Grapefruit
Citrus × paradisi
Moderate FODMAP
Portion Control Required
Citrus Fruit
Fresh pink grapefruit cut in half

FODMAP/SIBO Rating

Be careful

Serving Size Consideration: One medium grapefruit half

Safe Serving Size: One quarter of a medium grapefruit

Active Compounds: Fructose, fructans, and citric acid

Fermentation Level:
Low

Digestive Impact

Why it's problematic: Can be problematic in large portions due to excess fructose

Specific symptoms: Bloating, gas, and potential acid reflux in sensitive individuals

Typical reaction time frame: Usually within 30 minutes to 2 hours after consumption

Individual variation: Tolerance varies significantly among individuals

Safe Alternatives

Substitution ratio: 1:1 replacement with other citrus fruits

Processing Effects

Removing the white pith can reduce bitter taste and improve tolerance

Juicing concentrates FODMAPs and should be avoided

Freezing does not affect FODMAP content

Stacking Considerations

Avoid combining with:

  • honey
  • mango
  • watermelon
  • apple

Safe complementary foods: Can be safely combined with proteins and low-FODMAP vegetables

Reintroduction Guidelines
  1. Start with 1/4 grapefruit (60g) and monitor symptoms
  2. If tolerated, increase to 1/2 grapefruit after 3 days
  3. Maximum test portion should not exceed 1 whole grapefruit

Signs of success: No digestive discomfort within 24 hours of consumption

Hidden Sources

Common products containing garlic:

  • fruit salads
  • breakfast cereals
  • flavored waters
  • marinades
  • citrus-based desserts

Alternative names: citrus paradisi, pomelo hybrid, ruby red, pink grapefruit, white grapefruit

Individual Variables

Factors affecting tolerance:

  • Time of consumption (better tolerated with meals)
  • Ripeness level
  • Individual fructose absorption capacity
  • Concurrent medication interactions

Tip: Keep a food diary to track your personal tolerance levels and optimal serving size