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If you鈥檙e interested in giving an elimination diet a go, you need to be careful that you鈥檙e not creating physical or emotional stress.
If you鈥檙e interested in giving an elimination diet a go, you need to be careful that you鈥檙e not creating physical or emotional stress. (Photo: James Nord/Cavan)

If You Want to Try an Elimination Diet, Read This First

Before trying a fad diet, make sure you have all the information鈥攁nd eat plenty of calories while you're at it

Published: 
If you鈥檙e interested in giving an elimination diet a go, you need to be careful that you鈥檙e not creating physical or emotional stress.
(Photo: James Nord/Cavan)

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By now听you鈥檝e no doubt watched a friend pare down their diet to a narrow combination of whole foods in an effort to feel better or train harder. Elimination diets鈥攚hich include the听,听,听and听, among others鈥攈ave surged in popularity in recent years.

While there are many different methods and goals, the basic format is the same: limit your diet to the bare essentials (usually some combination of vegetables, fruits, lean meats, and healthy fats), and then slowly add variables back in, tracking how certain foods impact your gut, energy levels, and more. It sounds simple enough, but these diets take a lot of time and effort, make it hard to get adequate fuel for hard training and recovery, and can easily lead to physical stress.

If you鈥檙e interested in pinpointing foods that stress out your system, you may not need to go all in with an elimination diet. Here鈥檚 how to decide whether this might be a useful tool for you听and what you need to know to do it safely.

Get Your 鈥淲hy鈥 Straight

Seventy percent of endurance athletes听have at least some while on the move, and an elimination diet might help alleviate associated symptoms.听 found that a low-FODMAP diet, which eliminates bloat-inducing fermentable carbohydrates found in foods like cow鈥檚 milk, onions, and whole-wheat pasta, lessened gut symptoms for 69 percent of runners during high-intensity workouts. showed that while elimination diets didn鈥檛 improve performance, they did improve factors like gut health and even memory.

Kylee Van Horn, an ultrarunner, a registered dietitian, and the owner of听 in Carbondale, Colorado, explains that a properly executed elimination diet is considered the best method for identifying food sensitivities, better than any blood test. They鈥檙e popular among people who are dealing with , , and many because they help uncover food intolerances. But plenty of people do them for weight loss or other undefined wellness goals, which aren鈥檛 sustainable objectives, because听elimination diets aren鈥檛 permanent. Eventually, you鈥檒l reintroduce most of the foods you cut out鈥攜ou鈥檙e just trying to identify the few that cause you intestinal distress.

Start Small鈥攁nd Maybe Not at All

Before you go all in, think about your current relationship with food: Is eliminating foods going to be triggering for you? 鈥淎s a rule, I don鈥檛 like elimination diets, because I find that it can disturb people鈥檚 relationship with foods听and really give athletes this idea of 鈥榞ood鈥 and 鈥榖ad鈥 foods,鈥 says , a sports dietitian based in Australia. If you think an elimination diet might negatively influence the way you think about food and your body, don鈥檛 start.听

Van Horn believes that many elimination diets work simply because they take out the obvious culprits, like processed foods and alcohol. So before you start an elimination diet, consider starting with those small shifts for a few weeks, and monitor your symptoms. Easing into eating more whole foods will make the next steps easier听and may lead you to skip a full-blown elimination diet entirely. If you鈥檙e still dealing with gut issues, then it might be time to consider a more restrictive protocol.

鈥淚鈥檓 a huge fan of making small changes that you can sustain in the long term, like cutting down on refined sugars and alcohol,鈥 adds Sampson.听鈥淵ou won鈥檛 see results tomorrow, but all those little choices add up.鈥

Don鈥檛 Stress Out听

A restrictive diet can add pressure to what should be a simple, pleasant part of your day: eating. Stress leads to inflammation in the body鈥攚hich may be what you鈥檙e trying to combat in the first place鈥攁nd听 to increase a person鈥檚 risk of disease, ranging from the common cold to autoimmune conditions. So make lifestyle changes to consciously manage it.

鈥淚鈥檝e found that some athletes need to focus on lowering stress and even cut back on training first to see how it impacts symptoms before turning to diet,鈥 says Will Cole,听 who recently wrote听. 鈥淵ou have to look at sleep, social connections, physical environment鈥攖here are so many other factors. You can eat all the right foods, but if you haven鈥檛 addressed these issues, you鈥檙e still self-sabotaging.鈥澨

Timing matters, too. The week before your Ironman and a听stressful month at work are probably not the best times to alter your meal plan. 鈥淭here will never be a perfect time to do this, but avoid things like the height of your season or a really tough period in your personal life,鈥 Cole says.听

Keep a Food Journal

Van Horn recommends eating normally for two weeks and recording your diet and your symptoms.听Once you鈥檝e done that, take a look to听assess if there are obvious food groups that correlate to any uncomfortable side effects. You can choose an elimination diet that closely aligns with听the foods that don鈥檛 seem to agree with you, or try a mini-elimination diet, eliminating just one food for four to six weeks that seems to be causing issues.

Get Specific

If, after keeping a food journal and eliminating obvious culprits, you still feel the need to adopt a more regimented program, Van Horn and Sampson both recommend you consult a registered dietitian to offer guidance in choosing a plan and for advice following it if you鈥檒l be听training. Whole30 and the听 are popular, as is the low-FODMAP diet. Van Horn recommends the diet most frequently, but she notes that it鈥檚 also one of the hardest elimination diets to try, because the class of carbohydrate that it eliminates includes a lot of fruits and vegetables (even broccoli!) as well as gluten, processed sugars, and dairy.

Eat Enough

鈥淓limination diets like FODMAP are intense and hard to handle while training,鈥 Van Horn says. She recommends that you work with your dietitian to develop an adequate meal plan. Your number-one priority is getting enough calories, and it can be hard to replace staples like oats or refined sugars with foods that are equally calorically dense. 鈥淓liminating a huge amount of foods can lead to nutrient and energy deficiencies,鈥 she says.

You can also use a听food-tracking app to make sure you鈥檙e getting enough calories and macronutrients. Remember that the volume of food you鈥檒l need to eat may be considerably higher than usual once you eliminate听foods like pasta, dairy, and refined sugar.

Don鈥檛 Dive Right Back In听

鈥淵ou don鈥檛 need to take out these foods forever, you just need to figure out which ones work for you and which don鈥檛,鈥 says Van Horn. 鈥淢any of the off-limits foods in the elimination diets aren鈥檛 bad for you. At the end, there needs to be a reintroduction phase. That鈥檚 the whole point.鈥

When you start adding foods back in, do it slowly and specifically. Start with a single serving, give your body at least a day to show any response, and continue to keep track of your eating patterns and any effects in a journal.听

鈥淢ore isn鈥檛 better. It鈥檚 not ideal to eliminate this many foods in the long term,鈥 says Sampson. Van Horn echoes her point, explaining that elimination diets are tools to use temporarily, not permanent solutions. Ultimately, trying one听may help you feel听better鈥攂ut only if you do it mindfully and tune in to what your body needs.听

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