Disclaimer

The Fullscript Integrative Medical Advisory team has developed or collected these protocols from practitioners and supplier partners to help health care practitioners make decisions when building treatment plans. By adding this protocol to your Fullscript template library, you understand and accept that the recommendations in the protocol are for initial guidance and may not be appropriate for every patient.

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3 Phase Approach to Elemental Diets

Phase 1 – Ready

Determine the appropriate supplementation, formula and framework for your patient.

Framework:

  • Protocol: Full elemental
  • Duration: 7-14 days

Berberine Complex:

1 capsule three times daily

  • Supports a healthy microbial balance

Phytostan:

1 capsule three times daily

  • Supports healthy yeast balance

Motility Activator: 

1-2 capsules two times daily

  • Supports gastric emptying and small intestine motility
Download the US product monograph

Options available:

Physicians’ Elemental Diet:

  • Requires proximal absorption
  • Failed maltodextrin-only elemental diet

Physicians’ Elemental Diet Dextrose Free:

  • Blood sugar balance
  • Fungal Propensity
  • Suspect proximal SIBO

12 scoops per day

 

Download the US product monograph

Phase 2 – Rest

Keep communication lines open with your patient while they are using Physicians’ Elemental Diet.

Tips for Patient Adherence:

  • Start Physicians Elemental Diet the evening prior to the first
    full day to help establish a routine for preparation.
  • Drink the elemental diet slowly over the course of an hour.
  • Adding ice chips can help change up the experience.
  • Consider making social engagements around activities other
    than dining out.

Patient Experience:

  • If occasional cramping occurs:
    • Reduce Consumption Speed
    • Increase Dilution
  • If occasional constipation occurs:
    • Use a prokinetic agent such as Motility Activator to stimulate the migrating motor complex

Phase 3 – Reset

Transition your patient back to well-tolerated foods with digestive support supplements.

Food Reintroduction:

  • Use a half elemental diet for the first 3-6 days of transition.
  • Reduce dosage over period of time.

Berberine Complex:

1 capsule three times daily

  • Supports a healthy microbial balance

Motility Activator: 

2 capsules three times daily

  • Supports motility throughout transition
Download the US product monograph

PanPlex 2-Phase: 

2 tablets three times daily

  • Supports gastric emptying and small intestine motility