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enteral nutrition and SCD

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Enteral nutrition (elemental diet) has been evaluated in numerous clinical

studies, in patients with IBD, and proven very successful in inducing remission.

Elaine writes about this in Chapter 1, explaining how synthetic Elemental Diet

relates to SCD. Unfortunately, when the Enteral nutrition diet is discontinued

the symptoms usually return within 6 to 8 weeks.

There are four formulas currently available in the US:

Optimental (Abbott Nutrition)

Peptamen (Nestle Nutrition)

Vital HN (Abbott Nutrition)

Vivonex T.E.N (Nestle Nutrition)

None of them is SCD friedly. They all contain substances not allowed in SCD +

artificial color/flavor etc. Does anyone know, if it would be possible to create

an SCD legal, liquid only food replacement formula?

What are the potential risks of getting off SCD for 2-3 weeks, using enteral

nutrition to get into remission, then continue on SCD? Did anyone tried that?

I am on SCD for the last 11 months with no noticeable improvements (I keep a

detailed log). It is tough to say what impact it had on my health (the only way

to say would be to re-live the last 11 months without SCD). I would like to

stay on the diet (I still have hope), however, I am also looking for ways to

improve my health. My GI wants to start me on biologicals/immuran if my

condition doesn't improve. I would prefer Enteral nutrition treatment as it has

less side effects.

Any thoughts or suggestions?

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