ECL. Eastern Clinical Laboratories

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1 YOUR FOODWatch Report ECL Easter Cliical Laboratories P.O.Box , Elite Busiess Ceter, 1 st Floor # 105, Behid Mall of the Emirates Al-Barsha, Dubai, UAE Tel: , ifo@easterbiotech.com Follow us o: 800-ECLABS

2 ABOUT FOODWatch REPORT What is your FOODWatch Report will tell: Test Report The test will provide a comprehesive report of hypersesitivity or food itolerace agaist 221 foods that are tested agaist oe s blood sample. The list of foods icludes diary, vegetaria, o-vegetaria, herbs & spices, uts etc. The report idicates 4 levels of hypersesitivities towards various foods. Each level is marked with differet colors: Level 3 Level 2 Level 1 Level 0 Level 3 is marked with RED color. This meas the foods listed uder level 3 showed a very strog hypersesitivity or itolerace agaist oe s body.. Level 2 is marked with ORANGE color ad food listed uder this showed moderate hypersesitivity to the digestive system. LIGHT GREEN color is used to mark the food uder level 1 which idicated borderlie itolerace towards the body. Food listed uder level 0 is marked with GREEN ad showed NO hypersesitivity towards oe s digestive system. Test Methodology Determiatio of allerge specific immuoglobuli G(IgG) from huma serum usig Geearray based Microarray Techology Toll Free: Tel: ifo@easterbiotech.com

3 HOW TO INTERPRET THIS REPORT EXAMINATION METHOD Determiatio of allerge specific immuoglobuli G (IgG) from huma serum usig Geearray based Microarray Techology Evaluatio IgGCocetratio: >50 U/ml U/ml 1-39 U/ml 0 U/ml Reactio Class: ( Level 0 = Lowest;& Level 3 = Highest ) Level 3: Level 2: Level 1: Level 0: Strog Hypersesitivity: Food i this category must be elimiated/ substituted with suitable replacemet. Moderate Hypersesitivity: These food should be regularly avoided ad watch out the symptoms whe you eat them. Weak Hypersesitivity: Food uder this category are use after a appropriate period of elimiatio, reactive foods may be reitroduced oe at a time uder physicia s supervisio. No Itolerace: If egative foods have bee cosumed regularly before drawig the blood for the test, there is high probability that they are safe ad are ot likely to provoke symptoms Level 3 Level 2 Level 1 Level 0 Level 3 Level 2 Level 1 Level 2210 Level 3 Strog Hypersesitivity Level 2 Moderate Hypersesitivity Level 1 Weak Hypersesitivity Level 0 No Itolerace Toll Free: Tel: ifo@easterbiotech.com

4 Comprehesive [221 Food Paels] Diary Cockle Trout Fruits Olive Codfish Tua Orage Crab Turbot Papaya Cuttlefish Wikle Peach Alpha- Lactalbumi Beta Lactoglobuli Buffalo Milk Casei Cows milk Goats milk Sheep Milk Egg White Egg Yolk Seafood & Fish Dorado/Sea Bream Eel Haddock Hake Herrig Lobster Mackerel Mokfish Mussel Octopus Oyster Meat & Poultry Beef Billy goat Chicke Duck Horse Lamb Ostrich Apple Apricot Avocado Baaa Blackberry Blackcurret Blueberry Cherry Craberry Date Fig Pear Pieapple Plum Pomegraate Raisi Raspberry Redcurret Rhubarb Strawberry Tagerie Tomato Perch Ox Grape Watermelo Pike Partridge Grapefruit Nuts Plaice Pork Guava Alga Espaguette Razor calm Quail Kiwi Alga Spirulia Salmo Rabbit Lemo Alga Wakame Sadie Turkey Lime Almod Achovy Baracle Bass Carp Caviar Scallop Shrimp/Praw Sole Squid Veal Veiso Wild boar Lychee Mago Melo (Hoeydew) Mulberry Brazil ut Cashew ut Cocout Hazel ut Clam Swordfish Nectarie Macademia ut Toll Free: Tel: ifo@easterbiotech.com

5 Comprehesive [221 Food Paels] Cotd... Pea ut Vegetable Gourd (squash) Camomile Sage Pie ut Leek Cayee Tarrago Pistachio Letil Ciamo Thyme Tiger ut Lettuce Clove Vailla Wal ut Cereal & Pulses Barley Buckwheat Cor (Maize) Couscous Durum wheat Flax seed Gliadi Malt Millet Oat Poleta Amarath Artichoke Asparagus Aubergie Bea (Broad) Bea (Gree) Bea (Red kidey) Bea (White haricot) Beetroot Broccoli Brussel sprout Cabbage Cabbage (red) Caper Carrot Marrow Oio Pea Peppers (mixed) Potato Radish Rocket Shallot Soya bea Spiach Sweet potato Turip Watercress Yuca Spices & Herbs Corrieder (leaf) Cumi Curry (mixed spices) Dill Garlic Giger Giko Giseg Hops Liquorice Marjoram Mit Mustard seed Nettle Nutmeg Others Agar agar Cae sugar Carob Chest ut Cocoa bea Coffee Cola ut Hoey Mushroom Rapeseed Sesame seed Suflower seed Quioa Cauliflower Parsley Tapioca Rice Rye flour Spelt Trasglutamiase Wheat Celery Chard Chickpea Chicory Cucumber Aloe vera Aiseed Basil Peppercors (B/W) Peppermit Red chilli Rosemary Tea (black) Tea (gree) Yeast (baker's) Yeast (brewer's) Wheat bra Feel (leaf) Bayleaf Saffro Toll Free: Tel: ifo@easterbiotech.com

6 Cosultatio & Report Types ** Please ote, we offer Customized Report ad Face to Face cosultatio with our Nutritioal Cosultat as a additioal service to the report. Please sed your request by ifo@fooditoleracetest.ae or call us at for schedulig a appoitmet. If you have already requested ad availed ay of these services, please visit our webpage: for additioal iformatio o each food groups ad their maagemet. Customized Report This optio will iclude the comprehesive Test Report ad a Customized Report based o the test report, explaiig the followigs: A persoalized pla to elimiate highly reactive foods ad to rotate foods showig a moderate or mild reactio. Advice o how to replace foods with suitable alteratives to esure that you maitai a balaced, utritious diet. Eve though there may be may foods you must avoid, there will be may u-reactive foods you ca still ejoy. Face to Face Cosultatio with Nutritioal Cosultat: This optio will iclude comprehesive Test Report, Persoalized Report ad a opportuity to meet with a Nutritioal Cosultat to help you aalyse the test report fidigs ad make appropriate dietary ad lifestyle chages, icludig: Advice o how to recogise which food products ad igrediets cotai your reactive foods so that you ca be cofidet whe eatig out ad whe shoppig/checkig labels. Advice o how to replace foods with suitable alteratives to esure that you maitai a balaced, utritious diet. Eve though there may be may foods you must avoid, there will be may u-reactive foods you ca still ejoy. Help with meu plaig ad recipes. Advice o where to fid special food products ad igrediets. O-goig support ad ecouragemet whilst you make your dietary chages. Toll Free: Tel: ifo@easterbiotech.com

7 FOOD INTOLERANCE DIETARY SUPPORT GUIDE There is ofte cofusio betwee food allergy ad food itolerace ad may times the terms are used icorrectly. Food itolerace is ofte mistakely referred to as food allergy, whe i fact they are two differet thigs. Food Allergy True food allergy (called immediate oset IgE mediated allergy) is a adverse immue reactio to a specific food. With food allergy, the immue system mistakes perfectly ormal substaces ad treats them as ivaders by producig specific atibodies (type IgE) to attack them. Normally, symptoms occur withi miutes of eatig or comig i to cotact with the food ad ca rage from vomitig ad diarrhoea to rashes, swellig, breathig difficulties ad potetially life threateig aaphylaxis. True food allergies are usually associated with peauts ad shellfish ad are detected usig a ski test. Oce the allerge is idetified, it must be avoided for life. Although true food allergies ca be severe, fortuately, they are rare. Fewer tha 5% of people suffer from them ad they are foud mostly i childre. Food Itolerace Food itolerace is ot the same thig as food allergy ad is far more commo i both childre ad adults. Food itolerace is sometimes referred to as delayed oset food allergy because symptoms ca appear up to 72 hours after cosumig a offedig food or foods, ofte makig it difficult to idetify the exact cause of the reactio. Food itolerace ivolves a differet family of atibodies, the IgG type. Whe a perso is itolerat to a particular food, their immue system produces a abudace of IgG atibodies. These bid directly to particular allergeic food particles as they eter the bloodstream, creatig immue complexes. Uder ormal circumstaces, these are elimiated by the immue system. However, if the immue system is overwhelmed, the immue complexes build up ad symptoms develop. This rocess takes time, which is why symptoms are delayed ad ca take up to two or three days to appear. The delayed reactios ca ivolve almost ay orga or tissue i the body, causig may differet allergic symptoms ad coditios. Toll Free: Tel: ifo@easterbiotech.com

8 Symptoms Symptoms of food itolerace ca be may ad varied ad ofte come ad go, makig it difficult to pipoit the exact cause. Some commo symptoms iclude Abdomial Pais Bloatig Costipatio Diarrhoea Irritable Bowel Sydrome (IBS) Stomach Cramps Nausea Asthma Arthritis Rhiitis Siusitis Headaches ad Migraies Fatigue Lethargy Chroic Fatigue Sydrome Eczema Ski Rashes Aches ad Pais Weight Loss Weight Gai Fluid Retetio Lack of Eergy Depressio Itchy ski Isomia Joit pai Low mood Toll Free: Tel: ifo@easterbiotech.com

9 Testig for Food Itolerace With Foodwatch, a sample of blood is draw ad tested for the presece of food specific IgG atibodies formed agaist a comprehesive list of foods i the diet. Ay elevated IgG result idicates that you are itolerat to a particular food. Fortuately, food itolerace is t ecessarily a life log coditio ad oce trigger foods are idetified ad avoided for a period of moths, they may be reitroduced ad i most cases are tolerated agai. *It is importat to ote that Foodwatch Itolerace Testig tests oly for IgG atibodies associated with delayed-oset food allergies. It does ot test for immediate-oset allergic (IgE) reactios to foods (like peauts or shellfish, for example) ivolvig serious allergic reactios such as asthma or aaphylaxis. If you suspect you may have a IgE allergy, it is importat to get yourself tested separately ad the strictly avoid the allergic food. Why do Food Itoleraces happe? The obvious place to begi uderstadig the true cause of food itolerace is the digestive tract. After all, the liig of the gut is the first poit of cotact betwee foods ad the immue system. The itestial liig cotais more immue cells ad produces more atibodies tha ay other orga i the body ad it acts as a crucial defece agaist ifectios ad food allerges. At the same time the gut liig allows the selective passage of importat vitamis, mierals, fats ad other utriets ito the bloodstream. The trouble starts whe the gut liig becomes irritated or damaged ad becomes more permeable or leaky, allowig udigested food substaces through the liig ad ito the bloodstream that should t get through. This ca trigger a allergic reactio. There are may reasos why our moder-day diets ad lifestyles ca lead to a leaky gut. Stress, ifectio, frequet atibiotic use, alcohol, paikillers ad a lack of key utriets are all cotributors. I additio, eatig a mootoous diet of the same foods every day ca icrease the likelihood of developig food itolerace, especially if those foods are highly allergeic to begi with. Toll Free: Tel: ifo@easterbiotech.com

10 DEALING WITH FOOD INTOLERANCE The first step i the process of addressig food itolerace is to idetify problem foods. Your Foodwatch Itolerace Test is the first step i this process. If your test shows ay positive reactios, it meas that you have a elevated atibody reactio to a particular food. Reactios ca be strog, moderate or mild. Elimiatig Foods You should elimiate from your diet ay foods showig a elevated level of atibodies to a specific food, for a miimum period of three moths. Whe elimiatig a food from your diet, try to replace it with aother food from that food group, which does ot show a reactio. For example, if you have to elimiate protei-rich foods like eggs or dairy products, make sure you get your protei from alterative sources, such as fish, beef, chicke, tofu, letils or beas. Make sure you kow which food products cotai your reactive igrediets. May ready-made sauces ad meals have a log list of igrediets. Be sure to check the labels. Rotatig Foods It is advisable to rotate those foods, which show oly a mild or o reactio. This meas simply workig out a patter so that you are ot eatig the same foods every day. Rotatig foods takes a load off the immue system ad icreases your chaces of beig able to reitroduce most of the allerges back ito your daily diet without allergic symptoms. To pla a rotatio diet, begi with a list of foods to which you are ot reactig. While you may be itolerat to may foods, there will be may o-reactive foods that you are free to eat. Focus o what you ca eat rather tha what you caot to help you stay more positive. Cosume a wide variety of foods, icludig vegetables, fruits, healthy fats ad protei-rich foods for optimum, daily utritio. The idea of havig to cut certai foods out of your diet ca be extremely dautig for most people. Ofte the very foods that you eed to avoid are the oes that you eat most frequetly ad ejoy the most. Remember too that elimiatig your reactive foods ca cause withdrawal symptoms ad some people feel worse for a few days. Try to persevere. The majority of people fid symptom relief withi oe to three moths of cuttig out reactive foods. Reitroducig Foods After elimiatig trigger foods for a period of 3 to 6 moths, may fid that it is possible to slowly reitroduce them back ito the diet ad suffer o ill effects. Whe the time comes to reitroduce foods, it is importat to do it slowly by oly itroducig oe food at a time. Ay reactios or symptoms eed to be moitored carefully. Keepig a record of foods cosumed ad symptoms experieced ca be helpful. Start with foods from you food itolerace test results that gave the weakest reactio. The body is more likely to have forgotte about those foods first. Always allow a week betwee reitroducig ew foods. If wheat has bee elimiated, start with a wheat-oly product, like 100% wheat cereal. Likewise, with oats, try oat porridge with water, so it s oly the oats you are testig. If cow s milk has bee avoided, start with 100% live bio-yoghurt before tryig cow s milk. Try a cooked egg yolk first before testig the egg white. Hopefully, whe you have completed the food itolerace cycle of idetifyig, elimiatig, rotatig ad reitroducig problem foods, you will ejoy reewed eergy ad vitality ad be symptom-free.out reactive foods. Toll Free: Tel: ifo@easterbiotech.com

11 The Most Commo Delayed oset IgG Food Itoleraces Of all the foods, by far, the most commo allergy provokig substaces are dairy products, grais, eggs, uts ad yeast. Cow s Milk Cow s milk is cosistetly the most commo allergeic food. Most cheeses, yoghurt, cream, ice cream ad butter cotai milk protei ad it s hidde i may other foods, ofte called simply milk protei, casei (the predomiat protei) or whey. If you have tested positive for cow s milk it meas you are reactig to the milk protei ad it s importat to watch out for all forms of cow s milk. Eggs Eggs are a good source of protei ad importat utriets such as phospholipids, which are vital for the brai. However, eggs are a commo allerge ad ca ofte be the cause of ski irritatios such as eczema ad dermatitis. Egg white itolerace is more commo tha egg yolk, most likely due to the type of protei i egg white called ovomucoid. If you test positive to egg, it is importat to watch out for all foods cotaiig eggs icludig foods like mayoaise ad baked goods. Seafood Seafood is more commoly associated with immediate oset type IgE food allergies, especially shellfish (such as praws, shrimp, crab ad lobster) ad molluscs such as oysters. However, seafood ca still provoke delayed oset IgG food itoleraces, particularly shellfish ad some saltwater fish, such as sea bass. Yeast Yeast is a commo allerge ad comes i two forms. Baker s yeast is the type used i bread but ca also be foud i soy sauce, beer ad to a lesser extet, i wie. Beer ad lager are fermeted with brewer s yeast. Wheat Wheat, a staple i the moder diet is the most commo allergeic grai. It s ot just the obvious bread, biscuits, pastries ad cereals that cotai wheat, it is also foud i may other processed ad coveiece foods. If you tested positive to wheat, it is importat to read labels carefully. Wheat itolerace is ot the same as Glute itolerace Beig itolerat to wheat is ot the same as beig glute itolerat. Glute is a key protei i wheat ad other grais such as rye, barley ad oats. It is the igrediet i bread that gives it its soft, chewy, elastic texture. If you are itolerat to glute, you are reactig to gliadi, the key protei i glute. May people ca be itolerat to wheat but ot itolerat to glute. Coversely, you ca be itolerat to glute, but ot to wheat. Glute Itolerace is ot the same as Coeliac Disease. Coeliac disease is a geetic disorder caused by a allergy to glute. With coeliac, the villi (tiy, figer like protrusios i the itestie walls) get damaged from exposure to glute, prevetig absorptio of importat utriets. This is diagosed by a blood test called Ig ati tissue trasglutamiase test, or IgAtTG. People with coeliac disease must strictly avoid glute for life. You ca be itolerat to glute (produce IgG atibodies to glute) but ot have coeliac disease. If you suspect you have coeliac disease, it is advisable to get a test. Toll Free: Tel: ifo@easterbiotech.com

12 Fruits Tree fruits with stoes (such as plums, cherries, ectaries, peaches ad apricots) are also part of the same, larger food family as uts ad beas. Essetially, they are all seeds. Allergic reactios to several fruits i this family are commo. I may cases, if you are itolerat to oe type of fruit, e.g. plum, you may also experiece a similar reactio to cherries. Almods are also part of this fruit family. Nuts The most commo idividual ut allerges i this group are: cashew uts, soya beas, Brazil uts, almods, hazeluts ad peauts. You ca be itolerat to oly oe type of ut but if you do react to oe type there is a greater chace that you ll react to aother. For example, may people who are itolerat to cashew uts are also itolerat to pistachios, because both types of uts are from the cashew family. Soya As well as beig high i fibre ad isoflavoes (beeficial, plat based compouds), soya is a excellet source of protei. It has become a popular food ad is available i may forms, icludig: tofu, edamame, soy flour, soy yoghurt, soymilk, soy cheese ad vegetaria soy mice. Foods such as miso, atto, tempeh ad tamari are also soy based. Because of soy s high protei cotet ad its popularity as a igrediet i may foods, it has become a commo allerge. Beas Beas, letils, peas, chickpeas ad soya are part of the legume family. Although it is possible to react to oly oe type of bea, it is commo to react to more tha oe type of bea withi the legume family. For example, if you react to white haricot beas, you might also react to broad beas or peas. Chocolate ad coffee, both of which origiate from beas, are also part of a bea family. Spices Spices ca also cause IgG atibody reactios. As all spices are plat based, spices are also categorised by family ad reactios also ted to occur across families. For example, if you react to mit, you might also react to oregao, sage, basil, rosemary ad thyme because they are all part of the mit family. Garlic, chilli, cayee pepper ad paprika ted to be the most commo allergeic spices. Toll Free: Tel: ifo@easterbiotech.com

13 P.O.Box , Elite Busiess Ceter, 1 st Floor # 105, Behid Mall of the Emirates, Al-Barsha, Dubai, UAE Tel: , ifo@easterbiotech.com ECL Easter Cliical Laboratories P.O.Box , Elite Busiess Ceter, 1 st Floor # 105, Behid Mall of the Emirates Al-Barsha, Dubai, UAE Tel: , ifo@easterbiotech.com Follow us o: 800-ECLABS