Choosing a strict gluten-free diet when you only require a low FODMAP diet can lead to over-restriction. For example, oats and spelt bread contain gluten but are relatively low in FODMAPs so are suitable to have on a low FODMAP diet in appropriate servings. In addition, gluten is found in products derived from wheat, rye and barley, such as wheat starch, wheat thickeners and barley malt. These are common ingredients in a wide range of commercial products including soy sauce, confectionary, mayonnaise, yoghurts and more. They contain gluten and must be avoided on a gluten free diet for coeliac disease, but they are not high in fructans and are suitable to include in a low FODMAP diet.
Data Sources: We searched PubMed for the key term acute low back pain; this term was also searched with the following key terms: medications, nonsteroidals, muscle relaxants, opioids, red flags, differential diagnosis, exercise, McKenzie, spine stabilization, traction, acupuncture, heat, ice, advice, cost, manipulation, chiropractic care, brace, bed rest, massage. In addition, we searched the Cochrane Database of Systematic Reviews, Clinical Evidence, Essential Evidence Plus, and the National Guideline Clearinghouse. Search dates: April 2011 and May 2, 2011.