Why Nutrition Matters in IBD Management: A Nutritionist’s Perspective
- Nutrition Supports the Gut Barrier & Immune System IBD involves chronic inflammation of the gut. Key nutrients like zinc, vitamin D, and omega-3s help maintain the intestinal barrier, regulate immune responses, and reduce inflammation. Protein is crucial for tissue repair, especially during or after flares.
- Preventing and Managing Nutrient Deficiencies People with IBD are at high risk of deficiencies due to:
Malabsorption
Reduced intake (e.g., during flares)
Medication interactions (e.g., corticosteroids affecting calcium)
Common deficiencies: Iron, B12, folate, vitamin D, magnesium, and calcium. - Managing Symptoms and Flares During active flares, certain foods may trigger symptoms (like fiber, dairy, or high-fat foods). A nutritionist can guide low-residue, low-FODMAP, or elemental diets to manage symptoms while still meeting nutritional needs.
- Supporting Remission Once in remission, nutrition is about restoring strength and preventing flare-ups. This includes:
Balanced macronutrients
Reintroduction of gut-friendly fibers
Anti-inflammatory dietary patterns like the Mediterranean diet etc - Tailoring Diets Individually IBD is highly individual—what works for one person may not for another. A nutritionist helps identify trigger foods, build sustainable meal plans, and maintain a healthy relationship with food (especially when eating feels like a minefield).
- Mental Health and Nutrition Chronic illness impacts mental health, which in turn affects appetite and digestion. Nutritionists also consider how food can support mood (e.g., via gut-brain axis, stable blood sugar, micronutrient balance).
- Holistic Support Beyond the Plate Food isn’t just fuel—it’s about comfort, culture, and control.
A nutritionist can empower clients with meal planning, label reading, supplement advice, and working alongside doctors and dieticians for a full-circle approach.
