Elimination Diets & Food Reintroduction Flashcards
7 cards from real CLT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Elimination Diets & Food Reintroduction flashcards as text
Which documentation tool is most important for a CLT to provide clients during the reintroduction phase?
Answer: A detailed food-symptom journal recording foods eaten, timing, portion size, and symptom changes
A food-symptom journal that captures timing and symptom details allows the CLT to correlate specific food introductions with reactions and refine the personalized diet plan.
What is the greatest barrier to successful elimination diet compliance reported by LEAP clients?
Answer: Social and emotional challenges of restricting familiar foods in social settings
Social eating situations, food rituals, and emotional attachments to comfort foods are consistently identified as the primary compliance barriers for elimination diets.
What strategy should a CLT recommend to a client who finds Phase 1 foods too limited for adequate caloric intake?
Answer: Allow larger portions of all Phase 1 safe foods and emphasize calorie-dense options such as safe oils, nuts, and proteins
Increasing portion sizes and emphasizing calorie-dense safe foods (healthy fats, proteins) within the Phase 1 food list addresses energy needs without compromising the protocol's integrity.
Why is it important to avoid hidden sources of reactive foods (e.g., ingredients in sauces or supplements) during the elimination phase?
Answer: Even small amounts of a reactive food can trigger mediator release and prevent the immune system from reaching a calm baseline
Even sub-threshold amounts of a reactive food can maintain low-grade mediator release, preventing the immune calming necessary for an interpretable food challenge.
How should a CLT handle a food that was tolerated during reintroduction but causes symptoms when eaten daily over two weeks?
Answer: Treat the food as newly reactive, remove it, and consider incorporating it only on a rotation basis
Daily exposure to a borderline food can re-sensitize the immune system; recognizing this and placing the food on a 4-day rotation or removing it prevents symptom recurrence.
Which clinical outcome measure is most useful for evaluating the success of the LEAP elimination and reintroduction process?
Answer: Client-reported symptom severity scores compared to pre-diet baseline
Validated symptom severity questionnaires comparing pre- and post-intervention scores provide the most direct evidence that the LEAP protocol has reduced the client's inflammatory symptom burden.
During long-term maintenance following successful LEAP reintroduction, what dietary approach is typically recommended for highly reactive foods identified on MRT?
Answer: Avoid highly reactive foods for 3–6 months, then attempt reintroduction; some clients eventually tolerate them on an infrequent rotation
After a period of immune rest, some highly reactive foods can be cautiously reintroduced and tolerated infrequently on a rotation, giving clients a broader long-term diet while minimizing relapse.