Top Dietitian-Approved Tips for the 6-Food Elimination Diet (6FED) to Manage EGIDs

The 6-Food Elimination Diet (6FED) is a dietary approach commonly used to manage Eosinophilic Gastrointestinal Diseases (EGIDs).

What are the 4FEd and 6FED Diets for EGIDs:

These diets remove the four or six most common food allergens from one's meals to reduce inflammation and alleviate symptoms. 

• 4FED: A 4-food elimination diet, excluding dairy, wheat, egg, and soy.
• 6FED: A 6-food elimination diet, excluding dairy, wheat, egg, soy, fish, and nuts.

Recent research shows the 1FED can be as effective as the 6FED diet as first-line therapy for Eosinophilic Oesophagitis (EoE). Eliminating animal milk alone is much easier and more sustainable than eliminating multiple foods. Learn more here.

Learn more about Elimination 4FED and 6FED diets with registered dietitians.

Why Consult a Dietitian When Following the 6FED Diet

While the 6FED diet can be effective in identifying food triggers and improving the quality of life for people with EGIDS, it can also be incredibly challenging. The elimination diet requires significant planning, careful reading of food labels, and often substantial changes to daily eating habits.

The limited food options can make it difficult to meet nutritional needs, leading to potential deficiencies if not carefully managed. These challenges highlight the importance of working closely with a dietitian to ensure the diet is both effective and sustainable.

Watch the video with paediatric dietitians Karen and Isabel below, or read the full transcript to learn more tips on cooking while on 6FED. Always consult with your healthcare provider before making changes in your diet.

Looking for more elimination diet recipes? Check out our collection of 6FED-safe meals here.

Watch:Tips from dietitians for managing EGIDs with the 6FED diet