Question

A 50-year-old woman with IBS-D failed loperamide. Which nonpharmacologic strategy has evidence per ACG?

Accepted Answer

Low-FODMAP diet trial (limited duration)

Answer

Insoluble fiber supplementation

Answer

Long-term strict gluten-free diet regardless of sensitivity

Answer

High-dose probiotics as sole therapy

Answer

Fecal microbiota transplant

Practice question

A 50-year-old woman with IBS-D failed loperamide. Which nonpharmacologic strategy has evidence per ACG?