3 Phase Approach to Elemental Diets
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.
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
Motility Activator:
1-2 capsules two times daily
- Supports gastric emptying and small intestine motility
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.
Motility Activator:
2 capsules three times daily
- Supports motility throughout transition
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