Fructose Intolerance

Elaine writes:
Since fructose intolerance is a condition mainly of the liver which cannot convert fructose-1-phosphate to D-glyceraldehyde which can then be used for ATP (cellular energy) for the liver's activities (which are many) then this leads to an accumlation of this metabolite and causes the symptoms of fructose intolerance.

And since sick children usually have decreased liver function anyhow, it would be wise for some children who appear to have problems with too much fructose and glucose in fruit - to CUT BACK. They might also cut back on the honey. However, as the gut infections decrease with SCD, the liver enjoys this benefit and rejuvenates and can handle more fructose in about 3 weeks to a month. Then the fruits can be tried sensibly (not huge amounts at one time; example: a half of a ripe pear, not a whole one, etc.)

Most of these children have been on high sucrose before SCD. Sucrose is half fructose and the liver can get very bad on this alone. We need healing time. The veggies the child is eating are good but I would be happier if she also added about 1/4 cup of cooked applesauce per day or the equivalent of 3-4 tablespoons honey over the course of the day. Also see Protein Requirements for information on trying to avoid putting children on a high protein diet (with little or no carbs) at the beginning. It is because their diets were so poor before SCD™that we may have problems with some children.

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