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Adverse reactions to foods can be a significant cause of symptoms in some patients with chronic fatigue syndrome, although the contribution of diet is not always easy to recognize. In order to understand why this is so, the problem offood intolerance must first be viewed in a broader perspective. For several decades, food "allergy" has been one ofthe most confused and controversial areas of clinical medicine. Only in recent years have advances in immunology, pharmacology and food science made it possible to begin understanding the diverse manifestations of food reactions and their underlying pathophysiology.1,2 It is now becoming clear that although foods can have adverse effects for a variety of reasons, the vast majority ofthose encountered in clinical practice fall |
