Food Sensitivity Test

Transcription

1 Severe Intolerance BOK CHOY BRUSSEL SPROUTS CAROB CRAB LIVER (BEEF) NAVY BEAN PEAR SAFFLOWER SWEET POTATO TROUT Food Sensitivity Test Moderate Intolerance BLK/GREEN TEA BRAZIL NUT BREWER'S YEAST BUCKWHEAT CRANBERRY CRAYFISH EGG WHITE GINGER KELP LENTIL BEAN LIME MACADAMIA NECTARINE PORK PSYLLIUM SWISS CHARD TARRAGON TOMATO TUNA Patient Name: Healthcare Provider: Mild Intolerance AVOCADO* BASIL* BLUEBERRY* BROCCOLI* CABBAGE* CANTALOUPE* CARAWAY* CARDAMOM* CHERRY* CHICKEN* CINNAMON* CLAM* COFFEE* CORN* CURRY POWDER* DATE* DUCK* EGG YOLK* FIG* FLAXSEED* GREEN PEPPER* HALIBUT* LEMON* LIQUORICE* MINT* PARSLEY* PEACH* PINE NUT* PINTO BEAN* PLUM* POMEGRANATE* SHRIMP* SPINACH* THYME* TURMERIC* WATERCRESS* WHITE POTATO* ZUCCHINI* JOHN HOLZMANN Test Date: 28 May 2009 BARBARA ALLAN File #: (200) VEGETABLES / LEGUMES ACORN SQUASH ARTICHOKE ASPARAGUS BEET BLACK-EYED PEAS CARROT CAULIFLOWER CELERY CHICK PEA CUCUMBER EGGPLANT ENDIVE FAVA BEAN FENNEL GREEN PEA ICEBURG LETTUCE JALAPENO PEPPER KALE KIDNEY BEAN LEEK LIMA BEAN MUNG BEAN MUSTARD OKRA ONION PARSNIP RADISH RHUBARB ROMAINE LETTUCE SOYBEAN SQUASH (Yellow) STRING BEAN TURNIP S APPLE APRICOT BANANA BLACK CURRANT BLACKBERRY GRAPE GRAPE HONEYDEW (MELON) KIWI MANGO OLIVE ORANGE PAPAYA PINEAPPLE PUMPKIN RASPBERRY STRAWBERRY WATERMELON MEAT BEEF LAMB PHEASANT QUAIL TURKEY VEAL VENISON DAIRY SEAFOOD ANCHOVY BASS CATFISH CODFISH FLOUNDER HADDOCK HERRING LOBSTER MACKEREL MUSSEL OYSTER SALMON SARDINE SCALLOP SNAPPER SOLE SQUID SWORDFISH WHITEFISH GRAINS MILLET QUINOA RICE TAPIOCA HERBS / SPICES ANISE SEED BAY LEAF BLACK PEPPER CAYENNE PEPPER CHILI PEPPER CLOVE CORIANDER CUMIN DILL NUTMEG OREGANO PAPRIKA ROSEMARY SAFFRON SAGE You have a mild reaction to Candida Albicans, also limit these foods: BAKER'S YEAST BEET SUGAR CANE SUGAR FRUCTOSE HONEY MAPLE SUGAR MUSHROOM You have no reaction to Gliadin and mild reaction to Gluten, limit these foods: BARLEY MALT OAT RYE SPELT WHEAT NUTS/ OILS AND MISC. FOODS ALMOND CASHEW CHAMOMILE COCOA COCONUT COTTONSEED GARLIC HAZELNUT HOPS PEANUT PECAN PISTACHIO SESAME SUNFLOWER VANILLA WALNUT You have a moderate reaction to Casein and severe reaction to Whey, eliminate these foods: COW'S MILK GOAT'S MILK SHEEP'S MILK RED indicates a severe intolerance and these items should be avoided for a minimum of 6 months YELLOW indicates a mild intolerance and these foods should be avoided if possible ORANGE indicates a moderate intolerance and these items should be avoided for a minimum of 3-6 months GREEN indicates acceptable foods / no reaction

2 Food Sensitivity Test 4 Day Rotation Diet Patient Name: JOHN HOLZMANN Test Date: 5/28/2009 Healthcare Provider: BARBARA ALLAN File #: DAY 1 DAY 2 DAY 3 DAY 4 TAPIOCA WHITE POTATO* MILLET CORN* QUINOA RICE VEGETABLES/LEGUMES VEGETABLES VEGETABLES VEGETABLES ARTICHOKE BLACK-EYED PEAS CARROT CELERY EGGPLANT GREEN PEPPER* ICEBURG LETTUCE KALE PARSLEY* ROMAINE LETTUCE BROCCOLI* CABBAGE* CAULIFLOWER ENDIVE MUSTARD ZUCCHINI* ACORN SQUASH ASPARAGUS FENNEL GREEN PEA LEEK LIMA BEAN ONION PINTO BEAN* RADISH STRING BEAN BEET CUCUMBER JALAPENO PEPPER OKRA PARSNIP RHUBARB SPINACH* SQUASH (Yellow) TURNIP BANANA BLACK CURRANT DATE* FIG* GRAPE KIWI MANGO PAPAYA STRAWBERRY APPLE AVOCADO* BLUEBERRY* PINEAPPLE POMEGRANATE* APRICOT BLACKBERRY CHERRY* PEACH* PLUM* RASPBERRY CANTALOUPE* GRAPE HONEYDEW (MELON) LEMON* OLIVE ORANGE PUMPKIN WATERMELON BEEF CHICK PEA CODFISH FAVA BEAN FLOUNDER HERRING LAMB OYSTER SARDINE SNAPPER SWORDFISH VEAL BASS CATFISH CHICKEN* EGG YOLK* MACKEREL PHEASANT QUAIL SQUID WHITEFISH ANCHOVY DUCK* HALIBUT* KIDNEY BEAN MUNG BEAN SOLE SOYBEAN CLAM* HADDOCK LOBSTER MUSSEL SALMON SCALLOP SHRIMP* TURKEY VENISON BAY LEAF CARAWAY* CASHEW CHAMOMILE CHILI PEPPER COCONUT CORIANDER CUMIN FLAXSEED* LIQUORICE* PISTACHIO ROSEMARY TURMERIC* BASIL* CAYENNE PEPPER CINNAMON* CLOVE GARLIC HAZELNUT HOPS MINT* PAPRIKA SAFFRON ALMOND CARDAMOM* COCOA COFFEE* COTTONSEED DILL OREGANO PEANUT THYME* ANISE SEED BLACK PEPPER CURRY POWDER* NUTMEG PECAN PINE NUT* SAGE SESAME SUNFLOWER VANILLA WALNUT

3 Foods To Avoid File: Date: 5/28/2009 Patient: JOHN HOLZMANN Clinic/Doctor: BARBARA ALLAN BLK/GREEN TEA Avoid also black tea, green tea, oolong tea, tea ice cream, tea soufflé, orange pekoe tea & pekoe tea. For reintroduction into diet, place into Day 4. BOK CHOY BRAZIL NUT Bok Choy or Chinese cabbage a leaf vegetable commonly used in Chinese cuisine. The vegetable is related to the Western cabbage and of the same species as the common turnip. There are many variations on its name, spelling, and scientific classification. Often found in Chinese stir-fried dishes and soups. For reintroduction into diet, place into day:2 Brazil nut is a large nut with brown skin, and can be used in recipes that call for coconut or macadamia nuts, as they are high in fat content resulting in a rich flavor. Brazil nuts are high in Selenium. For reintroduction, place on day 3. BREWER'S YEAST Avoid also alcoholic beverages, apple cider, apple cider vinegar, processed foods, processed juices, processed meats & soy sauce, vinegar. May also be used as an ingredient in vitamin tablets. For reintroduction into diet, place into Day 2. BRUSSEL SPROUTS BUCKWHEAT CAROB Brussel sprouts are known to be native to cool regions in northern Europe. They are similar to cabbage in taste, but they are slightly milder in flavor and denser in texture. Brussels sprouts and cabbage are members of the cruciferous vegetable family. These vegetables contain significant amounts of the antioxidants vitamin C and beta-carotene (vitamin A). For reintroduction into diet, place into day: 2 Buckwheat enjoyed a resurgence of popularity in the mid 1970's that was brought on by the demand for commercially prepared breakfast cereal and by exports to Japan for making buckwheat noodles. Most of the buckwheat grain utilized as food is marketed in the form of flour. Buckwheat flour is used primarily for making buckwheat griddle cakes, and is more commonly marketed in the form of pancake mixes than as pure buckwheat flour. Also avoid buckwheat noodles, kasha. For reintroduction into diet, place into day: 4 Carob is popular in the baking ad confectionary industry. Carob powder and carob chips are sometimes used as an ingredient in cakes and cookies instead of chocolate. Carob can also be used in soft drinks. For reintroduction into diet, place into day: 4 CRAB Crabs are found in all of the world's oceans. Additionally, there are also many freshwater and terrestrial crabs, particularly in tropical regions. Also avoid seafood soups, seafood salads, imitation crab and crab cakes. For reintroduction into diet, place into day: 1 CRANBERRY CRAYFISH Cranberry sauce is regarded an indispensable part of traditional American and Canadian Thanksgiving menus and European winter festivals. About 95% of cranberries are processed into products such as juice drinks, sauce, and sweetened dried cranberries. The remaining 5% is sold fresh to consumers. The berry is also used in baking (muffins, scones and cakes) but, unlike many other berries, is normally considered too sharp to be eaten unaccompanied. For reintroduction into diet, place into day: 2 Crayfish, often referred to as crawfish, or crawdads, are freshwater crustaceans resembling small lobsters, to which they are closely related. Crayfish are eaten in Europe, China, Africa, Australia and the United States. 98% of the crayfish harvested in the United States come from Louisiana. Louisiana crawfish are usually boiled live in a large pot with heavy seasoning and other items such as potatoes, maize, onions, garlic, and sausage. They are generally served at a gathering known as a crawfish boil. Other popular dishes in the Cajun and Creole cuisines of Louisiana include crawfish étouffée, crawfish pie, crawfish dressing and crawfish bread. For reintroduction into diet, place into day:3 This list is presented as a sample reference list. You should read all labels each time you make a purchase because manufacturers may change formulations. Become aware of all ingredients found in foods you plan to consume. Please see accompanying booklet for more information. It is advisable to consult a qualified nutritional counsellor for further assistance with your rotation diet plan.

4 Foods To Avoid File: Date: 5/28/2009 Patient: JOHN HOLZMANN Clinic/Doctor: BARBARA ALLAN EGG WHITE GINGER KELP Egg white is the common name for the clear liquid contained within an egg. Its primary natural purpose is to protect the egg yolk and provide additional nutrition for the growth of the embryo, as it is rich in proteins and is of high nutritional value. It is often separated and used for cooking (meringues, soufflés, and some omelets). Also avoid egg, mayonnaise, albumen, egg powder, custard, quiche, egg noodles, and egg pasta. Eggs can also be a hidden ingredient in glazes, margarine and even ice cream. Egg can also be listed as ovalbumin or lecithin. For reintroduction into diet, place into day: 2 The juice from old ginger roots is extremely potent and is often used as a spice in Chinese cuisine to flavor dishes. Powdered dry ginger root (ginger powder) is typically used to add spiciness to gingerbread and other recipes. Ginger is also made into candy and used as a flavoring for cookies, crackers and cake, and is the main flavor in ginger ale, as well as the similar, but somewhat spicier beverage ginger beer. For reintroduction into diet, place into day: 2 Alginate, a kelp-derived carbohydrate, is used to thicken products such as ice cream, jelly, salad dressing, and toothpaste, as well as an ingredient in exotic dog food and in manufactured goods. Several Pacific species of kelp are very important ingredients in Japanese cuisine. It is used to flavor broths and stews, as a savory garnish for rice and other dishes, as a vegetable. Transparent sheets of kelp are also used as an edible decorative wrapping for rice and other foods. For reintroduction into diet, place into day: 2 LENTIL BEAN Avoid also lentil soup. Can be used in curries and purèes. For reintroduction into diet, place into Day 2. LIME Limes are used in beverages, such as limeade (akin to lemonade). Alcoholic beverages prepared with limes include cocktails such as gin and tonic, margarita, mojito, as well as many drinks that may be garnished with a thin slice of the fruit. Tequila is commonly accompanied by lime wedges and salt. Beer is often served with limes in Mexico. Lime juice is also used in some commercial soft drinks. In cooking, lime is valued both for the acidity of its juice and the floral aroma of its zest. It is used in Key lime pie and is a very common ingredient in authentic Mexican, Southwestern American and Thai dishes. For reintroduction into diet, place into day: 3 LIVER (BEEF) Also avoid beef pate, liver & onions. For reintroduction into diet, place into day: 4 MACADAMIA Macadamia nuts are eaten raw or after cooking in oil are roasted and salted; also used to make an edible bland salad oil. Also used in candies, covered in chocolate etc. For reintroduction into diet, place into day: 3 NAVY BEAN NECTARINE Small white variety of common bean also known as pearl haricot, navy bean and pea bean. Used to make French dish cassoulet and forerunners of modern canned baked beans (which contain other products e.g. tomato etc). Avoid also great northern bean & white beans. For reintroduction into diet, place into Day 3. Nectarine is a fuzzless variety of peach. Nectarines can also be found in salads and pies. For reintroduction into diet, place into day: 3 PEAR Avoid also pear juice. Can be used in cooking and pickling. Used in desserts, fruit salad, preserves and confectionary. For reintroduction into diet, place into Day 2. This list is presented as a sample reference list. You should read all labels each time you make a purchase because manufacturers may change formulations. Become aware of all ingredients found in foods you plan to consume. Please see accompanying booklet for more information. It is advisable to consult a qualified nutritional counsellor for further assistance with your rotation diet plan.

5 Foods To Avoid File: Date: 5/28/2009 Patient: JOHN HOLZMANN Clinic/Doctor: BARBARA ALLAN PORK PSYLLIUM Avoid also bacon, ground pork, pork liver, stuffing, pâté, ham, hot dogs, italian sausage, pastrama, rillettes, bologna, liverwurst, brawn, Dutch loaf, honeyloaf, scrapple, souse, salami, peperoni, kabanos, chorizo, bierwurst, black pudding, lard, pork chops, pork sausage & pork skins. For reintroduction into diet, place into Day 3. Ground Psyllium is a common over the counter bulk laxative and fiber supplement in such products as Metamucil. Look at all labels that state added fiber.for reintroduction into diet, place on day 3. SAFFLOWER Avoid also safflower oil, safflower oil margarine. Used in special diet mayonnaise, and salad dressings. For reintroduction into diet, place into Day 1. SWEET POTATO The roots are most frequently boiled, fried, or baked. They can also be processed to make starch and a partial flour substitute. Industrial uses include the production of starch and industrial alcohol. For reintroduction into diet, place into day: 3 SWISS CHARD Chard is a relative of the beet, grown for its white, fleshy chard and its greens, which resemble spinach. Chard is used in gratins, omelettes, and even in dessert tarts with apples and pine nuts. They are also used in southern France in pies or as a filling for ravioli. For reintroduction into diet, place into day:4 TARRAGON Tarragon is one of the four fines herbs of French cooking, and particularly suitable for chicken, fish and egg dishes. Tarragon is one of the main components of Béarnaise sauce. For reintroduction into diet, place into day:3 TOMATO Avoid also ketchup, picante sauce, chutney, tomato juice. Used on pizzas, sauces, lasagnas, salads and curries. For reintroduction into diet, place into Day 1. TROUT Avoid also smelt, steelhead & whitefish. For reintroduction into diet, place into Day 4. TUNA Avoid also albacore tuna, mahi mahi & wahoo. Used in "salad Niçoise", pizza and salads. For reintroduction into diet, place into Day 2. This list is presented as a sample reference list. You should read all labels each time you make a purchase because manufacturers may change formulations. Become aware of all ingredients found in foods you plan to consume. Please see accompanying booklet for more information. It is advisable to consult a qualified nutritional counsellor for further assistance with your rotation diet plan.

6 File: Patient: JOHN HOLZMANN Test Date: 28 May 2009 Doctor/Clinic: BARBARA ALLAN ( English ) ( 89 ) GREEN YELLOW ORANGE RED ACETAMINOPHEN ACID ORANGE #8 AFLATOXIN ALTERNARIA AMOXICILLIN AMPICILLIN ASPIRIN BENZENE BENZOIC ACID BLUE#2 INDIGO CARMINE BOTRYTIS CAFFEIC ACID CEPHALOSPORIUM CHLORINE CHLOROGENIC ACID CLADO HERBARUM CLINORIL COUMARIN CURVULARIA DOPAMINE EPICOCCUM NIGRUM FLUORIDE FORMALDEHYDE FUSARIUM OXYSPORIUM GALLIC ACID GENTAMICIN GREEN#3 FAST GREEN HELMINTHOSPORIUM HISTAMINE HORMODENDRUM IBUPROFEN MALVIN MONILIA SITOPHILA MUCOR RACEMOSUS NAPROXEN (ALEVE) NEOMYCIN NICKEL SULFATE NICOTINE NYSTATIN OCTOPAMINE ORRIS ROOT PENICILLAMINE PENICILLIN PHENOL PHENYLETHYLAMINE PIPERONAL POLYSORBATE 80 POTASSIUM NITRATE POTASSIUM NITRITE PULLULARIA PYRIDINE RED#3 ERYTHROSINE B RED#40 ALLURA RED RHODOTORULA RUBRA RUTIN SACCHARINE SEROTONIN SODIUM METABISULFITE SOLANINE SORBIC ACID SPONDYLOCLADIUM STREPTOMYCIN SULFAMETHOXAZOLE TETRACYCLINE TOLUENE TRICHODERMA TRYPTOPHAN TYRAMINE VOLTAREN YELLOW#5 TARTRAZINE AMMONIUM CHLORIDE ASPARTAME ASPERGILLUS DIFLUNISAL (DOLOBID) ETHYLENE GLYCOL INDOCIN MSG PENICILLIUM PHENYLALANINE PHOMA HERBARUM RED#1 CRYSTAL PONCEAU SODIUM SULFITE BLUE#1 BRILLIANT BLUE BRILLIANT BLACK RHIZOPUS NIGRICANS ACETALDEHYDE CEPHALOSPORIN C PIROXICAM (FELDENE) YELLOW#6 SUNSET YELLOW GREEN: These items are recorded acceptable and can be eaten and/or exposed to freely. YELLOW: These items indicate a mild intolerance and as such are avoided if possible, especially if there are few RED and ORANGE items. If not avoided, the consumable items should be eaten one day in four (will be included in the rotation diet). ORANGE: These items indicate a strong intolerance and should be strictly avoided for a minimum of 3 to 6 months. RED: These items indicate a severe intolerance and should be avoided at all costs for a minimum of 6 months.