Can a Nutritional Shake Like Boost Help with Colitis?
During an inflammatory bowel disease (IBD) flare-up, symptoms such as abdominal pain, diarrhea, and poor appetite can make it difficult to consume and absorb adequate nutrition from solid foods. This can lead to nutritional deficiencies and unwanted weight loss. For this reason, some medical professionals and registered dietitians may recommend liquid nutritional supplements, like Boost, to help bridge nutritional gaps and provide an easily digestible source of calories, protein, and vitamins. In fact, a 2019 review suggested that nutritional shakes could be a good snack option during a flare-up for individuals with ulcerative colitis (UC) who have trouble meeting their energy requirements.
However, it's crucial to understand that not all nutritional shakes are created equal, and individual tolerance varies greatly among those with colitis. What works for one person could trigger a flare-up in another. Therefore, careful consideration of ingredients is necessary before incorporating Boost or any other nutritional supplement into your diet.
Potential Triggers in Boost and Other Nutritional Shakes
When evaluating if Boost is ok to drink with colitis, it is important to scrutinize its ingredient list for potential irritants. Several common components in nutritional supplements can cause discomfort for sensitive digestive systems.
- Lactose: Many standard Boost products contain lactose, a sugar found in milk. Lactose intolerance is common in people with IBD, and consuming dairy can lead to bloating, gas, and diarrhea. Lactose-free or plant-based alternatives may be better tolerated.
- Artificial Sweeteners and Sugar Alcohols: Ingredients like sorbitol and other sugar alcohols are often used as low-calorie sweeteners in nutritional shakes. These can have a laxative effect, especially in large quantities, and can exacerbate diarrhea.
- Fiber Content: While fiber is beneficial for gut health in remission, high-fiber intake during a flare-up can be problematic for some people with colitis. High amounts of insoluble fiber can irritate the intestinal lining and worsen symptoms. Boost offers different formulas, so checking the fiber content is important.
- Carrageenan and Emulsifiers: Some research suggests that food additives like carrageenan and other emulsifiers, common in many processed foods and drinks, may contribute to gut inflammation. While more studies are needed, some individuals with IBD choose to avoid them.
Navigating Your Nutritional Options
For those with colitis, deciding on the right nutritional strategy involves balancing caloric needs with managing symptoms. A structured approach, preferably with the guidance of a healthcare provider or a registered dietitian, is the best path forward.
Alternative Considerations to Boost
If you find that traditional Boost products cause discomfort, several alternatives exist that may be more suitable for a sensitive digestive system. These include:
- Lactose-Free Shakes: Brands like Orgain and Fairlife offer dairy-free or lactose-free formulas. Ensure Plant-Based is another option that can be better tolerated.
- Homemade Smoothies: Creating your own smoothies allows for full control over ingredients. Using easily digestible components like bananas, avocados, and tolerated plant-based milks can provide essential nutrients without the risk of irritating additives.
- Elemental Formulas: For severe cases of colitis, elemental or semi-elemental formulas may be prescribed. These contain nutrients in their most broken-down form, making them very easy to absorb. Examples include Vivonex and Peptamen.
Comparison Table: Boost vs. IBD-Friendly Alternatives
| Feature | Standard Boost | Lactose-Free/Plant-Based Shakes | Homemade Smoothies | Elemental Formulas |
|---|---|---|---|---|
| Lactose | Present | Absent | Optional | Absent |
| Fiber | Varies by formula; can contain soluble & insoluble | Can be low or customized | Fully customizable | Very low or absent |
| Sweeteners | Can contain sugar alcohols or artificial sweeteners | Often avoids artificial sweeteners | Natural sweeteners (fruit, honey, maple syrup) | Often contains easily digested sugars |
| Additives | May contain emulsifiers like carrageenan | Often formulated to be free of common irritants | None | Minimal or none |
| Nutrient Absorption | Good | Good | Depends on ingredients | Excellent; pre-digested |
| Cost | Mid-range | Mid-to-high range | Varies widely based on ingredients | High; often prescribed |
Personalized Care is Paramount
No single diet or product is universally safe for every individual with colitis. What matters most is understanding your own body and what triggers your symptoms. Keeping a food journal can be an invaluable tool for identifying patterns and pinpointing specific ingredients that cause distress. During a flare-up, a diet focused on easily digestible, nutrient-dense liquids may be recommended. In remission, you can slowly reintroduce more foods, but paying attention to your body's response remains crucial.
Always consult with your gastroenterologist and a registered dietitian specializing in IBD before making significant changes to your diet or relying on nutritional supplements. They can provide tailored advice and ensure you are meeting your nutritional needs safely while managing your colitis.
Conclusion
Is Boost ok to drink with colitis? The answer is nuanced and depends heavily on the individual's tolerance and the specific product's ingredients. While nutritional shakes like Boost can offer valuable nutritional support, especially during flare-ups, they can also contain ingredients like lactose, artificial sweeteners, or high fiber that may trigger symptoms. A personalized approach, guided by a healthcare team, is the safest way to determine if Boost is a suitable option for you. Considering lactose-free or plant-based alternatives, homemade smoothies, or specialized elemental formulas might also be necessary. By staying vigilant about ingredients and listening to your body, you can ensure your nutritional choices support your health and help manage your colitis effectively.
Frequently Asked Questions (FAQs)
Can Boost cause a flare-up in colitis? Yes, certain ingredients in standard Boost shakes, such as lactose or sugar alcohols, can potentially cause a flare-up in sensitive individuals with colitis. It depends on your personal tolerance.
Are there any Boost formulas that are better for colitis? Boost offers different product lines, so checking labels is key. Lactose-free or high-protein options may be better tolerated by some, but always read the full ingredient list for potential irritants.
What are some alternatives to Boost for people with colitis? Alternatives include homemade smoothies made with tolerated ingredients like bananas and plant-based milk, lactose-free nutritional shakes from other brands like Orgain, or specialized elemental formulas prescribed by a doctor.
Is it safe to use Boost during a colitis flare-up? In some cases, liquid nutritional supplements can be helpful during a flare-up, especially if appetite is poor. However, you must ensure the product doesn't contain ingredients that aggravate your symptoms, and it's best to consult a doctor first.
How can I tell if a nutritional shake is upsetting my colitis? Keep a food and symptom journal to track your intake and any resulting symptoms like bloating, gas, abdominal pain, or diarrhea. This helps identify specific triggers.
Should I avoid all dairy if I have colitis? Not necessarily, but many people with IBD are lactose intolerant and find dairy worsens symptoms. Using lactose-free or plant-based alternatives is a good strategy to see if dairy is a trigger for you.
What should I discuss with my doctor about using Boost? Before starting any supplement, discuss your symptoms, current dietary habits, and any specific ingredient concerns with your doctor or a registered dietitian to create a personalized plan.
