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CMS is committed to looking holistically at the concerns raised by the commenter across settings of care and will consider how to address for future rulemaking or guidance, and we thank the commenter for continuing to share firsthand experiences

Elimination diets are best done under the supervision of a dietitian and is what I strongly recommend, but to give you an example of what to expect: Based on your 2-week food diary, if (for example) you notice that symptoms are worse the day after you eat a large amount of pasta, gluten may be the culprit