{"id":23445,"date":"2026-04-14T07:52:32","date_gmt":"2026-04-14T05:52:32","guid":{"rendered":"https:\/\/metax.org\/?page_id=23445"},"modified":"2026-04-14T08:26:18","modified_gmt":"2026-04-14T06:26:18","slug":"understanding-crohns-disease","status":"publish","type":"page","link":"https:\/\/metax.org\/en\/crohns-disease\/understanding-crohns-disease\/","title":{"rendered":"Understanding Crohn&#8217;s Disease"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling fusion-custom-z-index\" style=\"--awb-background-position:left center;--awb-border-sizes-top:0;--awb-border-sizes-bottom:0px;--awb-border-sizes-left:0px;--awb-border-sizes-right:0px;--awb-border-color:var(--awb-color4);--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-z-index:6000;--awb-padding-right-small:15px;--awb-padding-bottom-small:0px;--awb-padding-left-small:15px;--awb-margin-top:40px;--awb-margin-bottom:0px;--awb-margin-top-medium:0px;--awb-margin-top-small:53px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-end fusion-flex-align-content-flex-end fusion-flex-justify-content-center fusion-flex-content-wrap\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion-flex-column\" style=\"--awb-padding-top:10px;--awb-padding-right-small:0px;--awb-padding-left-small:0px;--awb-overflow:hidden;--awb-bg-color:var(--awb-color1);--awb-bg-color-hover:var(--awb-color1);--awb-bg-size:cover;--awb-box-shadow:6px 6px 9px -7px var(--awb-color8);;--awb-border-color:var(--awb-custom_color_7);--awb-border-top:1px;--awb-border-right:1px;--awb-border-bottom:1px;--awb-border-left:1px;--awb-border-style:solid;--awb-border-radius:5px 5px 5px 5px;--awb-width-large:50.1%;--awb-margin-top-large:0px;--awb-spacing-right-large:0%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:0%;--awb-width-medium:50.1%;--awb-order-medium:0;--awb-spacing-right-medium:0%;--awb-spacing-left-medium:0%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:0%;--awb-spacing-left-small:0%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-one\" style=\"--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;--awb-font-size:30px;\"><h1 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;font-size:1em;--fontSize:30;line-height:1.2;\">Understanding Crohn&#8217;s Disease<\/h1><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--link_color: var(--awb-color2);--awb-border-sizes-top:0;--awb-border-sizes-left:0;--awb-border-sizes-right:0;--awb-border-color:var(--awb-custom_color_2);--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:15px;--awb-padding-right:70px;--awb-padding-bottom:3px;--awb-padding-left:70px;--awb-margin-top:-40px;--awb-margin-bottom:0px;--awb-background-color:var(--awb-color1);--awb-background-size:cover;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-center fusion-flex-content-wrap\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-max-height:500px;--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:40px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-image-element \" style=\"text-align:center;--awb-margin-right-small:-50px;--awb-margin-left-small:-50px;--awb-max-width:5000px;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\"><img decoding=\"async\" src=\"https:\/\/staging.metax.org\/wp-content\/uploads\/AdobeStock_534304739-scaled-e1772095457467.jpeg\" alt class=\"img-responsive\"\/><\/span><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-right:70px;--awb-padding-bottom:0px;--awb-padding-left:70px;--awb-padding-right-small:15px;--awb-padding-bottom-small:0px;--awb-padding-left-small:15px;--awb-margin-bottom:40px;--awb-background-color:var(--awb-color1);--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-1\" style=\"--awb-content-alignment:justify;--awb-margin-top:30px;\"><h3 class=\"fusion-responsive-typography-calculated\" style=\"--fontsize: 26; line-height: 1.2; --minfontsize: 26; text-align: left;\" data-fontsize=\"26\" data-lineheight=\"31.2px\">Silnea<sup>IBD<\/sup> &#8211; Individual Nutritional Therapy for Crohn&#8217;s Disease<\/h3>\n<p>Crohn&#8217;s disease is a chronic intestinal disease that causes recurring inflammation of the gastrointestinal tract. Particularly in acute phases (flare-ups), people affected suffer from severe symptoms such as abdominal pain or diarrhea. They often lose weight and\/or do not get enough nutrients.  <\/p>\n<p>An adapted diet can help to reduce inflammation and ensure the body receives sufficient nutrients. A special nutritional formula such as <a href=\"https:\/\/metax.org\/en\/crohns-disease\/silneaibd\/\">Silnea<sup>IBD<\/sup><\/a> is suitable for this purpose. Taking a nutritional formula can help to alleviate symptoms and prevent new flare-ups.<\/p>\n<\/div><div class=\"accordian fusion-accordian\" style=\"margin-top:20px;margin-bottom:20px;--awb-margin-top:20px;--awb-margin-bottom:20px;--awb-border-size:1px;--awb-icon-size:16px;--awb-content-font-size:var(--awb-typography4-font-size);--awb-icon-alignment:right;--awb-hover-color:var(--awb-color2);--awb-border-color:var(--awb-color3);--awb-background-color:var(--awb-color1);--awb-divider-color:var(--awb-color2);--awb-divider-hover-color:var(--awb-color3);--awb-icon-color:var(--awb-color1);--awb-title-color:var(--awb-custom_color_3);--awb-content-color:var(--awb-custom_color_3);--awb-icon-box-color:var(--awb-color2);--awb-toggle-hover-accent-color:var(--awb-color3);--awb-title-font-family:var(--awb-typography1-font-family);--awb-title-font-weight:var(--awb-typography1-font-weight);--awb-title-font-style:var(--awb-typography1-font-style);--awb-title-font-size:24px;--awb-content-font-family:var(--awb-typography4-font-family);--awb-content-font-weight:var(--awb-typography4-font-weight);--awb-content-font-style:var(--awb-typography4-font-style);\"><div class=\"panel-group fusion-toggle-icon-right fusion-toggle-icon-boxed\" id=\"accordion-23445-1\"><div class=\"fusion-panel panel-default panel-8f89e930cb2bd865d fusion-toggle-has-divider\" style=\"--awb-title-font-size:20px;\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_8f89e930cb2bd865d\"><a aria-expanded=\"false\" aria-controls=\"8f89e930cb2bd865d\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-23445-1\" data-target=\"#8f89e930cb2bd865d\" href=\"#8f89e930cb2bd865d\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon fa-arrow-circle-up fas\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-arrow-alt-circle-down fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">What is Crohn&apos;s Disease?<\/span><\/a><\/h4><\/div><div id=\"8f89e930cb2bd865d\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_8f89e930cb2bd865d\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p data-fontsize=\"20\" data-lineheight=\"25px\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-22395 alignleft\" src=\"https:\/\/staging.metax.org\/wp-content\/uploads\/AdobeStock_1210798096-scaled.jpeg\" alt=\"\" width=\"315\" height=\"210\">Crohn&#8217;s disease is a chronic disease in which parts of the intestine become inflamed repeatedly. Crohn&#8217;s disease usually begins during adolescence or young adulthood and often affect people throughout their lives.  In some cases, children may even develop Crohn\u00b4s disease before the age of ten.<\/p>\n<p>The symptoms of those affected can vary greatly. These include abdominal pain, frequent diarrhea, poor appetite, weight loss, growth problems in children as well as joint and skin problems.<sup>1<\/sup><\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-f246a78e6c9971656 fusion-toggle-has-divider\" style=\"--awb-title-font-size:20px;\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_f246a78e6c9971656\"><a aria-expanded=\"false\" aria-controls=\"f246a78e6c9971656\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-23445-1\" data-target=\"#f246a78e6c9971656\" href=\"#f246a78e6c9971656\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon fa-arrow-circle-up fas\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-arrow-alt-circle-down fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">How is Crohn&apos;s Disease treated?<\/span><\/a><\/h4><\/div><div id=\"f246a78e6c9971656\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_f246a78e6c9971656\"><div class=\"panel-body toggle-content fusion-clearfix\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-22761 alignright\" src=\"https:\/\/staging.metax.org\/wp-content\/uploads\/AdobeStock_554815401-scaled-e1772102321222-267x300.jpeg\" alt=\"\" width=\"205\" height=\"230\">Treatment is aimed at calming the inflammation, preventing new flare-ups and providing the body with sufficient nutrients. In addition to medication, diet therefore also plays a particularly important role.<sup>1, 2<\/sup> <\/p>\n<div>\n<h4 class=\"fusion-responsive-typography-calculated\" style=\"--fontsize: 20; line-height: 1.25; --minfontsize: 20;\" data-fontsize=\"20\" data-lineheight=\"25px\">Nutritional Counseling &#8211; Individual, Professional and Covered by Health Insurance<\/h4>\n<p>With Crohn&#8217;s disease, appropriate nutritional therapy can alleviate symptoms, positively influence the course of the disease and prevent malnutrition. Qualified <strong>nutritional advice from a specialist<\/strong> is a valuable support &#8211; and is <strong>covered by health insurance in many cases<\/strong>.<sup>1, 2<\/sup> <\/p>\n<h4 class=\"fusion-responsive-typography-calculated\" style=\"--fontsize: 20; line-height: 1.25; --minfontsize: 20;\" data-fontsize=\"20\" data-lineheight=\"25px\">How it works:<\/h4>\n<div>\n<ol>\n<li><strong>Talk to your doctor<\/strong> about whether nutritional therapy would be beneficial for you.<\/li>\n<li>Obtain a <strong>medical certificate of necessity<\/strong>.<\/li>\n<li>Find a qualified nutritionist via <a href=\"https:\/\/e-zert.de\/experten?\">E-Zert &#8211; Expert search<\/a>, where you can locate certified specialists in your area or for an online consultation.<\/li>\n<\/ol>\n<p><strong>Important: <\/strong>The statutory health insurance companies usually cover the costs proportionately or even completely &#8211; if a medical certificate of necessity is available.<\/p>\n<\/div>\n<\/div>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-58960fa6d883037e9 fusion-toggle-has-divider\" style=\"--awb-title-font-size:20px;--awb-title-color:var(--awb-custom_color_3);--awb-content-color:var(--awb-custom_color_3);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_58960fa6d883037e9\"><a aria-expanded=\"false\" aria-controls=\"58960fa6d883037e9\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-23445-1\" data-target=\"#58960fa6d883037e9\" href=\"#58960fa6d883037e9\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon fa-arrow-circle-up fas\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-arrow-alt-circle-down fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Nutritional Therapy During an Acute Crohn\u00b4s Flare <\/span><\/a><\/h4><\/div><div id=\"58960fa6d883037e9\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_58960fa6d883037e9\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p><span style=\"color: #3f3f3f; font-family: 'Neue Kabel Regular'; font-size: 13.5pt;\">According to current guidelines, for mild or moderately severe disease, s<\/span><span style=\"font-size: 13.5pt;\">pecial nutritional therapy<\/span><span style=\"font-size: 13.5pt;\"> can be used to alleviate an acute flare-up. This nutritional therapy is called <\/span><strong style=\"font-size: 13.5pt;\">Exclusive Enteral Nutrition<\/strong><strong style=\"font-size: 13.5pt;\"> (EEN)<\/strong><span style=\"font-size: 13.5pt;\">. People affected then consume the nutritional formula <\/span><span style=\"font-size: 13.5pt;\">exclusively for several weeks. &#8220;Normal food&#8221;, on the other hand, should not be eaten. The aim is to stop the inflammation<\/span><span style=\"font-size: 13.5pt;\">and to give the intestines time to recover.<sup>1<\/sup><\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-22709\" src=\"https:\/\/staging.metax.org\/wp-content\/uploads\/AdobeStock_382756788.jpeg\" alt=\"\" width=\"380\" height=\"99\"><\/p>\n<p style=\"box-sizing: border-box; font-variant-ligatures: normal; font-variant-caps: normal; orphans: 2; text-align: start; widows: 2; -webkit-text-stroke-width: 0px; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; word-spacing: 0px; margin: 0cm 0cm 15.0pt 0cm;\"><span style=\"font-size: 13.5pt; font-family: 'Neue Kabel Regular'; color: #3f3f3f;\">In children, this therapy has been the treatment of choice for over twenty years: 80 &#8211; 85 % of patients overcome the acute relapse (= remission) with EEN and in 75 % the intestinal mucosa is even healed. Side effects are extremely rare.<sup>1, 3<\/sup> <\/span><\/p>\n<p style=\"margin: 0cm 0cm 15.0pt 0cm;\"><span style=\"font-size: 13.5pt; font-family: 'Neue Kabel Regular'; color: #3f3f3f;\">Studies have also shown that medical therapy can also be supplemented by EEN.<sup>4<\/sup><\/span><\/p>\n<h4 class=\"\" style=\"--fontsize: 20; line-height: 1.25; --minfontsize: 20;\" data-fontsize=\"20\" data-lineheight=\"25px\">How is Exclusive Enteral Nutrition Performed?<\/h4>\n<p>During exclusive enteral nutritional, <strong>a specialized formula <\/strong>such as <a href=\"https:\/\/metax.org\/en\/crohns-disease\/silneaibd\/\">Silnea<sup>IBD<\/sup><\/a> is used <strong>for 6 &#8211; 8 <\/strong><strong>weeks. <\/strong>The formula can be consumed as a drink or fed via a tube. <\/p>\n<p>In addition, drinking water, tea and possibly broth is permitted. &#8220;Normal food&#8221; is not applicable.<sup>1, 4<\/sup> <\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-22715\" src=\"https:\/\/staging.metax.org\/wp-content\/uploads\/AdobeStock_217865370-scaled.jpeg\" alt=\"\" width=\"450\" height=\"90\"><\/p>\n<h4 class=\"fusion-responsive-typography-calculated\" style=\"--fontsize: 20; line-height: 1.25; --minfontsize: 20;\" data-fontsize=\"20\" data-lineheight=\"25px\"><\/h4>\n<h4 class=\"fusion-responsive-typography-calculated\" style=\"--fontsize: 20; line-height: 1.25; --minfontsize: 20;\" data-fontsize=\"20\" data-lineheight=\"25px\"><strong><span style=\"color: #00458d;\"><span style=\"font-family: 'Neue Kabel Regular'; font-size: 18px; letter-spacing: normal;\">Tips for a successful therapy: <\/span><\/span><\/strong><\/h4>\n<div>\n<ul>\n<li>Try different flavors (e.g. <a href=\"https:\/\/metax.org\/en\/aromaxx-flavors\/\">AroMaxx<\/a>) and vary the taste of the formula<\/li>\n<li>Prepare <a href=\"https:\/\/metax.org\/en\/crohns-disease\/silneaibd\/\">Silnea<sup>IBD<\/sup><\/a> in different ways, e.g. as ice cream or warm soup<\/li>\n<li>Set small goals and reward progress<\/li>\n<li>Remove unauthorized food from the field of vision of those affected<\/li>\n<li>Participation in family meals is not mandatory<\/li>\n<li>Support the therapy together with family, friends or teachers<\/li>\n<\/ul>\n<\/div>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-38e981d32fa7f66ee fusion-toggle-has-divider\" style=\"--awb-title-font-size:20px;\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_38e981d32fa7f66ee\"><a aria-expanded=\"false\" aria-controls=\"38e981d32fa7f66ee\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-23445-1\" data-target=\"#38e981d32fa7f66ee\" href=\"#38e981d32fa7f66ee\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon fa-arrow-circle-up fas\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-arrow-alt-circle-down fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">SilneaIBD - Polymer, Fully Balanced Formula<\/span><\/a><\/h4><\/div><div id=\"38e981d32fa7f66ee\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_38e981d32fa7f66ee\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<ul>\n<li>as exclusive nutrition during EEN with the aim of inducing remission<\/li>\n<li>as a supplementary nutrition with the aim of maintaining the symptom-free period for as long as possible (maintenance of remission) or improving the nutritional status<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-23546\" src=\"https:\/\/staging.metax.org\/wp-content\/uploads\/22402_Gruppe_Silnea_DS_Muster_Rezept.png\" alt=\"\" width=\"300\" height=\"237\"><\/p>\n<p style=\"padding-left: 40px;\">\u2713 very pleasant in taste<\/p>\n<div>\n<p style=\"padding-left: 40px;\">\u2713 easily soluble in water for oral or tube feeding &#8211; hot or cold<\/p>\n<div>\n<p style=\"padding-left: 40px;\">\u2713 suitable from 3 years of age<\/p>\n<p>&nbsp;<\/p>\n<h4 class=\"\" style=\"--fontsize: 20; line-height: 1.25; --minfontsize: 20;\" data-fontsize=\"20\" data-lineheight=\"25px\">Especially for Crohn&#8217;s Disease<\/h4>\n<p style=\"padding-left: 40px;\">\u2713 contains vitamins, minerals and trace elements<\/p>\n<p style=\"padding-left: 40px;\">\u2713 adapted to the nutritional requirements of people with Crohn&#8217;s disease and other inflammatory bowel diseases<\/p>\n<p style=\"padding-left: 40px;\">\u2713 with biologically high-quality whey protein<\/p>\n<p style=\"padding-left: 40px;\">\u2713 resistant starch as a microbiota-accessible carbohydrate (MAC)<\/p>\n<\/div>\n<\/div>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-0934ee33494fea382 fusion-toggle-has-divider\" style=\"--awb-title-font-size:20px;\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_0934ee33494fea382\"><a aria-expanded=\"false\" aria-controls=\"0934ee33494fea382\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-23445-1\" data-target=\"#0934ee33494fea382\" href=\"#0934ee33494fea382\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon fa-arrow-circle-up fas\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-arrow-alt-circle-down fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Resistent Starch and the Gut Microbiome<\/span><\/a><\/h4><\/div><div id=\"0934ee33494fea382\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_0934ee33494fea382\"><div class=\"panel-body toggle-content fusion-clearfix\"><a href=\"https:\/\/metax.org\/en\/crohns-disease\/silneaibd\/\">Silnea<sup>IBD<\/sup><\/a> contains resistant starch, which acts as a microbiota-accessible carbohydrate (MAC). In the small intestine, the resistant starch is not broken down by enzymes and thus reaches the large intestine unchanged. There it promotes the growth of beneficial bacteria and contributes to the diversity of the intestinal flora.<sup>5<\/sup>  <\/p>\n<div>\n<div>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-23348\" src=\"https:\/\/staging.metax.org\/wp-content\/uploads\/AdobeStock_389271200-1-scaled.jpeg\" alt=\"\" width=\"240\" height=\"161\"><\/p>\n<\/div>\n<div><\/div>\n<div>The intestinal microorganisms convert resistant starch into the short-chain fatty acids acetate, propionate and butyrate. Butyrate is the main source of energy for mucosal cells and has an anti-inflammatory effect. It stabilizes the intestinal barrier, creates an acidic environment in the large intestine and thus inhibits the growth of harmful bacteria.<sup>6, 7<\/sup>  <\/div>\n<p><strong><span style=\"color: #000000;\">To order samples and information material, click <a style=\"color: #000000;\" href=\"https:\/\/metax-tester.de\/produkt\/silnea-vollstaendig-bilanziert-ab-3-jahren\/\"><span style=\"color: #00458d;\">here.<\/span><\/a><\/span><\/strong><\/p>\n<\/div>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-d4114ee070b266ee8 fusion-toggle-has-divider\" style=\"--awb-title-font-size:20px;\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_d4114ee070b266ee8\"><a aria-expanded=\"false\" aria-controls=\"d4114ee070b266ee8\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-23445-1\" data-target=\"#d4114ee070b266ee8\" href=\"#d4114ee070b266ee8\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon fa-arrow-circle-up fas\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-arrow-alt-circle-down fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Malnutrition in Crohn\u00b4s Disease<\/span><\/a><\/h4><\/div><div id=\"d4114ee070b266ee8\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_d4114ee070b266ee8\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-23187 alignright\" src=\"https:\/\/staging.metax.org\/wp-content\/uploads\/Waldbeeren_Fotolia_33317200_M.jpg\" alt=\"\" width=\"300\" height=\"200\">People with Crohn&#8217;s disease often suffer from <strong>malnutrition<\/strong> because they may eat less or because their intestine cannot absorb nutrients properly.<\/p>\n<p class=\"fusion-responsive-typography-calculated\" style=\"--fontsize: 20; line-height: 1.25; --minfontsize: 20;\" data-fontsize=\"20\" data-lineheight=\"25px\"><strong>Malnutrition can:<\/strong><\/p>\n<ul>\n<li>worsen the course of the disease and reduce quality of life<\/li>\n<li>lead to additional complications<\/li>\n<li>increase the frequency of diesease flare-ups<\/li>\n<\/ul>\n<p>Malnourished patients are often hospitalized and suffer more frequently from serious infections.<sup>1, 2<\/sup><\/p>\n<div>\n<p><a href=\"https:\/\/metax.org\/en\/crohns-disease\/silneaibd\/\">Silnea<sup>IBD<\/sup><\/a> can be used as nutritional formula in cases of malnutrition, either neutral or flavored with <a href=\"https:\/\/metax.org\/en\/aromaxx-flavors\/\">AroMaxx<\/a>. The neutral powder can also be stirred into food. <\/p>\n<\/div>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-56f90cc73b3a90cad fusion-toggle-has-divider\" style=\"--awb-title-font-size:20px;\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_56f90cc73b3a90cad\"><a aria-expanded=\"false\" aria-controls=\"56f90cc73b3a90cad\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-23445-1\" data-target=\"#56f90cc73b3a90cad\" href=\"#56f90cc73b3a90cad\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon fa-arrow-circle-up fas\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-arrow-alt-circle-down fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Nutrition During Remission<\/span><\/a><\/h4><\/div><div id=\"56f90cc73b3a90cad\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_56f90cc73b3a90cad\"><div class=\"panel-body toggle-content fusion-clearfix\">If there are few symptoms, a normal, healthy diet is permitted &#8211; the important thing is: <strong>whatever is well tolerated is allowed<\/strong>. A <strong>food and symptom diary can help with this.<\/strong><sup>1,2<\/sup> <\/p>\n<div><\/div>\n<div>\n<p>Current guidelines recommend a healthy diet based on the recommendations of the German Nutrition Society (DGE):<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-22721\" src=\"https:\/\/staging.metax.org\/wp-content\/uploads\/AdobeStock_157568184-scaled.jpeg\" alt=\"\" width=\"320\" height=\"213\"><\/p>\n<ul>\n<li>eating sufficient amounts of fruits and vegetables<\/li>\n<li>avoiding highly processed foods and convenience products<\/li>\n<li>Avoiding additives such as preservatives, emulsifiers<br \/>\nor sweeteners<sup>8<\/sup><\/li>\n<\/ul>\n<p>Exclusion diets (e.g. a diet that completely avoids foods containing wheat (gluten) or dairy products) are generally <strong>not necessary<\/strong> unless there is a proven intolerance<sup>.1, <\/sup><span style=\"font-size: 0.5em; vertical-align: super;\">2<\/span><\/p>\n<\/div>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-c67cb69b94125ca78 fusion-toggle-has-divider\" style=\"--awb-title-font-size:20px;\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_c67cb69b94125ca78\"><a aria-expanded=\"false\" aria-controls=\"c67cb69b94125ca78\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-23445-1\" data-target=\"#c67cb69b94125ca78\" href=\"#c67cb69b94125ca78\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon fa-arrow-circle-up fas\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-arrow-alt-circle-down fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Is Nutritional Therapy Covered by Health Insurance?<\/span><\/a><\/h4><\/div><div id=\"c67cb69b94125ca78\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_c67cb69b94125ca78\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-22735 alignleft\" src=\"https:\/\/staging.metax.org\/wp-content\/uploads\/Familie_AdobeStock_487411591-scaled.jpeg\" alt=\"Shot of a happy family out on a morning walk together\" width=\"250\" height=\"158\">Yes, for children and adolescents with Crohn\u00b4s disease, nutritional therapy using products such as <a href=\"https:\/\/metax.org\/en\/crohns-disease\/silneaibd\/\">Silnea<sup>IBD<\/sup><\/a>, is considered medically necessary and may be covered <strong>by health insurance<\/strong>. Coverege may also be possible for adults when certain conditions are met. <\/p>\n<div>\n<p>With <a href=\"https:\/\/metax.org\/wp-content\/uploads\/metax_de_vo_silneaibd.pdf\"><strong>this card<\/strong> <\/a>you can inform your attending physician about the prescription.<\/p>\n<\/div>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-c049346af5c4a449d fusion-toggle-has-divider\" style=\"--awb-title-font-size:20px;\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_c049346af5c4a449d\"><a aria-expanded=\"false\" aria-controls=\"c049346af5c4a449d\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-23445-1\" data-target=\"#c049346af5c4a449d\" href=\"#c049346af5c4a449d\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon fa-arrow-circle-up fas\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-arrow-alt-circle-down fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">References<\/span><\/a><\/h4><\/div><div id=\"c049346af5c4a449d\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_c049346af5c4a449d\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<ol>\n<li>Sturm A et al. (2024) (2024) Deutsche Gesellschaft f\u00fcr Gastroenterologie, Verdauungs- und Stoffwechselkrankheiten (DGVS). Aktualisierte S3\u2011Leitlinie Diagnostik und Therapie des Morbus Crohn (Version 4.1) <\/li>\n<li>Deutsche Gesellschaft f\u00fcr Ern\u00e4hrungsmedizin; Arbeitsgemeinschaft Klinische Ern\u00e4hrung bei chronisch-entz\u00fcndlichen Darmerkrankungen (2024) S3-Leitlinie Klinische Ern\u00e4hrung bei CED. AWMF-Registernummer 073\u2011027. 2024  2024<\/li>\n<li>Bischoff et al. (2023) ESPEN practical guideline: Clinical Nutrition in inflammatory bowel disease.  <em>Clinical Nutrition<\/em><\/li>\n<li>Gordon et al. (2024) ECCO Guidelines on Therapeutics in Crohn&#8217;s Disease: Medical Treatment. <em>J Crohns Colitis<\/em>. 2024<\/li>\n<li>Montroy et al. (2020) The Effects Of Resistant Starches On Inflammatory Bowel Disease In Preclinical And Clinical Settings: A Systematic Review And Meta-Analysis. BMC Gastroenterology <\/li>\n<li>Venegas et al. (2019) Short Chain Fatty Acids (Scfas)-Mediated Gut Epithelial And Immune Regulation And Its Relevance For Inflammatory Bowel Diseases. Frontiers Of Immunology <\/li>\n<li>Pl\u00f6ger (2011) Die Kurzkettige Fetts\u00e4ure Butyrat Stabilisiert Die Epitheliale Barrierefunktion Des Darmes<\/li>\n<li>Deutsche Gesellschaft f\u00fcr Ern\u00e4hrung e.V. (2024) DGE recommendations &#8220;Eating and drinking well&#8221;. Bonn <\/li>\n<li>Looijer-Van Langen et al. (2009) Prebiotics In Chronic Intestinal Inflammation. Inflammatory Bowel Diseases <\/li>\n<\/ol>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":21,"featured_media":0,"parent":19309,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-23445","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/metax.org\/en\/wp-json\/wp\/v2\/pages\/23445","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/metax.org\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/metax.org\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/metax.org\/en\/wp-json\/wp\/v2\/users\/21"}],"replies":[{"embeddable":true,"href":"https:\/\/metax.org\/en\/wp-json\/wp\/v2\/comments?post=23445"}],"version-history":[{"count":10,"href":"https:\/\/metax.org\/en\/wp-json\/wp\/v2\/pages\/23445\/revisions"}],"predecessor-version":[{"id":23476,"href":"https:\/\/metax.org\/en\/wp-json\/wp\/v2\/pages\/23445\/revisions\/23476"}],"up":[{"embeddable":true,"href":"https:\/\/metax.org\/en\/wp-json\/wp\/v2\/pages\/19309"}],"wp:attachment":[{"href":"https:\/\/metax.org\/en\/wp-json\/wp\/v2\/media?parent=23445"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}