Perceived food intolerances can guide personalization of the FODMAP diet but not the choice of dietary intervention.

The article discusses the implementation of a FODMAP diet for patients with irritable bowel syndrome (IBS) in the Indian subcontinent. The authors question the appropriateness of using a FODMAP diet alone and suggest that asking patients about their self-perceived food intolerances may be a more effective approach. However, there is no data on the outcomes of this approach. The accuracy of self-perceived food intolerances is also discussed, with discrepancies found in the Indian cohort compared to global rates. The article highlights the challenges of identifying food culprits in a diet with a variety of high FODMAP ingredients, and the risks of over-restriction and developing irrational food beliefs. The authors propose several strategies to adapt the FODMAP diet for the Indian subcontinent, including simple measures in food preparation, the use of digestive enzymes, merging with Ayurvedic dietary management, and a "FODMAP-gentle" approach. The article concludes by encouraging further research and progress in dietary solutions for patients with IBS in India. [Extracted from the article]