Dietitian
This is a very normal response to the symptoms of Crohn's Disease and weight fluctuations can be very worrying. It is best to consult a dietitian with experience in Crohn's disease who will be able to recommend suitable supplements during those difficult times and healthy eating when you are feeling well.
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The main issue with Crohn's Disease and weight is during the active phase of Crohn’s and during periods where you need to take corticosteroid medication. These types of medication are renowned for causing huge amounts of weight gain , increasing appetite and causing fluid retention. The medication can also tend to give people arthritic kinds of conditions which can make it very difficult to exercise. During these periods you should try to simply hold ground with your weight and not worry about trying to lose weight. It is almost impossible to lose weight when you are taking medications and having active Crohn's. Your focus should be on keeping food as healthy as you possibly can and to try to use as many bulking, filler foods such as lower carbohydrate based-vegetables in whatever forms you can. Salads, stir-fries or soups are good options without having a lot of calorie density to it.
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For a healthy person living with Crohn’s disease, dietary management should provide a healthy balanced diet, like any other diet – pre and probiotics might be trialled to optimise the gut ecosystem. People with Crohn’s disease may have increased EER, but with the help of a dietitian and an exercise program, a diet program can be created to enable a healthy balanced diet for weight control.
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