Overview of Therapeutic Diets

Jump to: Introduction | Food Table | Food Table Overview | Characteristics of the Diets

Comparing and Contrasting Therapeutic Diets

While each of the therapeutic diets are unique in their approach, all of the therapeutic diets presented here have certain underlying principles in common. They all seek to eliminate food items that have been shown to be harmful in general (eg, processed foods and additives) as well to eliminate, restrict, or limit food items with potentially damaging effects in IBD (eg, gluten, sugar, and/or dairy). At the same time, they all strive to increase the quantity and variety of beneficial fruits and vegetables and focus on generally healthy whole foods.

The International Organization for the Study of Inflammatory Bowel Diseases (IOIBD) has recently provided recommendations regarding specific dietary components, food groups, and food additives that may be prudent to increase or decrease in the diet of patients with inflammatory bowel diseases to control and prevent relapse. This consensus may provide additional perspective when reviewing the food categories contained in these charts.

These tables are provided as a simplistic overview of the basic requirements of the diets and are intended to illustrate the similarities and differences between the diets. They offer a bird's eye view of restricted and allowed foods. They are not an all-inclusive list of the allowed and restricted foods, nor do they define all the rules of each diet. Thus, they should NOT be used as a guide to following any of the diets. When a diet is chosen, patients should work with a dietitian to implement the diets and properly progress through the phases/stages, referring to the documentation provided by the diet creators.

Stages/Phases Used in the Tables

All of the diets provide some guidance, if not official stages/phases, for introducing foods when beginning. Required adherence to therapeutic diets is generally more strict than most traditional diets, which tend to allow for deviation in moderation. That said, all of the diets do allow for testing other foods to some degree, either via a compliance goal or via reintroductions after sustained remission, noting that such additions are only incorporated into the diet if tolerated and may need to be consumed in moderation. Adding foods outside the allowed parameters of the diet may or may not be successful and, for some diets, is not recommended even if allowed.

With some exceptions as noted below, the Food Table is based on the last and most inclusive phase or stage of the diet (most foods allowed) that does not involve adding back in random tolerated food choices. Remember, when beginning a therapeutic diet, if stages/phases are recommended or required, all of the potentially allowed items may not be available at once. The phase/stage presented for each diet is as follows:

SCD and mSCD

The final stage of SCD and mSCD are described in the table. While SCD does not have official stages (it does have an introductory diet to last no more than 5 days and a short list of advanced foods) , the stages described on pecanbread.com are often adopted by patients with symptoms and active disease. These stages are not part of the official diet but can be used as a guide when food introduction proves difficult. Both SCD and mSCD allow for introduction of other healthy foods outside the normal parameters of the diet after sustained remission (generally recommended to wait until 1 or 2 years of sustained remission). Because these food additions could be anything tolerated by the patient, they are not included in the food table. Many recommend sticking with the diet as written and not deviating outside the defined parameters, so addition of foods should be considered carefully.

IBD-AID

The IBD-AID defines three phases based on the level of symptoms present and it is extremely important to begin the diet at the proper phase. The table represents the foods allowed in the third and final phase of the diet, intended for those in remission. The IBD-AID aims for 80% compliance or above, noting that better results may come with better compliance. Any foods added within the 20% noncompliance buffer are not included in the table.

AIP

The AIP is a little different from the other diets. The AIP begins with a restrictive Elimination Phase, which must be followed for a minimum of 30 days, but may require longer use. It then shifts to a Reintroduction Phase in which patients test adding back in other foods. In the Maintenance Phase, the foods that were tolerated in the Reintroduction Phase are incorporated back into the diet. Unlike some other therapeutic diets in which reintroductions are de-emphasized or cautioned against, AIP emphasizes and encourages the adding back in of tolerated foods to achieve healthy diversity. Our table represents the Elimination Phase of AIP, which is actually the first and most restrictive phase of the diet, and not the most inclusive phase as with most of the other diets. This was done because the Elimination Phase is the only phase to define specific foods as being allowed and not allowed. It is important to note that while AIP may look very restrictive as defined in the table, the actual diet used in Maintenance Phase likely will include more diversity than suggested in the table, but that diversity will be highly individualized.

CDED

The CDED is managed a little differently from the other diets. The CDED is divided into three phases. The first two 6-week phases are grouped together as the Induction Phase, which is used for inducing remission. The first six-week phase of the Induction Phase limits insoluble fiber to prevent bowel obstructions. The second 6-week phase adds back in many of those vegetables by week 10. The Induction Phase is the most important phase of the diet and is required for efficacy. The Maintenance Phase is used after remission is achieved and is intended to sustain that remission. However, the principles of the diet are best represented by the Induction Phase, with the Maintenance Phase opened up to include some foods not recommended in order to promote better long-term compliance if necessary. The published studies to date generally look at the Induction Phase, so the scientific evidence is strongest at this time for the Induction Phase and still in progress for the Maintenance Phase. However, a patient may like to know what the diet might look like long term, so it was decided that the most complete picture would be provided by showing data for both the Induction Phase and the Maintenance Phase separately. The Maintenance Phase requires five contiguous days following the diet as written, then allows for a maximum of two contiguous days (generally weekends) that allow two free meals per day (maximum of four free meals per week), excluding only hot dogs, sausages, soft drinks, luncheon meats, bacon, and frozen dough from those free meals. Those free meals are not included in the table.

Jump to: Introduction | Food Table | Food Table Overview | Characteristics of the Diets

Food Table

Diets are Similar with Regard to the Following Foods:
Allowed
Food	SCD - Final Stage	mSCD - Final Stage	IBD-AID - Final Phase	AIP - Elimination Phase	CDED - Induction Phase	CDED - Maintenance Phase
Fish	Allowed	Allowed	Allowed	Allowed	Weeks 1-6: 1 portion lean fish per week After week 6: 1 can tuna per week	One portion of lean fish or other seafood per week, 1 can tuna per week
Red Meat (not processed)	Allowed	Allowed	Allowed, leaner cuts emphasized	Allowed. Grass-fed organ meats encouraged	1 portion of lean steak per week after week 6 (not recommended)	1 portion of lean steak per week only
Honey	Allowed	Allowed	Allowed, local organic encouraged	Allowed	Max 3 TBSP per day	Max 3 TBSP per day (no limit on weekends)
Allowed or Selectively Allowed
Food	SCD - Final Stage	mSCD - Final Stage	IBD-AID - Final Phase	AIP - Elimination Phase	CDED - Induction Phase	CDED - Maintenance Phase
Poultry	Allowed	Allowed	Allowed, no skin	Allowed	Fresh chicken breast only (mandatory)	Chicken allowed (no wings or skin)
Vegetables other than starchy vegetables and nightshades, which are listed separately	Allowed	Allowed	Allowed	Allowed	Weeks 1-6: Cucumbers, carrot, spinach, lettuce allowed in limited quantities. Onion, garlic, ginger allowed. Weeks 7-9: Add zucchini, mushrooms, broccoli, cauliflower Weeks 10-12: All veggies allowed except kale, leeks, asparagus, and artichoke.	No Leeks, Celery, or Large Amounts of Kale
Fruits	Allowed	Allowed	Allowed	Allowed in moderation (2-3 servings per day)	Weeks 1-6: Bananas, apples, avocado, strawberries, melon, orange juice in limited quantities, lemon juice (fresh squeezed) as a condiment allowed. Weeks 7-10: Pears, peaches, kiwis, and blueberries are also allowed. Weeks 11-12: Mangos, pineapples, and oranges are also allowed.	No persimmons, pomegranate, cactus fruit, passion fruit
Fats/Oils	Most Allowed; No soybean oil, limit processed oils like canola oil	Most Allowed; No soybean oil, limit processed oils like canola oil	Allowed: Limit oils high in omega-6 and saturated fats	Fats from grass-fed organic meats allowed, unrefined oils allowed; no seed oils, no processed vegetable oils	Only olive oil and canola oil allowed	Only olive oil and canola oil allowed
Exclude
Food	SCD - Final Stage	mSCD - Final Stage	IBD-AID - Final Phase	AIP - Elimination Phase	CDED - Induction Phase	CDED - Maintenance Phase
Processed Meat	Exclude	Exclude	Exclude	Exclude	Exclude	Exclude
Artificial Sweeteners	Exclude	Exclude	Exclude	Exclude	Exclude	Exclude
Processed Foods/Preservatives/Artificial Additives	Exclude	Exclude	Exclude	Exclude	Exclude	Exclude
Exclude or Restrict
Food	SCD - Final Stage	mSCD - Final Stage	IBD-AID - Final Phase	AIP - Elimination Phase	CDED - Induction Phase	CDED - Maintenance Phase
Grains other than wheat, corn, oats, and rice, which are listed separately	Exclude	Exclude	Barley is allowed if not celiac.	Exclude	Quinoa allowed after week 6	Allows quinoa
Dairy	Allows homemade 24-hour yogurt and cheeses aged 30 days or more	Allows homemade 24-hour yogurt and cheeses aged 30 days or more	Some allowed: Aged cheese, dry curd cottage cheese, cultured cottage cheese, plain kefir, plain yogurt	Exclude	Exclude	1 yogurt allowed per day (other dairy on weekends)
Sweeteners other than honey and artificial sweeteners, which are listed separately	Exclude	Maple syrup allowed	Exclude	Allows date sugar, maple syrup, maple sugar, molasses, evaporated cane juice, coconut sugar	Allows refined sugar (4 tsp per day max)	Allows refined sugar (4 tsp per day max; unlimited on weekends)
Alcohol	Some allowed: dry wine, vodka, gin, rye, Scotch, bourbon, whiskey	Some allowed: dry wine, vodka, gin, rye, Scotch, bourbon, whiskey	Some allowed on limited basis: dry wine, vodka, gin, rye, Scotch, bourbon, whiskey per patient tolerance	Exclude	Exclude	1 cup of wine or beer allowed on weekends
Emulsifiers	Exclude	Exclude	Exclude maltodextrin, carrageenan, polysorbate-80, carboxymethylcellulose (CMC). Some emulsifiers, such as guar gum, may be protective.	Exclude	Exclude	Exclude

Diets Differ for The Following Foods:
Food	SCD - Final Stage	mSCD - Final Stage	IBD-AID - Final Phase	AIP - Elimination Phase	CDED - Induction Phase	CDED - Maintenance Phase
Seafood other than fish, which is listed separately	Allowed	Allowed	Allowed	Allowed	Excluded	1 portion of seafood or lean fish per week, 1 can tuna per week
Wheat/Gluten	Exclude	Exclude	Exclude wheat. Gluten in barley is allowed if not celiac. Gluten in rye is unknown.	Exclude	1 slice whole grain bread allowed per day after week 6	2 slices whole grain bread allowed per day (1 cup cooked pasta may be substitued for bread twice per week)
Corn	Exclude	Exclude	Exclude	Exclude	Allowed after week 10	Allowed
Oats	Exclude	Allowed (gluten-free oats only): Per Day: Maximum of 2 servings of any combination of rice/oats/sweet potato Per Week: Minimum of 3 servings and maximum of 6 servings of any combination of rice/oats/sweet potato Serving Size: 1 cup	Allowed (gluten-free oats if celiac), steel cut and oat groats encouraged, longer cooking times and additional water may be required	Exclude	1/2 cup dry oatmeal per week allowed after week 6 (gluten-free oats preferred but not mandatory)	1/2 cup dry oatmeal allowed per week (gluten-free oats preferred but not mandatory)
Rice	Exclude	Allowed: Per Day: Maximum of 2 servings of any combination of rice/oats/sweet potato Per Week: Minimum of 3 servings and maximum of 6 servings of any combination of rice/oats/sweet potato Serving Size: 1 cup	Organic rice allowed in limited amounts after 6 months and if health is stabilized	Exclude	Unlimited rice and rice flour or noodles are allowed	Unlimited rice and rice flour or noodles are allowed
Dried Legumes/Beans	Certain dried legumes allowed: Peanuts, navy beans, lima beans, black beans, lentils, split peas; soaking required	Certain dried legumes allowed: Peanuts, navy beans, lima beans, black beans, lentils, split peas; soaking required	Allowed, may need to vary texture and take digestive enzymes prior to consumption	Exclude	1/2 cup dry beans/legumes allowed per day after week 6	1 1/2 cup dry beans/legumes allowed per day
Fresh Legumes/beans (peas, green beans, etc)	Allowed	Allowed	Allowed, may need to vary texture and take digestive enzymes prior to consumption	Exclude: Peas and green beans are not allowed but are one of the first foods recommended for reintroduction.	Allowed after week 10	Allowed
Starchy Vegetables (potatoes, sweet potatoes, yams, turnips, parsnips, etc)	Exclude	Some allowed: Sweet potatoes, maybe white potatoes, organic preferred to avoid bud product: Per Day: Maximum of 2 servings of any combination of rice/oats/sweet potato Per Week: Minimum of 3 servings and maximum of 6 servings of any combination of rice/oats/sweet potato Serving Size: 1 cup	Most Allowed: Exclude white potatoes	Allowed if not nightshades	Weeks 1-6: Potatoes only allowed Weeks 7-9: Potatoes, sweet potatoes, and yams allowed. Weeks 10-12: Allowed	Allowed
Nightshades (tomatoes, tomatillos, white potatoes [not sweet potatoes], eggplant, peppers, goji berries, etc)	Most allowed: no white potatoes	Allowed	Allowed	Exclude	Weeks 1-6: Tomatoes and Potatoes allowed. Weeks 7-9: Red Peppers also allowed. Weeks 10-12: Allowed	Allowed
Nuts	Allowed	Allowed	Allowed	Exclude	8 almonds or walnuts allowed per day after week 6.	8 almonds or walnuts allowed per day
Seeds	Most allowed: no chia or flax	Most allowed: no chia or flax	Allowed	Exclude	Exclude	Exclude
Eggs	Allowed	Allowed	Allowed: encourage omega-3 eggs	Exclude	Allowed (mandatory: 2 per day)	Allowed
Cocoa	Exclude	Allowed (only 100% cocoa powder, not Dutch processed)	Allowed	Exclude	Exclude	Allowed
Coffee	Allowed	Allowed	Allowed	Exclude	Exclude	Allowed: Black coffee allowed (any coffee allowed on weekends)
Formula (PEN; eg, Boost®, Ensure®, Pediasure®, Modulen IBD®)	Exclude	Exclude	Exclude: encourage whole food smoothies and supplements	Exclude	Allowed (recommended)	Allowed

Food Table Organized By Food Type:
Seafood, Poultry, and Meat
Food	SCD - Final Stage	mSCD - Final Stage	IBD-AID - Final Phase	AIP - Elimination Phase	CDED - Induction Phase	CDED - Maintenance Phase
Fish	Allowed	Allowed	Allowed	Allowed	Weeks 1-6: 1 portion lean fish per week After week 6: 1 can tuna per week	One portion of lean fish or other seafood per week, 1 can tuna per week
Seafood other than fish, which is listed separately	Allowed	Allowed	Allowed	Allowed	Excluded	1 portion of seafood or lean fish per week, 1 can tuna per week
Poultry	Allowed	Allowed	Allowed, no skin	Allowed	Fresh chicken breast only (mandatory)	Chicken allowed (no wings or skin)
Red Meat (not processed)	Allowed	Allowed	Allowed, leaner cuts emphasized	Allowed. Grass-fed organ meats encouraged	1 portion of lean steak per week after week 6 (not recommended)	1 portion of lean steak per week only
Processed Meat	Exclude	Exclude	Exclude	Exclude	Exclude	Exclude
Grains
Food	SCD - Final Stage	mSCD - Final Stage	IBD-AID - Final Phase	AIP - Elimination Phase	CDED - Induction Phase	CDED - Maintenance Phase
Wheat/Gluten	Exclude	Exclude	Exclude wheat. Gluten in barley is allowed if not celiac. Gluten in rye is unknown.	Exclude	1 slice whole grain bread allowed per day after week 6	2 slices whole grain bread allowed per day (1 cup cooked pasta may be substitued for bread twice per week)
Corn	Exclude	Exclude	Exclude	Exclude	Allowed after week 10	Allowed
Oats	Exclude	Allowed (gluten-free oats only): Per Day: Maximum of 2 servings of any combination of rice/oats/sweet potato Per Week: Minimum of 3 servings and maximum of 6 servings of any combination of rice/oats/sweet potato Serving Size: 1 cup	Allowed (gluten-free oats if celiac), steel cut and oat groats encouraged, longer cooking times and additional water may be required	Exclude	1/2 cup dry oatmeal per week allowed after week 6 (gluten-free oats preferred but not mandatory)	1/2 cup dry oatmeal allowed per week (gluten-free oats preferred but not mandatory)
Rice	Exclude	Allowed: Per Day: Maximum of 2 servings of any combination of rice/oats/sweet potato Per Week: Minimum of 3 servings and maximum of 6 servings of any combination of rice/oats/sweet potato Serving Size: 1 cup	Organic rice allowed in limited amounts after 6 months and if health is stabilized	Exclude	Unlimited rice and rice flour or noodles are allowed	Unlimited rice and rice flour or noodles are allowed
Grains other than wheat, corn, oats, and rice, which are listed separately	Exclude	Exclude	Barley is allowed if not celiac.	Exclude	Quinoa allowed after week 6	Allows quinoa
Vegetables, Legumes, and Fruits
Food	SCD - Final Stage	mSCD - Final Stage	IBD-AID - Final Phase	AIP - Elimination Phase	CDED - Induction Phase	CDED - Maintenance Phase
Dried Legumes/Beans	Certain dried legumes allowed: Peanuts, navy beans, lima beans, black beans, lentils, split peas; soaking required	Certain dried legumes allowed: Peanuts, navy beans, lima beans, black beans, lentils, split peas; soaking required	Allowed, may need to vary texture and take digestive enzymes prior to consumption	Exclude	1/2 cup dry beans/legumes allowed per day after week 6	1 1/2 cup dry beans/legumes allowed per day
Fresh Legumes/beans (peas, green beans, etc)	Allowed	Allowed	Allowed, may need to vary texture and take digestive enzymes prior to consumption	Exclude: Peas and green beans are not allowed but are one of the first foods recommended for reintroduction.	Allowed after week 10	Allowed
Starchy Vegetables (potatoes, sweet potatoes, yams, turnips, parsnips, etc)	Exclude	Some allowed: Sweet potatoes, maybe white potatoes, organic preferred to avoid bud product: Per Day: Maximum of 2 servings of any combination of rice/oats/sweet potato Per Week: Minimum of 3 servings and maximum of 6 servings of any combination of rice/oats/sweet potato Serving Size: 1 cup	Most Allowed: Exclude white potatoes	Allowed if not nightshades	Weeks 1-6: Potatoes only allowed Weeks 7-9: Potatoes, sweet potatoes, and yams allowed. Weeks 10-12: Allowed	Allowed
Nightshades (tomatoes, tomatillos, white potatoes [not sweet potatoes], eggplant, peppers, goji berries, etc)	Most allowed: no white potatoes	Allowed	Allowed	Exclude	Weeks 1-6: Tomatoes and Potatoes allowed. Weeks 7-9: Red Peppers also allowed. Weeks 10-12: Allowed	Allowed
Vegetables other than starchy vegetables and nightshades, which are listed separately	Allowed	Allowed	Allowed	Allowed	Weeks 1-6: Cucumbers, carrot, spinach, lettuce allowed in limited quantities. Onion, garlic, ginger allowed. Weeks 7-9: Add zucchini, mushrooms, broccoli, cauliflower Weeks 10-12: All veggies allowed except kale, leeks, asparagus, and artichoke.	No Leeks, Celery, or Large Amounts of Kale
Fruits	Allowed	Allowed	Allowed	Allowed in moderation (2-3 servings per day)	Weeks 1-6: Bananas, apples, avocado, strawberries, melon, orange juice in limited quantities, lemon juice (fresh squeezed) as a condiment allowed. Weeks 7-10: Pears, peaches, kiwis, and blueberries are also allowed. Weeks 11-12: Mangos, pineapples, and oranges are also allowed.	No persimmons, pomegranate, cactus fruit, passion fruit
Dairy
Food	SCD - Final Stage	mSCD - Final Stage	IBD-AID - Final Phase	AIP - Elimination Phase	CDED - Induction Phase	CDED - Maintenance Phase
Dairy	Allows homemade 24-hour yogurt and cheeses aged 30 days or more	Allows homemade 24-hour yogurt and cheeses aged 30 days or more	Some allowed: Aged cheese, dry curd cottage cheese, cultured cottage cheese, plain kefir, plain yogurt	Exclude	Exclude	1 yogurt allowed per day (other dairy on weekends)
Nuts and Seeds
Food	SCD - Final Stage	mSCD - Final Stage	IBD-AID - Final Phase	AIP - Elimination Phase	CDED - Induction Phase	CDED - Maintenance Phase
Nuts	Allowed	Allowed	Allowed	Exclude	8 almonds or walnuts allowed per day after week 6.	8 almonds or walnuts allowed per day
Seeds	Most allowed: no chia or flax	Most allowed: no chia or flax	Allowed	Exclude	Exclude	Exclude
Sweeteners
Food	SCD - Final Stage	mSCD - Final Stage	IBD-AID - Final Phase	AIP - Elimination Phase	CDED - Induction Phase	CDED - Maintenance Phase
Honey	Allowed	Allowed	Allowed, local organic encouraged	Allowed	Max 3 TBSP per day	Max 3 TBSP per day (no limit on weekends)
Artificial Sweeteners	Exclude	Exclude	Exclude	Exclude	Exclude	Exclude
Sweeteners other than honey and artificial sweeteners, which are listed separately	Exclude	Maple syrup allowed	Exclude	Allows date sugar, maple syrup, maple sugar, molasses, evaporated cane juice, coconut sugar	Allows refined sugar (4 tsp per day max)	Allows refined sugar (4 tsp per day max; unlimited on weekends)
Other
Food	SCD - Final Stage	mSCD - Final Stage	IBD-AID - Final Phase	AIP - Elimination Phase	CDED - Induction Phase	CDED - Maintenance Phase
Processed Foods/Preservatives/Artificial Additives	Exclude	Exclude	Exclude	Exclude	Exclude	Exclude
Eggs	Allowed	Allowed	Allowed: encourage omega-3 eggs	Exclude	Allowed (mandatory: 2 per day)	Allowed
Fats/Oils	Most Allowed; No soybean oil, limit processed oils like canola oil	Most Allowed; No soybean oil, limit processed oils like canola oil	Allowed: Limit oils high in omega-6 and saturated fats	Fats from grass-fed organic meats allowed, unrefined oils allowed; no seed oils, no processed vegetable oils	Only olive oil and canola oil allowed	Only olive oil and canola oil allowed
Cocoa	Exclude	Allowed (only 100% cocoa powder, not Dutch processed)	Allowed	Exclude	Exclude	Allowed
Coffee	Allowed	Allowed	Allowed	Exclude	Exclude	Allowed: Black coffee allowed (any coffee allowed on weekends)
Alcohol	Some allowed: dry wine, vodka, gin, rye, Scotch, bourbon, whiskey	Some allowed: dry wine, vodka, gin, rye, Scotch, bourbon, whiskey	Some allowed on limited basis: dry wine, vodka, gin, rye, Scotch, bourbon, whiskey per patient tolerance	Exclude	Exclude	1 cup of wine or beer allowed on weekends
Formula (PEN; eg, Boost®, Ensure®, Pediasure®, Modulen IBD®)	Exclude	Exclude	Exclude: encourage whole food smoothies and supplements	Exclude	Allowed (recommended)	Allowed
Emulsifiers	Exclude	Exclude	Exclude maltodextrin, carrageenan, polysorbate-80, carboxymethylcellulose (CMC). Some emulsifiers, such as guar gum, may be protective.	Exclude	Exclude	Exclude

Jump to: Introduction | Food Table | Food Table Overview | Characteristics of the Diets

Food Table Overview

OVERVIEW OF GENERALIZED SIMILARITIES (Some diets may be outliers in some categories):
Food Type	General Consensus	Details
Seafood/Poultry/Red Meat	Allowed	Allowed on all the therapeutic diets. CDED does not recommend red meat, restricts the amounts of red meat and seafood, and limits poultry to chicken excluding skin, wings, and organ meat. IBD-AID suggests limiting saturated fats.
Vegetables (nonstarchy)	Allowed	Allowed on all therapeutic diets. AIP excludes nightshades. CDED excludes a few specific vegetables.
Fruits	Allowed	Allowed on all therapeutic diets. CDED excludes a few specific fruits.
Honey	Allowed	Allowed on all diets. Limited to 3 TBSP per day on CDED.
Fresh Legumes	Mostly Allowed	Allowed on all diets except AIP.
Eggs	Mostly Allowed	Allowed on all diets except AIP.
Coffee	Mostly Allowed	Allowed on all diets except AIP and the Induction Phase of CDED.
Dried Legumes	Mixed	SCD and mSCD allow specific dried legumes (soaking required). IBD-AID allows dried legumes. AIP excludes them. CDED limits the quantity.
Vegetables (starchy)	Mixed	CDED allows starchy vegetables, SCD excludes starchy vegetables, other diets restrict certain starchy vegetables.
Nuts	Mixed	SCD, mSCD, and IBD-AID allow nuts (nut butters may be easier to digest in early stages/phases). CDED allows a limited amount of walnuts or almonds per day. AIP excludes nuts.
Seeds	Mixed	IBD-AID allows seeds (may need to be pureed in phase I/II). SCD and mSCD do not allow flax or chia. Seeds are not allowed in AIP or CDED.
Cocoa	Mixed	Cocoa (honey sweetened if sweetened) is allowed on mSCD and IBD-AID and the Maintenance Phase of CDED. It is excluded from SCD and AIP.
Grains	Restricted	Wheat/gluten is excluded in all diets except CDED, which allows limited amounts of whole grain bread or pasta per day. Corn is excluded in all diets except CDED, which allows after week 10. Oats and Rice are mixed (mSCD, IBD-AID, and CDED allow oats; mSCD and CDED allow rice). CDED allows Quinoa. IBD-AID allows Barley if not celiac. Other grains are not allowed.
Dairy	Restricted	AIP and CDED Induction Phase exclude all dairy. CDED Maintenance Phase allows a limited amount of yogurt per week. SCD and mSCD allows aged cheese and 24-hour fermented yogurt. IBD-AID allows yogurt, kefir, aged cheese.
Sweeteners other than honey and artificial sweeteners	Restricted	mSCD allows maple syrup. AIP allows date sugar, maple syrup, molasses, evaporated cane juice, and coconut sugar. CDED allows a very small amount of refined sugar.
Oils	Restricted	SCD and mSCD exclude soybean oil. IBD-AID limits oils high in saturated fats. CDED allows only olive oil and canola oil. AIP does not allow seed oils or processed vegetable oils.
Alcohol	Restricted	SCD, mSCD, and IBD-AID allow some forms of alcohol, as does CDED on weekends in its Maintenance Phase.
Processed Meat	Excluded	All diets exclude processed meats.
Artificial Sweeteners	Excluded	All diets exclude artificial sweeteners
Processed Foods/Additives/Preservatives	Excluded	All diets exclude processed foods/additives/preservatives.

Jump to: Introduction | Food Table | Food Table Overview | Characteristics of the Diets

Characteristics of the Diets

Characteristic	SCD - Final Stage	mSCD - Final Stage	IBD-AID - Final Phase	AIP - Elimination Phase	CDED - Induction Phase	CDED - Maintenance Phase
Stages/Phases	Intro diet for up to 5 days. No other required stages, although some foods like beans/lentils are advanced. Pecanbread website has suggested stages for those wishing to follow them when symptomatic.	Intro diet for up to 5 days. Typically, strict SCD is done before modified SCD is attempted.	Three phases defined based on level of symptoms: Phase 1: Basics, Phase 2: Introduction of more foods/textures, Phase 3: Remission.	Elimination Phase (minimum of 30 days), Reintroduction Phase, and Maintenance Phase.	Induction Phase consists of two 6-week phases with a food-list associated with each phase. Induction Phase is followed by the Maintenance Phase.	Maintenance phase is the last phase of the diet and requires 5 contiguous days following the diet as defined, which then can be followed with a max of 2 contiguous days with 2 free meals per week. Free meals can deviate from the diet with some restrictions. Maintenance phase is preceded by the Induction Phase.
Allowed Deviation from Diet	100% strict for first year or two.	100% strict for first year or two	Diet aims for 80% compliance or above, but better results may come with better compliance.	100% strict for in the Elimination Phase, which lasts a few months or more as needed. Reintroduction Phase allows adding back of foods as tolerated.	100% strict in the Induction Phase.	In the Maintenance Phase, four free meals a week are allowed, in which other foods can be consumed (with some restrictions).
Limits Amounts of Foods	No	Yes for the new additions (sweet potatoes, rice, oats, cocoa, and maple syrup)	No	Yes for fruits	Yes	Yes
Mandatory Foods	No	No	IBD-AID Essential 8 - mandatory amounts of certain food types should be targeted per day.	No	Yes	No
Studied in Children/Adults	Both	Studies of mSCD in Children are still ongoing.	Adults	Adults	Both	Studies on Maintenance Phase are in progress.
Studied in Ulcerative Colitis (UC)/Crohn's Disease (CD)	Both	Studies of mSCD for both CD and UC are still ongoing.	Both	Both	CD only	Studies of Maintenance Phase in CD are still ongoing.
Length of Time in Use	Long Time First described by Dr. Haas in 1924 and expanded and popularized by Elaine Gottschall for more common use in IBD. First study published in 2014.	New Still in ongoing study.	Relatively New First study published in 2014, ongoing studies include one in pregnant women.	Relatively New 2010: AIP first appeared as a brief list of foods to avoid in addition to standard Paleo for autoimmune disease in the book The Paleo Solution by Robb Wolf and on the website The Paleo Diet by Loren Cordain, refined later by Sarah Ballantyne. First study in IBD published in 2017.	Relatively New First study published in 2014.	New Studies on the Maintenance Phase are still ongoing.
Published Research	SCD Research	Studies on mSCD as it is defined above are still ongoing.	IBD-AID Research	AIP Research	CDED Research	Studies on the Maintenance Phase of CDED are still ongoing.

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Food Table Overview

Characteristics of the Diets

2021 NASPGHAN/CPNP/APGNN Annual Meeting

Live Event and NTforIBD Booth

Date(s): Nov. 4, 2021 - Nov. 6, 2021 Time(s): Thursday, November 4: 5pm-7pm (poster session I and Exhibit Hall) | Friday, November 5: 7am-8pm (Exhibit Hall 10am-2pm) | Saturday, November 6: 7am-10pm (Exhibit Hall 10am-2pm) Location: Nashville, TN United States

Date(s): Nov. 4, 2021 - Nov. 6, 2021
Time(s): Thursday, November 4: 5pm-7pm (poster session I and Exhibit Hall) | Friday, November 5: 7am-8pm (Exhibit Hall 10am-2pm) | Saturday, November 6: 7am-10pm (Exhibit Hall 10am-2pm)
Location: Nashville, TN United States