranges, honey; foods that contain high fructose corn syrup should also be completely omitted. Most vegetables are okay, although you might want to limit tomatoes, sweet potatoes, corn and carrots. Most processed drinks contain fructose or sugar alcohols and that should be kept out of your fructose malabsorption diet. Drink fresh pure water instead.