Congenital Sucrase-Isomaltase Deficiency (CSID)
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Induction Diet

This induction diet should not be used without consulting your physician first and utilization should be monitored by a licensed dietician. Calculations for adequate carbohydrate consumption, based on age and body weight, utilizing fructose or glucose or enzyme supplementation must be completed by a licensed physician or dietician to safely utilize this diet. A copy of this induction diet, food composition tables, enzyme replacements and information on sweeteners should be given to your physician and dietician for review before beginning this diet.

 For the physician and dietician: The induction diet controls each week for the amount of sucrose, lactose, starch and maltose per 100 g of a specific food being added to the diet. The induction diet begins by slowly adding in foods containing sucrose increasing the load each week, adding in a sucrose enzyme supplement, then foods containing lactose, (lactose enzyme supplement if necessary) followed by foods containing starch. Finally foods which contain maltose are added last to the diet. Children and adults report varying levels of success utilizing sucrose, lactose, starch and maltose enzyme supplements. To date, more than 30 mutations that cause CSID have been identified, thus children and adults present with a wide variety of food tolerances with and without enzyme supplementation for sucrose, lactose, starch and maltose.

The phenotypes A-F are a starting point based on small bowel biopsy's of over 9,000 children and adults, but there has been a wide variation of tolerated foods reported. Regarding lactose: If the small biopsy indicates a normal level for lactase, and there is no known allergies to dairy or dairy proteins, you the physician or dietician, may wish to consider adding the dairy items listed in weeks eight through ten to the foods in week one or two. If the levels are below normal or zero you may wish to consider the use of alternate dairy products such as Lactaid milk and cheese products, or lactose enzyme replacement when age appropriate.

When introducing juices, you may want to suggest to the client beginning with 1/4 strength mixed with water, soda water, diet ginger ale, or diet tonic water, then proceeding to 1/2 strength, 3/4 strength and finally to full strength due to the natural laxative effect of some fruits or that they should only be used with meals.

More than 80% of our families do not use any enzyme replacement for sucrose, and limit their food intake to weeks one and two and dairy products found in weeks eight through ten if lactose levels are normal in their small bowel biopsy. If they have half to normal levels of starch enzymes in their biopsy they will also add those foods that contain less than 2 g of sucrose to their diet without an enzyme replacement.

Children and adults in Phenotype D with a genetic history from New Zealand, and Australia have a reported severe reactions to foods marked with a numbers (#) sign. Upon ingestion of these foods parents report children breaking out in hives, rashes, welts, and blisters and other severe reactions. Consider avoidance of these foods for Phenotype D clients.


Week One (Phenotypes A,B,C,D,E,F, without enzyme replacement for sucrose)

The following foods contain 1 gram or less of sucrose and no lactose, or maltose and <1 gram of starch. Normally all children and adults with CSID can tolerate these foods without the use of an enzyme replacement. If additional information regarding a specific food please refer to the food composition tables.

Children and adults may have have allergies to a specific food that is unrelated to CSID.

Foods designated for each week do not need to be measured or weighed.

Physicians and dieticians should be aware a child may become symptomatic with or without an enzyme replacement due to a carbohydrate load in a meal and across the day. The dietician may wish to instruct the parent to introduce one serving the first day, two the next, and three the following to determine tolerated loads per meal and in the same day. The dietician may wish families to utilize a food journal when introducing new foods.

Foods in weeks one and two (except for phenotype F requiring 1 gram or less) are normally safe foods for all children and adults who have CSID without an enzyme replacement. This allows children to learn what foods are safe to eat when they do not have their medications/enzyme replacements with them at a friend's house, restaurants, with grandparents or other relatives, at school, or in the care of a babysitter.

Foods Week One      
Sweeteners crystalline glucose crystalline fructose refer to list of other sweeteners by phenotype
Vegetables Ackee (aka channet, genip) Agar, dried Alfalfa sprouts, raw
Amaranth leaves (aka callaloo, chaulia, Chinese leaves Arrowhead (aka swamp potato, arrowleaf), raw Artichoke, globe (aka French artichoke, leafy artichoke), cookeed
Asparagus, raw or cooked Aubergine (aka baingan, brinjal, eggplant, Jew's apple, ringana Bamboo shoots
Bean sprouts, mung Beans, runner (not green beans) Beans, Soya tofu (tofu only)
Beans, yellow wax Broccoli, green, purple or raab Brussels sprouts (aka chote, bund gobhi, nhanu kobi_
Cabbage, Chinese Cabbage, green (aka bund gobhi, kobi) Cabbage, January king
Cabbage, red Cabbage, savory Cabbage, white
Cabbage, sauerkraut, white Cauliflower, (aka Pangoli, Phool gobhi) raw Celeriac, cooked (only)
Celery Chicory (aka witloof) Chives
Cho, cho (aka xhayote, chow chow, choko, christophene, Mirliton, vegetable pear) Cole leaves Courgette (aka zucchini)
Cress Cucumber (aka kadi, khira) Eggplant
Endive Fennel Gherkins, raw (only)
Kale Kohlrabi Leeks, cooked (only)
Lettuce, butterhead, cos, iceburg, webbs Marrow, raw Marrow parwal
Mushrooms Mustard leaf Okra
Onions, scallion, bulb and top Parsley, raw Peas, snow (only)
Peppers Pumpkin, raw or cooked Quorn
Raddiccio Radish Seakale
Seaweed dry or raw Spinach Squash, spaghetti
Swede (aka rutabaga, yellow turnip) Tomatoes, raw, boiled, paste (not sun dried) Turnip (aka Neeps) bulb or tops, raw or cooked
Dairy Cheese, brie Cheese, camembert Cheese, cream (not reduced fat)
  Cheese, Danish blue Cheese, emmental Cheese, egmont
  Cheese, gouda Cheese, gruyere Cheese, Lymeswold
  Cheese, Red Windsor Cheese, roquefort Cheese, Soya
  Eggs, chicken Eggs, duck Eggs, quail
  Eggs, turkey Ghee Milk, soy, plain, unsweetened
Fats and Oils Oil, canola Oil, coconut Oil, cod liver
  Oil, corn Oil, Cottonseed Oil, grapeseed
  Oil, Hazelnut Lard Mayonnaise
  Oil, olive Oil, palm Oil, peanut
  Oil, Rapeseed Oil, Safflower Oil, Soybean
  Oil, Sunflower Oil, Vegetable Oil, Walnut
  Oil, Wheat Germ
Meat Bacon, dextrose sweetened Beef, all cuts Beef, kidney
Beef, liver Brockwurst Chicken, all cuts
Chicken, liver, no breading Duck all cuts Goat all cuts
Hare all cuts Lamb all cuts Liverwurst, canned
Luncheon meats, dextrose sweetened, no starch fillers Mutton, all cuts Partridge, all cuts
Pheasant, all cuts Pigeon, all cuts Pork, ham, dextrose sweetened
Pork, fresh, all cuts Pork, hot dogs, dextrose sweetened no starch fillers Rabbit, all cuts
Sausage, dextrose sweetened Sheep all cuts Turkey all cuts
Venison, all cuts Whale, beluga
Seafood All seafood except fish balls, battered fish sticks, and crab cakes made with flour.
Beverages Grape juice 100% unsweetened Grapefruit juice 100% unsweetened Lemon juice 100% unsweetened
Lime juice 100% unsweetened Tomato juice 100% unsweetened (not V8) Soft drink, diet (cola, ginger ale, tonic water, root beer, etc.)
Soft drink, soda water Tea, herbal Water, tap or bottled
  Pomegranate juice 100% unsweetened    
Spices Basil Borage Capers
Chervil Chicory, leaf Chives
Chives, garlic Coriander, leaf (aka Chinese parsley, or cilantro) Coriander, seed
Dill weed, fresh (only) Epazote Ginger, fresh (only)
Horseradish Marjoram Mustard seed, yellow
Oregano Paprika Parsley
Peppermint, fresh (only) Poppy seed Poultry seasoning
Rosemary Sage Salt
Savory Spearmint Tarragon
Thyme Tumeric Vanilla, liquid or bean (not powder)
Fruits Avacado Babaco Bilberries (aka Huckleberries) #
Blueberries # Carambola (aka star fruit, Malayalam or Mathippuly) Cherries, raw
  Cranberries, raw # Currents, black, white or red, raw (only) # Damsons, raw
  Elderberries # Feijoa, raw Figs, raw (only)
  Grapes Guava, raw Lemon, raw, incl rind
  Limes, peeled Loganberries # Loquats, raw
  Lychees, raw Lychees, canned in corn syrup Mulberries #
  Nashi, raw # Olives Paw paw (aka papai or papaya), raw
  Pears, raw or stewed without sugar or canned in own juice Persimmon, raw (aka Sharon fruit or Chinese date plum) Pomegranate
  Quinces, raw Raisins, dried Raspberries, raw #
  Rhubarb, stems, raw or cooked, unsweetened Dates, raw or dried without sugar (some varieties have maltose see below, one variety has high sucrose content--Dates, deglet noor19)
Nuts and Seeds Sesame seeds Tahini paste  

Week Two (Phenotypes A,B,C,D,E, without an enzyme replacement for sucrose),  (Phenotype F, will require an enzyme replacement for sucrose contained in these foods)

These additional foods are added to the diet during this week. The following foods contain 2 grams or less of sucrose and no lactose, starch or maltose. Normally all children and adults with CSID except phenotype F (<1% of CSID population based on unique mutation) can tolerate these foods without the use of an enzyme replacement for sucrose. If additional information regarding a specific food please refer to the food composition tables.

Foods Week Two      
Vegetables Artichoke, Jerusalem (aka root choke), cooked Carrot cooked (only) Celeriac, raw
Gherkins, pickled Leeks, raw Onions, boiled (only)
Shallots  
Dairy Yogurt, soya, unsweetened
Spices Nutmeg, ground
Fruit Gooseberries, ripe, raw Kiwi, raw Medlars, raw
Melon, cantalope Melon, galia Melon, rock
Strawberries, raw # Tamarillo, raw

Week Three (All Phenotypes A,B,C,D,E,F, will require an enzyme replacement for sucrose contained in these foods)

These additional foods are added to the diet during this week. The following foods contain 2.1-5 grams or less of sucrose and no lactose, no starch, or maltose. All children and adults with CSID will require the use of an enzyme replacement for sucrose contained in these foods. If additional information regarding a specific food please refer to the food composition tables. For information on enzyme supplementation please refer to enzyme replacements.

Foods Week Three      
Vegetables Carrot juice 100% Carrots, raw  (aka gajjar) Garlic, puree, cooked, outer skin removed
Onions, raw (only)
Beverages Gatorade, liquid Apple juice 100%, unsweetened Orange juice 100%, unsweetened
Pineapple juice 100% unsweetened  
Spices Onion, powder Tamarind, raw
Fruits Apples, raw, baked or unsweetened applesauce (not dried) Grapefruit, raw Grenadillas
Greengages, raw Grenadillas Jambu fruit
Jujube Kumquats Melon, honeydew
Orange, raw Passion fruit, raw Pears, dried without sugar or canned in syrup
  Plum, raw Pomelo Sapodilla
  Tangerine, raw Watermelon, raw
Nuts and Seeds Pine nuts, raw    

Week Four (Phenotypes A,B,C,D,E,F, will require an enzyme replacement for sucrose contained in these foods)

These additional foods are added to the diet. The following foods contain 5.1-7 grams or less of sucrose and no lactose, starch or maltose. All children and adults with CSID will require the use of an enzyme replacement for sucrose contained in these foods. If additional information regarding a specific food please refer to the food composition tables. For information on enzyme supplementation please refer to enzyme replacements.

Foods Week Four      
Vegetables Beets, raw  or pickled only Onions, baked Sweet potato (not yam)
Beverges Prune juice 100% (use only to relieve constipation, has laxative effect)
Fruits Apricots, raw, cooked, (not dried) Clementines Mandarin oranges, raw or canned in corn syrup
Nectarine, raw Prunes, canned in syrup Satsumas
Tangelo, raw
Nuts and Seeds Coconut, cream or milk (only)    

Week Five (Phenotypes A,B,C,D,E,F, will require an enzyme replacement for sucrose contained in these foods)

These additional foods are added to the diet. The following foods contain 7.1-10 grams or less of sucrose and no lactose, starch, or maltose. All children and adults with CSID will require the use of an enzyme replacement for sucrose contained in these foods. If additional information regarding a specific food please refer to the food composition tables. For information on enzyme supplementation please refer to enzyme replacements.

Foods Week Five      
Vegetables Beets, raw, cooked, or pickled
Fruit Mango, raw, ripe or canned (drained) Mangosteen Peaches, raw, canned in juice or syrup drained
Pineapple, raw

Week Six (Phenotypes A,B,C,D,E,F, will require an enzyme replacement for sucrose contained in these foods)

These additional foods are added to the diet. The following foods contain 10.1-13 grams or less of sucrose and no lactose, starch or maltose. All children and adults with CSID will require the use of an enzyme replacement for sucrose contained in these foods. If additional information regarding a specific food please refer to the food composition tables. For information on enzyme supplementation please refer to enzyme replacements.

Foods Week
Six
     
Vegetables Jackfruit, raw    
Fruit Rambutan Apricots, dried  

Week Seven (Phenotypes A,B,C,D,E,F, will require an enzyme replacement for sucrose contained in these foods)

These additional foods are added to the diet. The following foods contain 13.1-40 grams or less of sucrose and no lactose, starch or maltose. All children and adults with CSID will require the use of an enzyme replacement for sucrose contained in these foods. If additional information regarding a specific food please refer to the food composition tables. For information on enzyme supplementation please refer to enzyme replacements.

To physicians and dieticians note: Some families report that at this point the enzyme replacement Sucraid at the dose of 1 ml for infants and 2ml for children and adults is ineffective for the following foods that contain sucrose or added sucrose in baked goods. It is likely based on a specific mutations. Most of the additional reporting families continue to progress to 20, 25, and even higher grams of sucrose per 100 ml of food with the same 1-2ml. dose of Sucraid respectively. If the child or adult falls into this category consider skipping the foods in week seven and baked goods that have more than 13 grams of sucrose added and proceed to week eight to the introduction of Dairy products. If you are skipping all dairy products proceed to week eleven.

Foods Week
Seven
     
Fruit Peaches, dried    

Week Eight (Phenotypes A,B,C,D,E,F, introduction of Dairy products)

These additional foods are added to the diet. The following foods contain 1 gram or less of sucrose and 2g or less lactose, no starch or maltose.  If additional information regarding a specific food please refer to the food composition tables. For information on enzyme supplementation please refer to enzyme replacements. Children and adults with no/low small bowel biopsy results for lactose may require lactase enzyme replacement to utilize these foods.

Foods Week
Eight
     
Dairy Butter, salted or unsalted Cheese, caerphilly Cheese, cheddar
  Cheese, Cheshire Cheese, colby Cheese, cottage 2% or 4%
  Cheese, Derby Cheese, double Gloucester Cheese, edam
  Cheese, feta Cheese, goat, soft Cheese, Leicester
  Cheese, mozzarella Cheese, parmesan Cheese, ricotta
  Cheese, Sage Derby Cheese, Stilton, blue or white Cheese, Swiss
  Cheese, Wensleydale Margarine Yogurt, goat, unsweetened
  Yogurt, Greek, cows, unsweetened    

Week Nine (Phenotypes A,B,C,D,E,F, introduction of Dairy Products continued)

These additional foods are added to the diet. The following foods contain 10 grams or less of sucrose and 6g or less lactose, no starch or maltose. An enzyme replacement for sucrose will be required by all phenotypes marked with an asterisk (*). If additional information regarding a specific food please refer to the food composition tables. For information on enzyme supplementation please refer to enzyme replacements. Children and adults with no/low small bowel biopsy results for lactose likely will require lactase enzyme replacement to utilize these foods.

Foods Week
Nine
     
Dairy Cheese, Fromage frais, plain or fruited * Cheese, quark Coffeemate, sucrose sweetened *
  Cream, clotted Cream, sour Cream, half and half or whipping
  Milk, buttermilk Milk, cow, 2%, skim, whole Milk, goat, whole
  Milk, sheep, whole Yogurt, cow, unsweetened Yogurt, cow, low-fat, unsweetened
  Yogurt, Greek, unsweetened, sheep    

Week Ten (Phenotypes A, B, C, D, E, F, introduction of Dairy Products continued)

These additional foods are added to the diet. The following foods contain 15 grams or less of sucrose and 15g or less of lactose, no starch or maltose. An enzyme replacement for sucrose will be required by all phenotypes with an asterisk (*). If additional information regarding a specific food please refer to the food composition tables. For information on enzyme supplementation please refer to enzyme replacements. Children and adults with no/low small bowel biopsy results for lactose will require lactase enzyme replacement to utilize these foods.

The following foods have 30-80 grams of lactose per 100 grams and should only be considered for individuals who had normal biopsys for lactase enzynes. They include: Milk, powdered, skim or whole; Yogurt, cow, powder; and Whey, dried.

Foods Week
Ten
     
Dairy Cheese, cream, reduced fat Ice cream, vanilla, regular or premium * Milk, evaporated
  Milk, human, mature or transitional Yogurt, fruit flavored, sucrose sweetened *  

Week Eleven (Phenotypes B,C,E, introduction of starch)

These additional foods are added to the diet. The following foods contain 2-5 g or less of sucrose and no lactose, 2 grams or less starch, no maltose.

For the physician and dietician: All foods with greater than 2 grams of sucrose require a sucrase enzyme replacement.  Some phenotype A, D, and F children and adults may be able to use the foods being added this week in very small amounts, some may require a starch enzyme replacement to do so. Most Phenotype B children and adults will tolerate between 3 and 11 grams of starch. Phenotype C children and adults can tolerate between 0 and 50 grams with 20, 25, 32 and 50g variations in tolerance. Each child is different. Some respond well to starch enzyme replacements and some do not.

If additional information regarding a specific food please refer to the food composition tables. For information on enzyme supplementation please refer to enzyme replacements.

Foods Week
Eleven
     
Spices Allspice Anise seeds Bay leaf
  Bee balm Betel leaves Caraway seed
  Celery seed Chicory root Chili powder
  Cinnamon, Vietnamese Cloves, ground Cumin
  Curry powder Dill weed, dried Fennel seed
  Fenugreek seed Garlic, raw (only) Lemon Grass
  Mace Pepper, cayenne Pumpkin pie spice
  Wasabi    
Fruit Currents, dried Dates, dried, no sugar (not varieties listed under maltose) Figs dried, no sugar
Nuts and Seeds Brazil nuts Coconut, raw Hazelnuts, raw
  Macadamia nuts Pecans, roasted Walnuts
Vegetables Beans, balor Beans, soya, boiled (only)  

Week Twelve (Phenotypes B,C,E, introduction of Starch continued)

These additional foods are added to the diet. The following foods contain  12 grams or less of sucrose and no lactose, 2.1-5g or less of starch, no maltose. All children and adults with CSID will require the use of an enzyme replacement for sucrose contained in foods marked with an asterisk (*). If additional information regarding a specific food please refer to the food composition tables. For information on enzyme supplementation please refer to enzyme replacements.

Foods Week
Twelve
     
Spices Cardamon, ground Cream of Tarter Dill seed
  Pepper, black Pepper, white  
Fruit Bananas, raw (only) * Sultanas, raw  
Nuts and Seeds Almonds * Almond, flour * Pistachios *
Vegetables Beans, adzuki * Beans, broad * Chard, Swiss, raw or cooked
  Salsify  * Soybean, sprouts * Soybean, raw *
  Squash, butternut * Squash, buttercup * Water chestnuts

Week Thirteen (Phenotypes B,C,E, introduction of Starch continued)

These additional foods are added to the diet. The following foods contain  15 g or less of sucrose and no lactose, 5.1-10 g or less of starch, no maltose. All children and adults with CSID will require the use of an enzyme replacement for sucrose contained in these foods. If additional information regarding a specific food please refer to the food composition tables. For information on enzyme supplementation please refer to enzyme replacements.

Foods Week
Thirteen
     
Spices Arrowroot Ginger *  
Fruit Durian    
Cereals Oatmeal, plain    
Nuts and Seeds Beer nuts * Peanuts, peanut butter, dry roasted, raw, unsweetened  
Vegetables Beans, baked in tomato sauce * Beans, pork or sausage * Beans, French green
  Beans, papri Beans, soya, raw or cooked in pod * Carob powder * high in sucrose (23g/100)
  Lotus tubers Parsnip * Peas (not snow or split) *
  Squash, acorn *    

Week Fourteen (Phenotypes C,E, introduction of Starch continued)

These additional foods are added to the diet. The following foods contain  2-20 g or less of sucrose and no lactose, 10.1-20 g or less of starch, no maltose. All children and adults with CSID will require the use of an enzyme replacement for sucrose contained in foods marked with an asterisk (*). If additional information regarding a specific food please refer to the food composition tables. For information on enzyme supplementation please refer to enzyme replacements.

Foods Week
Fourteen
     
Spices Saffron    
Fruit Dates, deglet noor and medjool *    
Baked Goods Cake, wedding, iced * Cake, chocolate iced * (contains lactose)  
Grains Bulgur, boiled Flour, soy, low or full fat  
Nuts and seeds Cashews * Pumpkin seeds * Sunflower seeds *
Vegetables Beans, black, cooked  * Beans, blackeye Beans, butter *
  Beans, Dutch cocoa powder, unsweetened Beans, haricot, cooked Beans, red kidney, cooked
  Beans, lilva Beans, lima, cooked * Beans, mung, cooked (only)
  Beans, pinto, cooked * Corn, raw or cooked Lentils, cooked *

Week Fifteen (Phenotypes C,E, introduction of Starch continued)

These additional foods are added to the diet. The following foods contain 2-5 g or less of sucrose, 2 g or less of lactose, 20.1-30 g or less of starch, no maltose. All children and adults with CSID will require the use of an enzyme replacement for sucrose contained in these foods. If additional information regarding a specific food please refer to the food composition tables. For information on enzyme supplementation please refer to enzyme replacements.

Foods Week
Fifteen
     
Baked Goods Bread, pumpernickel * Cake, sponge, plain * (contains lactose)  
Grains Barley, pearl, boiled    
Nuts and Seeds Tiger nuts *    
Vegetables Beans, pigeon, cooked Breadfruit, raw or cooked Kumara, raw *
  Matoki Peas, split, cooked Potatoes, cooked or raw made without milk
  Yams (not sweet potatoes)    

Week Sixteen (Phenotypes C,E, introduction of Starch continued)

These additional foods are added to the diet. The following foods contain 2-5 grams or less of sucrose and 3g or less of lactose, 30.1 -50 g or less of starch, no maltose. All children and adults with CSID will require the use of an enzyme replacement for sucrose contained in foods marked with an asterisk (*). If additional information regarding a specific food please refer to the food composition tables. For information on enzyme supplementation please refer to enzyme replacements.

Foods Week
Sixteen
      
Fruit Banana, chips *    
Baked Goods Muffin, English, toasted plain * (contains lactose) Naan (contains lactose) Tortilla, corn
Grains Popcorn, plain Rice, brown Rice, basmati, boiled
Nuts and Seeds Bombay mix Chestnuts * Quinoa
Vegetables Potatoes mashed with milk Potatoes, instant powder made with milk Beans, chickpeas (garbanzo) *
  Beans, haricot, raw * Beans, mung, raw Lentils, raw

Week Seventeen (Phenotypes C,E, introduction of Starch continued)

These additional foods are added to the diet. The following foods contain  2-10 g or less of sucrose and no lactose, 50.1-100 g of starch or maltose. All children and adults with CSID will require the use of an enzyme replacement for sucrose contained in these foods. If additional information regarding a specific food please refer to the food composition tables. For information on enzyme supplementation please refer to enzyme replacements.

Foods Week
Seventeen
     
Baked goods Bagels,  plain Bread, roll, white, no sucrose Cinnamon Rasin Bread Mix, Gluten Free, Bob's Red Mill *
  Crackers Crackers, cream Crispbread, rye *
Cereals Puffed Rice, unsweetened Shredded Wheat Puffed Wheat, unsweetened
Grains Arrowroot starch Barley, raw, uncooked or rolled flakes, grits, meal, malt Buckwheat
  Flour, corn Flour, rice Flour, rye
  Flour, semolina Flour, wheat, wholemeal Oatmeal, raw, or quick cook, raw
  Oats, rolled Rice, flour Rice, white
  Sago Semolina, raw Tapioca, uncooked

Week Eighteen (Phenotype C introduction of Maltose)

These additional foods are added to the diet. The following foods contain 2-50 grams or less of sucrose and no lactose, 10-100 g of starch or 5 grams or less of maltose. All children and adults with CSID will require the use of an enzyme replacement for sucrose contained in these foods. If additional information regarding a specific food please refer to the food composition tables. For information on enzyme supplementation please refer to enzyme replacements.

Foods Week
Eighteen
     
Fruit Boysenberry    
Baked Goods Bread, pita Bread, white, sliced no sucrose Bread, roll, white, no sucrose
  Crackers (all) Crispbread, rye Croissants
  Doughnut Matzos Tortilla, flour
Cereals All Bran, Kellogg's Corn flakes, Kellogg's Special K
  Vitabrits Weeta-flakes Wheat-Bix
Grains Wheat, bran Wheat, flour, white All pasta made from wheat raw or cooked
  Oat, bran    
Vegetables Cassava Quorn  

Week Nineteen (Phenotype C, introduction of Maltose continued)

These additional foods are added to the diet. The following foods contain 2-50 grams or less of sucrose and 0-5 g of lactose, 10-100 g of starch and greater than 5 g maltose. All children and adults with CSID will require the use of an enzyme replacement for sucrose contained in these foods. If additional information regarding a specific food please refer to the food composition tables. For information on enzyme supplementation please refer to enzyme replacements.

Foods Week
Nineteen
     
Fruit Monk fruit extract (sprayed on to maltodextrin powder    
Cereals Grapenuts    

 

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