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Can I eat sauerkraut on a low FODMAP diet?

4 min read

According to Monash University, the global authority on FODMAP research, traditional white cabbage sauerkraut is high in mannitol and not low FODMAP. So, can I eat sauerkraut on a low FODMAP diet? The short answer is yes, but you must be strategic about the type and serving size.

Quick Summary

Yes, but with crucial caveats. Most traditional white cabbage sauerkraut is high in FODMAPs, but fermented red or purple cabbage is low FODMAP in smaller, controlled portions, providing gut-friendly probiotics without triggering symptoms.

Key Points

  • White Cabbage is High FODMAP: Traditional sauerkraut made from white cabbage is high in the FODMAP mannitol and should be avoided in larger servings during the elimination phase.

  • Red Cabbage is Low FODMAP: Fermented red or purple cabbage has a different carbohydrate profile and is considered low FODMAP in portions up to half a cup.

  • Portion Size is Critical: Even with low FODMAP-friendly varieties, portion control is essential, so start with a small amount (like a tablespoon) and gradually increase.

  • Check for High FODMAP Additives: Always check labels for hidden high FODMAP ingredients, such as garlic or onion, in commercial sauerkraut.

  • Opt for Raw and Unpasteurized: For the best probiotic benefits, choose raw and unpasteurized sauerkraut, typically found in the refrigerated section.

  • Alternative Low FODMAP Ferments Exist: If fermented cabbage remains an issue, consider other low FODMAP fermented options like tempeh, sourdough spelt bread, or pickled gherkins.

In This Article

The FODMAP Science Behind Sauerkraut

Sauerkraut is a popular fermented food renowned for its probiotic benefits, but its FODMAP content is surprisingly complex and not all types are created equal. The key factor lies in the type of cabbage used and how the fermentation process alters the carbohydrates. During lactic acid fermentation, the naturally occurring bacteria feed on the sugars in the cabbage. In white cabbage, this process can increase the mannitol content, a type of polyol (a 'P' in FODMAPs), making it high in FODMAPs. However, different cabbages have different carbohydrate compositions and ferment in unique ways.

Why White Cabbage Sauerkraut is High FODMAP

Monash University testing reveals that traditional sauerkraut made from white cabbage is high in FODMAPs at a serving of just half a cup. This is due to the bacteria converting the cabbage's natural sugars into mannitol. For those with IBS, even small amounts of high-mannitol foods can cause significant gastrointestinal distress, including bloating and pain. For this reason, traditional white cabbage sauerkraut is largely avoided during the elimination phase of the low FODMAP diet, though a very small 1-tablespoon serving may be tolerated by some.

The Low FODMAP Alternative: Red Cabbage Sauerkraut

For those who love fermented cabbage, there is a better option. Fermented red cabbage is a viable low FODMAP alternative. Monash University testing has shown that fermented red or purple cabbage is low FODMAP at a half-cup serving. This is because the carbohydrate profile of red cabbage leads to a different fermentation outcome with lower mannitol levels. Red cabbage sauerkraut still provides beneficial probiotics and fiber, but with a significantly reduced risk of triggering IBS symptoms.

Comparison: White vs. Red Cabbage Sauerkraut

When navigating the low FODMAP diet, understanding the differences between sauerkraut types is essential. This table clarifies the key distinctions.

Feature Traditional (White Cabbage) Sauerkraut Low FODMAP (Red Cabbage) Sauerkraut
FODMAP Status High FODMAP for mannitol at 1/2 cup. Low FODMAP at 1/2 cup.
Carbohydrates Contains fermentable mannitol due to bacteria action. Different carbohydrate composition resulting in less mannitol.
Serving Size Maximum 1 tablespoon during elimination phase. Up to 1/2 cup, though best to test tolerance.
Risk of Symptoms High risk of triggering symptoms like bloating and gas. Low risk of triggering symptoms when eaten in recommended portion.
Nutrients Good source of probiotics, vitamins C and K. Also contains probiotics, vitamins C and K, and antioxidants.

How to Safely Incorporate Sauerkraut into Your Diet

Successfully adding sauerkraut to a low FODMAP meal plan requires careful attention to serving sizes and monitoring your body's response. Here is a step-by-step guide to help you do it safely.

Start Small

  • Begin with 1-2 teaspoons: Introduce a very small amount, such as a teaspoon or two, of red cabbage sauerkraut to test your tolerance.
  • Monitor your reaction: Pay attention to any symptoms like bloating, gas, or pain over the next few hours and day. If you react, you may need to reduce the portion or avoid it altogether.
  • Gradually increase the dose: If you tolerate the small amount, you can slowly increase your serving size, working up to the recommended half-cup low FODMAP portion.

Check Ingredients

  • Read labels carefully: For store-bought sauerkraut, always read the ingredients list to ensure no high FODMAP additions like garlic or onion have been included. Opt for plain fermented red cabbage if possible.
  • Go for raw, unpasteurized: For the maximum probiotic benefits, choose raw, unpasteurized sauerkraut, which is typically found in the refrigerated section of stores. Pasteurized versions have been heat-treated, killing the beneficial bacteria.

Make Your Own Low FODMAP Sauerkraut

Making your own allows for complete control over ingredients. A basic low FODMAP recipe involves shredded red or purple cabbage, sea salt, and a clean jar. You can find detailed instructions and other low FODMAP recipes for fermented vegetables at reputable websites like A Little Bit Yummy, a trusted resource for FODMAP-friendly cooking. The fermentation process naturally creates beneficial probiotics and can reduce overall FODMAP content, depending on the vegetable.

Low FODMAP Fermented Alternatives

If you find that sauerkraut, even the red cabbage variety, triggers your symptoms, there are other low FODMAP fermented foods to explore. These options provide similar gut-health benefits without the high FODMAP risk.

  • Tempeh: This fermented soybean product is low FODMAP in 100g servings, according to Monash University.
  • Sourdough Spelt Bread: The traditional long-fermentation process used to make sourdough spelt bread breaks down fructans, making it easier to digest.
  • Pickled Gherkins: Some pickled vegetables, such as gherkins, can be low FODMAP in small portions, but be cautious of any added garlic or onion.
  • Goat's Yogurt: Certain types of yogurt, like goat's yogurt, are lower in FODMAPs than those made with cow's milk.

Conclusion

While traditional white cabbage sauerkraut is high in FODMAPs due to its mannitol content, it is possible to enjoy fermented cabbage on a low FODMAP diet. The key is choosing the right type, such as fermented red or purple cabbage, and consuming it in controlled, small portions. By starting slowly, reading labels, or even making your own, you can safely incorporate this probiotic-rich food into your meals. As with any food on the low FODMAP diet, individual tolerance is key, so listen to your body and adjust accordingly.

Frequently Asked Questions

The fermentation process is the key difference. While raw cabbage is low FODMAP, the bacteria that ferment it convert the cabbage's sugars into mannitol, a type of polyol that is high in FODMAPs.

According to Monash University, a very small amount, around one tablespoon, is considered low FODMAP. However, many people prefer to avoid it entirely to prevent symptoms.

Like sauerkraut, the FODMAP content of kimchi depends on the ingredients and fermentation process. Many traditional kimchi recipes include garlic and onions, which are high FODMAP. However, there are low FODMAP recipes available that exclude these ingredients.

The most reliable method is to check for a brand that is Monash University certified. Otherwise, read the label carefully to ensure it's made from red/purple cabbage, has no added high FODMAP ingredients like garlic or onion, and is consumed in the correct portion size.

While cooking does not affect the FODMAP content of sauerkraut, it does kill the beneficial probiotic bacteria. It is best to consume sauerkraut raw to gain its gut-health benefits.

Safe alternatives include tempeh, certain types of yogurt (like goat's yogurt), sourdough spelt bread, and pickled gherkins, all in Monash-approved serving sizes.

Store all sauerkraut in an airtight container in the refrigerator. This will slow down the fermentation process and keep it fresh for several months.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.