I've found a stable symptom free dietary point eating very low fat fish and scallops and white rice with occasional beef.
However this diet isn't very tasty.
Whenever I introduce more fat, I get fatigue, extra sleep, mood effects and IBS. It's not an allergic reaction; it's all being driven by the mechanical IBS-D cycle.
Fat malabsorption is the biggest problem I would like to solve about my body. If I could do that, I would enjoy a lot more freedom. Maintaining a relatively flavorless low-fat diet requires continual exercise of willpower and may not even be possible if fat cravings eventually develop.
The causes of my fat malabsorption could be genetic or microfloral or due to medication.
- Genetic - My father had IBS, although he is now cured with a far less restrictive diet.
- Microfloral - I took many courses of antibiotics during childhood through college due to allergies and sinus infections.
- Medication - I took an accutane course in college for acne, and wasn't getting much sunlight at the time, which can exacerbate the negative effects.
My hypothesis is that some kind of enhancement of my microflora can improve my ability to digest fat.
I do not believe that methods like bone broth or GAPS diet will work. Gradual reintroduction is not effective for me. I have been on a relatively stable symptomless diet for a long time with only minor infractions and no corresponding increased ability to digest forbidden foods. It is not an issue of lingering inflammation.
I am looking for 1. Scientific literature regarding what specific bacteria I may be missing (or perhaps what's overgrown) 2. Low impact ways of ingesting said bacteria without triggering my IBS. 3. Alternate hypotheses and evidence that contradict my theory and interpretation of the facts.