Kristen Fleming holds a Master of Science in Nutrition. Over her 8 years of experience in dietetics, she has made significant contributions in clinical, community, and editorial settings. With 2 years as a clinical dietitian in an inpatient setting, 2…
On the journey toward healthier eating, some people may find themselves dealing with symptoms such as fatigue, digestive issues, or allergic reactions (1). These discomforts could arise even when consuming foods that, at first glance, appear harmless.
The 21-day elimination diet presents a structured approach that may help identify foods that could be causing adverse reactions in the body. For three weeks, certain food groups are eliminated, which could allow individuals to observe how their bodies react as they reintroduce them (2).
But what does it really mean to follow an elimination diet? What foods can you enjoy and which should you avoid? Most importantly, how can you ensure that this experience is effective and enriching? In this article, we’ll break down these topics and provide practical tips that could be useful for those who’ve been prescribed an elimination diet and want to better understand their relationship with food.
What Do You Eat on the 21-Day Diet?
As you start the 21-day elimination diet, one of the questions you may be asking yourself is: What do you eat on the 21-day diet? It’s important to remember that there are many types of elimination diets, each with its own guidelines and approaches. However, the main goal is to identify foods that could be causing adverse reactions in the body.
During this process, certain foods that are common allergens or that may trigger sensitivities are eliminated for a set period of time, usually 2-4 weeks. Some of these can include:
Dairy: Dairy products such as milk, cheese, and yogurt and their derivatives may be eliminated because many people could experience direct symptoms, particularly from milk, such as bloating, gas, or digestive discomfort after consumption (3).
Gluten: Foods that contain gluten, such as wheat, barley, and rye, are usually excluded to identify potential intolerances (4).
Added Sugars: Certain refined sugars and artificial sweeteners may be avoided as they could cause gastrointestinal issues (5).
Processed Foods: Ultra-processed foods, which often contain additives and preservatives, may be eliminated as they could contribute to inflammation and disrupt gut health – this will allow the digestive system to rest and recover (6). Some of their ingredients may also need to be avoided for specific reasons, depending on the reason for the elimination diet.
Nuts: Nuts may be excluded due to their potential to cause allergic reactions in some individuals (7).
Fish and selfish: Certain types of seafood may also be avoided as they can be common allergens (8).
Legumes: Some elimination diets may exclude legumes, particularly soy and its derivatives, in addition to other legumes in large quantities, as they could potentially ferment in the gut and lead to digestive symptoms in some individuals. While legumes are generally considered incredibly healthy due to their fiber content, their potential to cause discomfort in certain people may justify their temporary removal from the diet.
It’s important to note that the specific foods eliminated will depend on the type of elimination diet that is being followed and the objectives you aim to achieve. Certain diets may necessitate the removal of other foods, such as eggs, especially in the 6-food elimination diet that will be discussed later. In addition, specific fruits, vegetables, and other items may also be excluded, as seen in the low-FODMAP diet.
However, the most important aspect is to focus on what you can eat. The 21-day elimination diet emphasizes including fresh and nutritious foods that contribute to your well-being. Here are some options you might consider:
Fruits and Vegetables: A wide variety of fresh fruits and vegetables is fundamental. These are not only rich in vitamins and minerals but also provide fiber, which could help with digestion and promote gut health.
Lean Proteins: Sources of protein such as chicken or turkey are excellent options.
Gluten-Free Grains: Grains such as rice, quinoa, millet, and buckwheat are suitable options as they are easier to digest and don’t contain gluten.
Seeds: Chia seeds and flaxseeds are great sources of healthy fats and proteins, which could be beneficial for your overall health.
Healthy Oils: Oils such as olive oil and avocado oil are ideal for cooking or dressing salads, providing healthy fats.
In summary, the 21-day elimination diet isn’t just about what you eliminate, it’s also about what you include. By focusing on nutritious foods and balancing your meals, you may start to better understand your relationship with food and how certain foods could influence your health and well-being.
Stage 1 of the elimination diet focuses on the removal of certain foods over a period of 21 days. As previously mentioned, this approach could help identify possible food intolerances or sensitivities. Eliminating these foods may allow the body to recover and symptoms to subside, laying the groundwork for the next phase: reintroduction.
Elimination is the first step in this process. By removing foods that may potentially cause adverse reactions, which you may have been consuming daily, you can observe how your body responds without them. This may help identify symptom triggers and promote greater awareness of the relationship between diet and overall well-being.
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During this stage, it’s essential to maintain a balanced and nutritious diet. The good news is that generally, the foods that are allowed in most elimination diets are of high nutritional value, so you shouldn’t worry about not getting enough nutrients during these days or about going hungry, particularly if you can be flexible and a little creative. Allowed foods typically include lean meats such as chicken, turkey, and sometimes fish, in addition to various fruits and vegetables. Rice and other grains are also permitted, along with healthy oils such as olive oil.
At the end of the 21 days of the elimination diet, you proceed to the second stage where foods are reintroduced in a controlled manner. This process is essential for identifying which foods may be causing problems. Reintroduction should be done one food at a time, as this will allow you to observe any adverse reactions. Once a formal diagnosis is made, strictly avoiding the offending food until symptom control is maintained becomes the primary focus (2).
Remember that it’s necessary to perform this process under the supervision of a healthcare professional to ensure adequate nutrition is maintained and reactions are managed properly.
The answer to this question can vary considerably depending on the type of elimination diet you’re following and your ultimate goal. Generally, in most elimination diets, foods that are known to be common triggers of adverse reactions, such as dairy and wheat, are excluded. However, it’s important to understand that each diet should be tailored to the individual needs of each person.
One of the most common elimination diets is used to identify food allergies. In this context, it’s recommended to eliminate those foods that are considered the most frequent allergens. In a 6-food elimination diet, the most commonly implicated allergens are:
Milk and dairy products.
Eggs
Soy
Wheat
Nuts and peanuts
Fish and shellfish
In addition to the 6-food elimination diet, there are approaches that involve the elimination of one, two, or four foods in a similar manner. For example, some people often opt for a low-FODMAP diet to manage irritable bowel syndrome, which involves the elimination of certain fermentable carbohydrates that could cause digestive discomfort. Another option is the gluten-free diet, which is commonly used for those who have been diagnosed with celiac disease (2).
Regardless of the elimination diet chosen, it’s essential to have the assistance of a healthcare professional. The guidance of a registered dietitian can help ensure adequate nutrition is maintained and desired goals are achieved, and your doctor will also be monitoring your symptoms and response to the diet.
What Is the Perfect 21-Day Elimination Diet Meal Plan?
The perfect meal plan for an elimination diet should be balanced and nutritious, even when certain foods are removed. When embarking on an elimination diet, it’s important to maintain a complete and balanced diet. This process can be confusing as many of the foods you consume daily are likely to be eliminated. Therefore, having the guidance of a healthcare professional could be quite helpful for navigating this path effectively.
It’s essential to enjoy a balanced diet with the foods you can consume. You should prioritize protein sources that fit your diet type, whether through lean meats, eggs, or plant-based alternatives. In addition, don’t forget to fill your plate with colorful fruits and vegetables – each color on your plate represents different vitamins, minerals, and fiber that are important for your health.
Healthy fats also play a crucial role in your nutrition. Incorporating olive oil, avocados, and seeds can be beneficial, and in most elimination diets, these options are commonly allowed.
Most importantly, a perfect elimination diet plan should ensure that you maintain adequate nutrition despite the restrictions. In the following, We will provide some practical tips to help you navigate this experience effectively while adhering to your plan.
We will also share some recipes that can serve as ideas based on the type of elimination diet you’re following. These recipes will help you explore new food combinations and enjoy your meals while sticking to your plan:
What Are Other Tips for an Effective 21-Day Elimination Diet?
When embarking on a 21-day elimination plan diet, it’s essential to remember that this process goes beyond simply removing certain foods. Here are some tips to help you make the most of this experience:
Focus on what you add
The best diet is one that focuses on what you eliminate and what you incorporate. For example, if you need to remove gluten, instead of always reaching for rice cakes, look for more nutritious alternatives like buckwheat or quinoa. These foods provide essential nutrients and variety to your diet.
Incorporate healthy habits
Regular exercise: Find an activity you enjoy, such as walking, practicing yoga, or dancing. Exercising improves your physical well-being, helps manage stress, and enhances your mood.
Adequate rest: Establish a sleep routine that allows you to get enough rest each night. A well-rested body adapts better to changes and handles challenges more effectively.
Stay organized in the kitchen
Meal planning: Set aside time each week to create a menu and make a shopping list. This will help you avoid impulsive decisions and keep you on track.
Complete and nutritious meals: Ensure your meals are balanced and contain a variety of foods you can have.
Record what you eat and how you feel. This will provide valuable insights into how certain foods affect your body. Consider assigning a score from 1 to 10 to your symptoms, where 10 represents very intense symptoms and 1 indicates no symptoms. This method will allow you to evaluate your progress objectively over the 21 days.
Stay calm and mindful
The mind-body connection is powerful. Being in a positive mental state can make anything easier and more enjoyable. Remember why you decided to embark on this journey and what you hope to achieve. Having clarity about your goals will help keep you motivated.
Be flexible and adaptable
Allow yourself to adjust your diet based on what your body tells you. The elimination diet is an opportunity to learn more about yourself and your habits.
Remember that it’s not forever
This process is a tool to help you identify and better understand your dietary needs. As you progress, consider how you can integrate what you’ve learned into your daily life.
By approaching your elimination diet with a positive mindset and focusing on what you add to your life, you can create a path toward lasting well-being.
Frequently Asked Questions
Does the 21-day diet really work?
Yes, the 21-day diet can be incredibly effective. This approach helps identify foods that may cause intolerances and can bring symptom relief. Many people report improvements in their energy and overall well-being by the end of the process.
Can I have coffee on an elimination diet?
The answer depends on the version of the elimination diet you’re following. In many types of this diet, coffee is allowed as long as it doesn’t contain additives. However, other types of diets suggest avoiding it due to its potential to cause irritation in the digestive system. It’s important to listen to your body and pay attention to how you feel when consuming it.
Can you eat bananas on an elimination diet?
Yes, bananas are generally acceptable on an elimination diet. They are an excellent source of energy and nutrients, which makes them a healthy option. However, it’s always advisable to check the specific guidelines of the diet you’re following. For example, ripe bananas are considered high in FODMAPs and may be limited on a low-FODMAP diet.
Can I lose 7 lb in 21 days?
It’s possible to lose 7 pounds in 21 days, particularly if you combine a reduced-calorie diet with regular exercise, but it’s an ambitious goal. Results may vary depending on metabolism and personal commitment. The key is to maintain a healthy and sustainable approach. The goals of an elimination diet are symptom relief and identification of trigger foods, not weight loss. There are much healthier and more sustainable ways to lose weight if that’s your primary goal.
The Bottom Line
The 21-day elimination diet is an approach that is designed to identify foods that could cause adverse reactions. For three weeks, certain food groups are eliminated to observe how the body responds. This process helps detect intolerances and can also foster a greater awareness of eating habits.
Elimination diets will vary based on your healthcare provider’s instructions, but often dairy, gluten, added sugars, and ultra-processed foods are excluded, while fruits, vegetables, lean proteins, and gluten-free grains are included. The first stage focuses on elimination, preparing the ground for the controlled reintroduction of foods.
In summary, a good 21-day elimination diet should focus on both what is eliminated and what is included, helping improve the relationship with food and its effect on health.
DISCLAIMER:
This article is intended for general informational purposes only and does not serve to address individual circumstances. It is not a substitute for professional advice or help and should not be relied on for making any kind of decision-making. Any action taken as a direct or indirect result of the information in this article is entirely at your own risk and is your sole responsibility.
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