Fructose Intolerance: Therapy

Nutritional Medicine

• Nutritional counseling based on nutritional analysis
• Nutritional recommendations according to a mixed diet taking into account the disease at hand. This means, among other things:
  • Daily total of 5 servings of fresh vegetables and fruits (≥ 400 g; 3 servings of vegetables and 2 servings of fruits).
  • Once or twice a week fresh sea fish, i.e. fatty marine fish (omega-3 fatty acids) such as salmon, herring, mackerel.
  • High-fiber diet (whole grains, vegetables).
• Observance of the following special dietary recommendations:
  • Fructose is found mainly in fruits and vegetables, but also in other foods and compounds.
  • The goal of therapy for hereditary fructose intolerance is the complete exclusion of foods containing fructose. The following compounds are prohibited in the context of hereditary fructose intolerance (we have a more detailed list of foods that should be consistently avoided):
    • Sucrose – beet sugar, cane sugar, cooking sugar – as a dual sugar from glucose (grape sugar) and fructose (fruit sugar).
    • Inulin is a dietary fiber from a glucose and many (up to 100) fructose molecules.
    • Sorbitol is a form of fructose, which is used in particular as a sugar substitute and diet sugar, respectively.
    • Honey as a mixture of an equal number of glucose and fructose molecules.
    • Invert sugar is a mixture of glucose and fructose and is formed during sucrose digestion
  • The goal of therapy for intestinal fructose intolerance (fructose indigestion) is to reduce the amount of fructose ingested with food. The following recommendations apply to intestinal fructose intolerance:
    • Limit consumption of fruits and vegetables.
    • Sugar substitutes such as sorbitol(ol), mannitol and xylitol should be avoided completely.
    • Furthermore, people with fructose intolerance must not ingest sorbitol also because it is converted to fructose in the metabolism.
    • The intake of sucrose does not have to be reduced, because the simultaneously supplied glucose compensates for the intake deficit of fructose. Thus, even fructose-rich fruits and vegetables can be made compatible again by the simultaneous consumption of glucose.
    • Be careful when eating legumes or cabbage vegetables. They contain the carbohydrates stachyose and verbascose, which can not be absorbed in the intestine and increase the discomfort.
• Selection of appropriate food based on the nutritional analysis
• See also under “Therapy with micronutrients (vital substances)” – if necessary, taking a suitable dietary supplement.
• Detailed information on nutritional medicine you will receive from us.