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Consuming to Preserve Ulcerative Colitis in Remission 

by Rabia Bounnan
May 15, 2025
in Nutrition
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Consuming to Preserve Ulcerative Colitis in Remission 
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Plant-based diets may be 98 % efficient in preserving ulcerative colitis sufferers in remission, far exceeding the efficacy of different therapies.

“One of the crucial frequent questions physicians treating sufferers with IBD [inflammatory bowel disease] are requested is whether or not altering weight loss program may positively have an effect on the course of their illness.” Historically, we needed to reply that we didn’t know. Which will now be altering, given the “proof within the literature that hydrogen sulfide could play a task in UC,” ulcerative colitis. And, for the reason that sulfur-containing amino acids concentrated in meat trigger a rise in colonic ranges of this rotten egg gasoline, maybe we must always “take off the meat.” Certainly, animal protein isn’t related solely with an elevated danger of getting inflammatory bowel illness within the first place, but in addition IBD relapses upon getting the illness.

This is a latest growth. “As a result of the idea of IBD as a life-style illness mediated primarily by a westernized weight loss program isn’t broadly appreciated, an evaluation of weight loss program within the follow-up interval [after diagnosis] in relation to a relapse of IBD has been ignored”—however not. Ulcerative colitis sufferers in remission and their diets had been adopted for a 12 months to see which meals had been linked to the return of their bloody diarrhea. Researchers discovered that the “strongest relationship between a dietary issue and an elevated danger of relapse noticed on this examine was for a excessive consumption of meat,” as I focus on in my video The Greatest Food plan for Ulcerative Colitis Remedy.

What if folks decrease their consumption of sulfur-containing amino acids by lowering their consumption of animal merchandise? Researchers tried this on 4 ulcerative colitis sufferers, and with none change of their drugs, the sufferers skilled a few fourfold enchancment of their free stools. The truth is, they felt so a lot better that the researchers didn’t suppose it was moral to strive switching the sufferers again to their typical diets. “Sulfur-containing amino acids are the first supply of dietary sulfur,” so a “low-sulfur” weight loss program primarily means “a shift from a extra conventional western weight loss program (excessive in animal protein and fats, and low in fiber) to extra of a plant-based weight loss program (excessive in fiber, decrease in animal protein and fats).” “Altogether, westernized diets are pro-inflammatory, and PBD [plant-based diets] are anti-inflammatory.”

What can remedy with a plant-based weight loss program do after the onset of ulcerative colitis throughout a low-carbohydrate weight-loss weight loss program? A 36-year-old man misplaced 13 kilos on a low-carb weight loss program, however he additionally misplaced his well being; he was recognized with ulcerative colitis. When he was placed on a weight loss program centered round entire plant meals, his signs resolved with out remedy. He achieved remission. That was only one case, although. Case studies are akin to glorified anecdotes. The worth of case studies lies of their capability to encourage researchers to place them to the check, and that’s precisely what they did.

Till then, there had by no means been a examine printed that targeted on utilizing plant-based diets for treating ulcerative colitis. Wrote the researchers, a gaggle of Japanese gastroenterologists, “We think about that the dearth of an acceptable weight loss program is the most important subject confronted within the present remedy of IBD. We regard IBD as a life-style illness brought about primarily by our omnivorous (Western) weight loss program. We now have been offering a plant-based weight loss program (PBD) to all sufferers with IBD” for greater than a decade and have printed extraordinary outcomes, much better than have been reported elsewhere within the medical literature to this point. (I profiled a few of their early work in one of many first movies that went up on NutritionFacts.org.) The researchers discovered a plant-based weight loss program to be “efficient within the upkeep of remission” in Crohn’s illness by 100% at one 12 months and 90 % at two years. What a few plant-based weight loss program for relapse prevention in ulcerative colitis?

“Academic hospitalization” concerned bringing sufferers into the hospital to regulate their weight loss program and educate them about the advantages of plant-based consuming (so that they’d be extra motivated to proceed it at house). “Most sufferers (77%) skilled some enchancment, reminiscent of disappearance or lower of bloody stool throughout hospitalization.” Improbable!

Right here’s the actually thrilling half. The researchers then adopted the sufferers for 5 years, and 81 % of them remained in remission for your complete 5 years, and 98 % stored the illness at bay for not less than one 12 months. That blows away different therapies. These relapse charges are far decrease than these reported with remedy. Underneath typical remedy, different research discovered that about half of the people relapse, in comparison with solely 2 % of these taught to eat more healthy.

“A PBD was beforehand proven to be efficient in each the energetic and quiescent levels of Crohn’s illness. The present examine confirmed {that a} PBD is efficient in each the energetic and quiescent levels of UC as nicely.” So, the researchers did one other examine on much more severely affected instances with energetic illness and located the identical outcomes, with plant-based consuming beating typical drug remedy by far. Folks felt so a lot better that they had been nonetheless consuming extra plant-based meals even six years later. The researchers conclude {that a} plant-based weight loss program is efficient for treating ulcerative colitis to forestall a relapse.

Why? Nicely, plant-based diets are wealthy in fiber, which feeds our good intestine bugs. “This statement may partly clarify why a PBD prevents quite a lot of continual illnesses. Certainly, the identical rationalization applies to IBD, indicating that changing an omnivorous weight loss program with a PBD in IBD is the suitable method.” 
 
It’s like utilizing plant-based diets to deal with the reason for coronary heart illness, our primary killer. Plant-based consuming isn’t solely safer and cheaper, nevertheless it additionally works higher with no famous antagonistic unwanted side effects. Let’s examine that to the laundry listing of unwanted side effects of immunosuppressants used for ulcerative colitis, like cyclosporine, which you’ll see beneath and at 5:40 in my video. 

We now have even fancier medicine costing about $60,000 a 12 months, about $5,000 a month, they usually don’t even work very nicely; medical remission at one 12 months is barely about 17 to 34 %. And, as a substitute of no antagonistic unwanted side effects, the medicine can give us a stroke, give us coronary heart failure, and may even give us most cancers, together with a uncommon kind of most cancers that usually ends in loss of life. Additionally, a critical mind illness referred to as progressive multifocal leukoencephalopathy, which might kill us, and for which there is no such thing as a recognized remedy or treatment. One drug lists an “elevated danger of loss of life” however touts that it’s simply “a small tablet” in an “easy-to-open bottle.” I’d skip the capsules (and their potential unwanted side effects) and stick to plant-based consuming.

Physician’s Notice:

In case you missed the earlier video, see Stopping Inflammatory Bowel Illness with Food plan and keep tuned for The Greatest Food plan for Crohn’s Illness Remedy, arising subsequent. 
 
Verify the associated posts beneath for some older movies on IBD that could be of curiosity to you.



Tags: ColitisEatingRemissionUlcerative
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