Gastrointestinal Diet 2

All foods must be selected and prepared according to the Immunosuppressed Patient Diet.

Daily Food Allowances

Foods Recommended	Foods to Avoid
Dairy and Supplements: 3 or more cups per day
Lactose-free 2%, 1% or skim milk Soy milk Rice milk (Rice Dream®) Ensure, Ensure Plus NuBasics Pediasure Boost, Boost Plus Resource Fruit Beverage Resource, Resource Plus Scandishake, lactose-free, made with lactose-free lowfat milk Other:_____________________________________ Note: Chocolate flavored beverages are allowed. **************** Take with lactase enzyme tablet as needed (discuss with nutritionist): Instant Breakfast, made with low-lactose milk Buttermilk Regular 2%, 1% or skim milk Lowfat yogurt (6 to 8 ounces) Low fat cottage cheese (non-fat or 1%) Low fat cheeses (Cheddar, Monterey Jack, Swiss) (1 ounce) American cheese (1 ounce) Cheddar cheese (1 ounce) Jack cheese (1 ounce) Mozzarella cheese, part skim (1 ounce) Parmesan cheese: grated or canned (1 ounce) Ricotta cheese, part skim (1/4 cup) Ricotta cheese, fat free String cheese (part-skim mozzarella) (1 ounce) Swiss cheese (1 ounce)	Any milk or milk-based product not pre-treated or not taken with lactase enzyme
Meat or Meat Substitutes: 3 or more 3 oz servings per day (or suggested portion size)
Well-cooked, lean cuts of broiled, baked, or roasted: fish, meat, skinless poultry, ham Crab and imitation crab Canned, water-packed tuna and seafood Casseroles prepared with allowed foods Eggs, well-cooked Cooked tofu (follow Immunosuppressed Diet guidelines) Lean luncheon meats (such as turkey, chicken, ham) Low fat hot dogs Turkey bacon	Luncheon meats (including Spam) Hot dogs Corned beef Pepperoni Pickled or cured meats/or fish Fried meats or fish Beans and legumes
Fruits and Fruit Juices: 2 or more ½ cup servings per day
Juices: cranberry, cran-raspberry, nectars ½ strength juices: apple, grape (mix equal parts of water and juice) Fresh fruit (peeled): apricots, bananas, melon, peaches, pears, papaya, mango, nectarine Baked and peeled: apples Canned fruit (peeled): peaches, pears, plums, apricots Other: applesauce (plain) and canned cranberry jelly or sauce Other: ___________________________________	Juices: citrus, prune, V-8â, V-8 Splashâ, tomato, pineapple All raw fruits except those specifically allowed Canned or fresh: Berries, figs, oranges, grapefruit, lemons, limes, grapes, pineapple, prunes, rhubarb, cherries Dried Fruit: Raisins, Craisins, dates, apricots, pineapple, prunes, bananas
Vegetables: 2 or more ½ cup servings per day
Well cooked, tender vegetables, as tolerated: asparagus tips, beets, carrots, green beans, lettuce, mushrooms, pumpkin, sweet potatoes and yams without skin, winter squash Skinless potatoes (baked, boiled, mashed, baked french cut, baked hash brown) Frozen potatoes: Fat-free hash browns, low fat fries (less than 4 grams fat per 3 ounces)	Raw or undercooked vegetables; also the following cooked vegetables:artichokes, baked beans, bamboo shoots, bean dishes, bean sprouts, beet greens, broccoli, celery, brussel sprouts, cabbage, chives, corn, cucumbers, peas, eggplant, bell peppers, leeks, legumes, lentils, lima beans, mustard greens, parsley, rutabagas, sauerkraut, summer squash, tomatoes, turnips, spinach, collard greens, swiss chard and others not listed
Soups: As desired
Broth-based soups made with allowed meats and vegetables (*in moderation): beef broth, beef noodle, chicken broth, chicken noodle, chicken with rice, chicken vegetable*, scotch broth, turkey noodle, vegetable* or vegetable beef* Ramen soups, without flavor packet Homemade milk- and cream-based soups and chowders (made with low fat, lactose-free milk)	Highly seasoned soups Soups with more than 2 grams of fiber per serving: bean with bacon, beef noodle with vegetables, chili, chunky varieties, green pea, Manhattan clam chowder, minestrone, onion, split pea, tomato Tomato-based soups Ready-to-eat cream soups
Bread and Cereal Products: 4 or more servings per day
Bagels (plain) Breads, enriched and refined (corn, white, sourdough, pita) Cereals with less than 2 grams of fiber per serving: Cheerios, Corn Chex, corn flakes, cream of rice, cream of wheat, Froot Loops, Kix, puffed rice, Rice Chex, Rice Krispies, Special K, Sugar Pops, Sugar Smacks, Trix, Cocoa Krispies, Captain Crunch, instant oatmeal, instant grits Cornmeal Cornstarch Crackers: animal, graham, saltine, and low fat crackers English muffins (white, sourdough) Macaroni, noodles, spaghetti, and other refined pastas Polenta Pretzels Rice cakes, plain Rolls, white Tortillas: corn or flour White flour White rice, couscous Zwieback Lowfat, baked tortilla chips baked potato chips ************ Take with lactase enzyme tablet as needed (discuss with nutritionist): Pancakes, waffles: frozen, mix or home recipe using allowed ingredients	Whole grain bagels, breads, English muffins, or rolls (cracked wheat, rye, whole wheat, pumpernickel) Breads and cereals with raisins and nuts or seeds Brown or wild rice, bulgur Cereals with more than 2 grams of fiber per serving: bran, cracked wheat, granola, Grapenuts, Nutri-Grain (all varieties), puffed wheat, Shredded Wheat, Wheaties, regular oatmeal Whole grain macaroni and noodles Whole wheat tortillas Wheat germ Crackers with more than 2 grams of fiber per serving Note: Avoid products with Olestra, Olean
Desserts: As desired (read ingredient list)
Cake (plain, without frosting) Custard made with lactose-free milk Jello Homemade fruit cobbler made with allowed fruits Pastries and pie made with allowed fillings (omit spices): apple, peach, pear, cherry (use commercial filling), pumpkin (use evaporated milk treated with lactase), sweet potato Popsicles Puddings, made with lactose-free milk Plain cookies (such as vanilla wafers, graham crackers, gingersnaps) Rice Krispie Treats Angel food cake Low fat, non-dairy ice cream **************** Take with lactase enzyme tablet as needed (discuss with nutritionist): Canned puddings Sherbet (check labels for milk in package) Sorbet (check labels for milk in package) Low fat hard-pack ice cream and frozen yogurt (less than 3 grams fat per serving) Smoothies made with allowed ingredients	Cake with raisins, nuts, coconut, other omitted foods and spices Pastries and desserts with dried or candied fruit, coconut, nuts, raisins, seeds High-fat cream-filled cakes and pastries Premium high-fat ice creams Sugar cookies, wafer cremes and other cookies not recommended.
Beverages: As desired
Non-cola caffeine-free carbonated beverages (Check labels on carbonated beverages and choose sodas without caffeine) Chocolate milk or Strawberry Quik made with lactose-free milk Fruit-ades: Hawaiian Punch, Hi-C, Tang Gatorade, Powerade Kool-aid Tea, weak decaffeinated and herb teas, in moderation (except peppermint) **************** Take with lactase enzyme tablet as needed (discuss with nutritionist): Cocoa	Alcoholic beverages Coffee: regular or decaffeinated Tea (including instant): regular and strong decaffeinated Carbonated beverages containing caffeine Cola type carbonated beverages Peppermint tea
Fats
Low-Fat or Non-fat Choices - No Restriction on Portion Size: Low-calorie margarine Fat-free mayonnaise Fat-free non-dairy creamers Low fat gravies and sauces made with lactose-free milk or broth Low fat salad dressing Other:__________________________________ **************** Take with lactase enzyme tablet as needed (discuss with nutritionist): Fat-free or light cream cheese Fat-free sour cream Low fat whipped topping Fat-free cheeses Fats with limited portion size Avocado (1/8 each) Bacon, lean crisp (1 slice) Butter (1 tsp) Cooking oil (1 tsp) Cool whip (1 Tbsp) Margarine (1 tsp) Mayonnaise (1 Tbsp) Peanut butter (creamy) (2 tsp) Gravies and sauces made with lactose-free milk (¼ c) **************** Take with lactase enzyme tablet as needed (discuss with nutritionist): Cream cheese (1 Tbsp) Sour cream (2 Tbsp) Whipping cream (2 Tbsp) Half and Half (2 Tbsp)
Miscellaneous:
Gum drops, jelly beans, hard candy, gummi bears Herbs and spices for seasoning: for example: basil, bay leaf, oregano, rosemary, thyme, cinnamon Honey Jelly Marshmallows Fruit Roll-ups Ripe olives (moderate) Salt Sugar (any type) Soy sauce Syrups Vinegar	Fried snack foods: For example: corn chips, Doritosâ, potato chips, Cheetos. Jams with seeds or skin Nuts, seeds, dried fruit, coconut: alone or in any food product Pickles Popcorn Spices: cayenne, chili powder, garlic (fresh, powder, salt), mustard, onion powder/salt, paprika, pepper Condiments: catsup, chili sauce, horseradish, jalapeno peppers, prepared mustard, steak sauce, relish, BBQ sauces Salsa Tabasco

	Adult Nutrition Guidelines
	Diet Guidelines
	Gastrointestinal Diet 1
	Gastrointestinal Diet 2
	Pediatric Nutrition Guidelines
	Water Safety Guidelines