Rich in Flavour,
Gentle on
the Inside

A guide to herbs and spices from around the world — so you can cook with confidence, eat out without anxiety, and find gut-friendly flavour wherever you are.

Food should be one of the great pleasures of life — and during the Heal, Seal & Repair phase, it still can be. This guide is here to make sure of that.

What we have gathered here goes well beyond the herbs most commonly found in a western kitchen. The world's great cooking traditions — Indian, Chinese, Japanese, Thai, Vietnamese, Lebanese, Mexican, Moroccan, and more — contain some of the most gut-supportive, anti-inflammatory, deeply nourishing flavours on the planet. Many of them have been used medicinally for thousands of years.

If you have access to an Asian grocery, a Middle Eastern deli, or simply a well-stocked supermarket, you already have everything you need. This guide is also your companion when you're eating out or travelling — helping you spot which cuisines and dishes are gentler on your gut right now, and which to approach more carefully.

The same core principle applies throughout: fragrant and aromatic is your friend. Fiery and sharp is not.

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The one simple rule — still applies everywhere

Whether you're in a Thai restaurant, an Indian kitchen, or a Mexican taqueria: ask yourself — does this create heat, sharpness, or a burning sensation? If yes, set it aside for now. The world's gentlest, most gut-friendly flavours are aromatic, fragrant, warming without being fiery — and they exist in every cuisine on earth. You don't have to eat bland food. You just have to choose the right part of the flavour spectrum.

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A note on salt across cuisines

Good quality salt — Himalayan pink or a good sea salt — remains your friend in all cuisines. However, many Asian condiments use high-sodium fermented ingredients (fish sauce, soy sauce, miso, oyster sauce) that can be problematic during active healing. Coconut aminos remains your best swap across Asian-inspired cooking. Tamari (wheat-free soy sauce) can be trialled cautiously during reintroduction.

The real work is subtraction, not addition

Why these herbs are here — and why you can use them with confidence

You might be wondering: how do I know these herbs are actually safe right now? It's a fair question. There is a lot of noise in the world about what is good and what isn't, and it can be exhausting to know who to trust.

Here is the honest answer — and it's simpler than you might expect.

The most important thing this protocol does is not add healing foods. It removes the things that are getting in the way of healing.

An inflamed, irritated gut doesn't need more inputs. It needs a rest from the inputs that have been provoking it. The food lists — Ideal, Reasonable, Acceptable — were built through 26 years of clinical practice at the Holland Clinic, around one central question: what does this food or ingredient do to an already sensitised gut lining? If the answer is "irritate it, inflame it, or feed the wrong bacteria," it comes off the list. If the answer is "nothing harmful, and possibly something helpful," it stays.

The herbs in this guide are here for exactly that reason. They are not medicines. They are not supplements. They are simply flavour that doesn't provoke.

Layer one

No known harm

Every herb here is free from the compounds that directly irritate a healing gut: no capsaicin, no piperine, no high-FODMAP fructans, no direct gastric acid stimulants. This is the most important test — and they all pass it.

Layer two

Centuries of use

Ayurvedic medicine, traditional Chinese medicine, Mediterranean herbal traditions, and Indigenous healing practices across every continent have used many of these herbs specifically for digestive complaints — independently, over thousands of years. That convergence is meaningful.

Layer three

Modern evidence

For a number of herbs — turmeric, ginger, chamomile, fennel, cardamom, fenugreek — there is peer-reviewed research supporting anti-inflammatory or digestive benefits. Where this exists, we've noted it. Where it doesn't, layers one and two are enough.

On each herb card you'll find a short line explaining why it's safe right now — not a medical claim, just a plain-English reason. It will usually come down to one of three things: no irritating compounds, documented digestive benefits, or trusted in kitchens and clinics for so long that its safety is beyond reasonable question.

A small number of cards carry an additional note in purple — this is the perimenopause lens. These are herbs where the benefit goes beyond gut healing and speaks directly to what is happening hormonally and metabolically during this particular season of life: the insulin resistance, the cortisol disruption, the neuroinflammation, the sleep and mood changes. You don't need to seek these out specifically — but it is worth knowing they are doing more than one job.

A note on certainty — and personal judgement. Not every herb on this list has a clinical trial behind it. That is true of most of the food in your kitchen. What every herb here does have is a complete absence of the things known to cause harm during this phase — and that is the foundation of the protocol. The food lists at the Holland Clinic were built from this same principle, refined over 26 years in clinical practice: first, remove the obstacles. Then let the body do what it is designed to do.

This list is not a prescription. It is an invitation — a broad, generous one. Some of these herbs will be familiar to you. Others will be completely new. Some you may love immediately; others may not suit your palate or your system at all, and that is entirely fine. People can have strong aversions, sensitivities, or simply deep dislikes — all of which are worth honouring.

We are not asking you to use all of these, or even most of them. We are offering you a wide range so that wherever you find yourself — in your own kitchen, in a restaurant, in a country you've never cooked from before — there is something here that works for you. Use your own judgement. Trust your own body. The goal is that your meals feel like a pleasure, not a protocol.

Part One

The Western Kitchen

Your established foundation — the herbs most women already know and love. Gentle, aromatic, and deeply supportive of what we're doing right now.

Herbs that love your gut

Chamomile
Soothing
Why it's safe: No irritating compounds. Used in European herbal medicine for 2,000+ years specifically for gut spasm and inflammation — and peer-reviewed studies support its anti-inflammatory and antispasmodic effects.
In perimenopause: Chamomile contains apigenin, which binds to GABA receptors in the brain — the same receptors that progesterone metabolites act on. As progesterone declines, this calming pathway weakens. Chamomile tea, particularly in the evening, supports the nervous system calm that perimenopause often disrupts.

Think of chamomile as a warm hug for your stomach wall. It gently calms inflammation, relaxes the muscles of the digestive tract, and helps with that uncomfortable tightness or cramping feeling. Best as a plain tea — drink it warm, slowly, and often.

Best for: Tea throughout the day, especially after meals
Fennel
Carminative
Why it's safe: No irritating compounds. Fennel's active compound anethole has well-documented antispasmodic effects on the gut — used in European medicine for bloating and colic since ancient times.

Fennel is a natural gas-buster. It relaxes the smooth muscle of your digestive tract and helps trapped gas move through rather than building up into pressure and bloating. Use the bulb in soups and stews, the fronds as a fresh garnish — even fennel seeds steeped in hot water make a beautiful after-dinner tea.

Best for: Soups, broths, chicken dishes, as tea
Fresh Parsley
Soothing
Why it's safe: No irritating compounds. Mild, non-stimulating, and contains compounds that support liver detoxification and gentle digestive function. No capsaicin, no piperine, no FODMAPs.

Mild, fresh, and incredibly versatile. Parsley adds a gentle lift to almost any dish without doing anything provocative to your gut. It also has a quiet anti-inflammatory effect and supports healthy digestion. Scatter it freely on eggs, chicken, soups, and cooked vegetables.

Best for: Eggs, chicken, carrots, broth — basically everything
Thyme
Warming
Why it's safe: No irritating compounds. Thymol — thyme's active compound — has documented antimicrobial properties that support a healthy gut environment. Used in European medicine for respiratory and digestive health for centuries.

Thyme has a warm, earthy flavour that makes simple food taste like it came from a proper kitchen. It's also mildly antimicrobial — meaning it supports a healthy gut environment while you're healing. Fresh or dried, it's wonderful with chicken, eggs, and slow-cooked meats.

Best for: Chicken, slow-cooked beef, eggs, broth
Oregano
Warming
Why it's safe: No irritating compounds. Carvacrol and thymol in oregano are among the most studied natural antimicrobials — supportive of gut bacterial balance without causing irritation or acid stimulation.

Same family as thyme, similar benefits. Oregano has a slightly more robust flavour and is a natural antimicrobial and antifungal — which makes it quietly helpful during gut rebalancing. Dried oregano on eggs or stirred into broths is a simple upgrade.

Best for: Eggs, chicken, meat dishes, soups
Rosemary
Warming
Why it's safe: No irritating compounds. Rosemary contains rosmarinic acid, a well-studied antioxidant and anti-inflammatory. Aromatic without being pungent or acid-stimulating.

Bold and aromatic without being sharp or spicy. Rosemary works beautifully with lamb, beef, and chicken — especially slow-cooked. It has antioxidant properties and supports healthy digestion. A little goes a long way.

Best for: Slow-cooked lamb and beef, roasted chicken
Fresh Basil
Soothing
Why it's safe: No irritating compounds. Eugenol, basil's main active compound, has documented anti-inflammatory properties. Gentle on the gut lining — no acid stimulation, no FODMAP load.

Sweet, delicate, and anti-inflammatory. Basil adds a freshness that makes simple dishes feel elegant. Use it fresh rather than cooked — add it at the very end so it doesn't wilt and lose its character.

Best for: Eggs, avocado, fennel, zucchini dishes
Fresh Dill
Carminative
Why it's safe: No irritating compounds. Dill's volatile oils — particularly carvone — are documented carminatives, meaning they relax intestinal muscle and help move trapped gas. Used for digestive comfort in traditional medicine across Europe and the Middle East.

Dill has a delicate, slightly anise-like flavour and is a natural carminative — meaning it actively helps with gas and bloating. It's especially lovely with eggs, carrots, and chicken.

Best for: Eggs, carrots, chicken, light soups
Chives
Soothing
Why it's safe: The key reason chives are on the list when garlic and onion are not: they are very low in the fermentable fructans that trigger bloating and feed dysbiotic bacteria. The flavour is there. The problem isn't.

Chives give you a gentle, mild onion flavour without any of the fermentable carbohydrates that make actual onion and garlic problematic right now. Perfect when you're missing that savoury depth.

Best for: Eggs, broth, any dish missing savoury depth
Ginger
Carminative
Why it's safe: Well-studied in peer-reviewed research for gut motility, nausea, and digestive comfort. Gingerols and shogaols act on the gut without stimulating acid production the way pepper or chilli do. Modest amounts only — more is not better here.
In perimenopause: Perimenopause directly disrupts the gut microbiome — and a sluggish gut compounds every symptom. Ginger supports gut motility and reduces the systemic inflammation that is central to this transition. Its warming, circulatory action also has traditional use for easing the cold-then-flushed pattern many women experience.

Fresh ginger in small amounts is one of the best things you can have for sluggish digestion — it gently stimulates movement through the gut and helps with nausea and upper abdominal pressure. Note: use modestly if reflux is active — a little is helpful, too much can be overstimulating.

Best for: Warm broth, ginger tea, chicken soups — small amounts only
Turmeric
Soothing
Why it's safe: One of the most researched anti-inflammatory compounds in nature. Curcumin has hundreds of peer-reviewed studies behind it for gut inflammation and intestinal lining support. No acid stimulation. No irritating compounds. One of the most evidence-backed herbs on this entire list.
In perimenopause: Chronic inflammation is not just a gut issue — it is one of the central drivers of perimenopausal symptoms. Declining progesterone removes its natural anti-inflammatory protection, and neuroinflammation contributes directly to brain fog, mood changes, and cognitive difficulty. Turmeric addresses inflammation at the root level, not just in the digestive tract.

One of nature's most studied anti-inflammatory ingredients. A small pinch in broth, soups, or scrambled eggs adds a beautiful golden colour and a quiet warmth — without any heat. It actively supports gut lining repair.

Best for: Broth, soups, scrambled eggs — a small pinch
Bay Leaves
Warming
Why it's safe: No irritating compounds. Bay leaves are aromatic rather than pungent — they flavour without stimulating acid production. Used in cooking across every Mediterranean tradition for at least 2,000 years without any documented gut irritation.

You never eat a bay leaf, but it does something magical to whatever it cooks in. Drop one or two into your bone broth, soups, or slow-cooked dishes and the depth of flavour you get is remarkable.

Best for: Bone broth, soups, slow-cooked anything
Lemon
Soothing
Why it's safe: Already on the Ideal Foods list. Fresh lemon juice in food quantities does not add meaningfully to the acid load the way vinegar or large amounts of citric acid do. It supports liver and digestive function and is anti-inflammatory at normal culinary use.

Already on your Ideal Foods list. A squeeze of fresh lemon or some grated zest brightens dishes in a way almost nothing else does. It also supports digestion and liver function.

Best for: Chicken, asparagus, carrots, broths, light dressings
Coconut Aminos
Umami
Why it's safe: Soy-free, gluten-free, lower in sodium than soy sauce. Made from coconut blossom nectar — no fermented soy, no wheat, no compounds known to irritate a sensitive gut. The flavour substitute that asks nothing difficult of your gut in return.

A gentle, slightly sweet alternative to soy sauce. It adds a savoury, umami depth to stir-fries, cooked vegetables, and meat. No soy, no gluten, no inflammatory profile. A small drizzle goes a long way.

Best for: Stir-fried vegetables, chicken, bok choy dishes

What to set aside for now

Black & White Pepper
Skip for now

Pepper is a direct irritant to an inflamed gut lining — it stimulates acid production and can aggravate reflux very quickly. Even a small amount can undo a good day. The good news: it comes back later.

Why: Directly stimulates gastric acid and irritates the gut lining
Chilli & Paprika
Skip for now

Any form of chilli — fresh, dried, flaked, smoked — creates heat and irritation in an already sensitive gut. The capsaicin that gives chilli its kick directly stimulates pain receptors in the gut lining.

Why: Capsaicin irritates the gut lining and triggers an acid response
Garlic & Onion
Skip for now

Two of the most common gut irritants during the healing phase — high in fermentable carbohydrates that feed the wrong bacteria right now and create gas, bloating, and pressure. Chives give you the flavour without the problem.

Why: High FODMAP — feeds gas-producing bacteria in a dysbiotic gut
Mustard & Horseradish
Skip for now

Both are pungent and stimulating to the digestive system in ways that work against what we're doing right now. Mustard in particular can trigger acid reflux in a sensitive stomach.

Why: Stimulates gastric acid and can aggravate reflux
Vinegar
Use with caution

Apple cider vinegar has its benefits when the gut is healthy — but during active reflux or an inflamed gut lining, it adds to the acid load and worsens symptoms. If things are calm and settled, a very small amount before meals can be helpful.

Why: Adds to the acid load during active reflux
Spice Blends & Mixes
Skip for now

Curry powder, za'atar, harissa, mixed spice blends — these often contain combinations of pepper, chilli, and strong aromatic spices that are too stimulating for a healing gut. Stick to individual herbs you can identify and control.

Why: Often contain hidden irritants — pepper, chilli, high-acid spices
Part Two

East & Southeast Asian Kitchens

Chinese, Japanese, Korean, Thai, Vietnamese, Malaysian, and Indonesian cuisines share a beautiful tradition of using aromatic, medicinal herbs and spices. Many of the most gut-supportive ingredients on this entire guide come from this part of the world.

Eating out tip: Japanese and Vietnamese cuisines tend to be gentlest during the healing phase — broth-based dishes, steamed proteins, and fresh herbs feature heavily. Thai food can be wonderful if you ask for no chilli. Chinese stir-fries cooked in coconut aminos or light broth are also a good choice. Korean food is trickier — most dishes rely heavily on garlic, onion, and chilli — save it for a more settled phase.

Asian herbs that love your gut

Fresh Coriander (Cilantro)
Soothing
Why it's safe: No irritating compounds. Anti-inflammatory and liver-supportive. Used in Ayurvedic and Southeast Asian medicine for digestive health for millennia — and it has no known gut-irritating properties whatsoever.

The herb that divides people but rewards those who love it. Coriander leaf is anti-inflammatory, supports detoxification through the liver, and has gentle antimicrobial properties. Use the fresh leaves generously as a garnish on soups, broths, and chicken dishes. The stems carry just as much flavour — don't discard them.

Best for: Broths, chicken soups, steamed fish, Asian-style dishes
Lemongrass
Carminative
Why it's safe: No irritating compounds. Citral — lemongrass's active compound — has documented antispasmodic and carminative effects on the gut. Used throughout Southeast Asia specifically for nausea, bloating, and digestive cramping for centuries.

One of Southeast Asia's great digestive herbs. Lemongrass has a clean, citrusy, slightly floral fragrance and is a powerful carminative — it helps settle the digestive tract, reduce bloating, and ease nausea. Bruise a stalk and simmer it in broth or soups. It also makes a lovely tea. Remove before eating — the stalk is fibrous.

Best for: Bone broth, chicken soups, Thai-inspired broths, as tea
Kaffir Lime Leaves
Aromatic
Why it's safe: No irritating compounds. Citrus-family aromatic that is anti-inflammatory and antimicrobial. No acid stimulation, no pungency, no FODMAPs. Pure fragrance with therapeutic benefit.

These distinctive double-lobed leaves have a deeply fragrant, citrus-floral aroma that transforms simple broths and soups. They're anti-inflammatory and antimicrobial, and add elegance to chicken or fish without any irritation. Find them fresh or frozen at Asian grocers — dried versions still work.

Best for: Chicken broth, fish dishes, Thai-inspired soups — remove before eating
Galangal
Warming
Why it's safe: Same family as ginger but gentler. The compounds that make ginger occasionally over-stimulating in large quantities are less concentrated in galangal. Used in Thai and Indonesian traditional medicine for centuries for digestive comfort — and specifically noted as kinder than ginger on a sensitive stomach.

A relative of ginger with a more piney, citrusy, and less sharp flavour. Galangal has been used in traditional medicine across Southeast Asia for centuries specifically for digestive complaints. It's gentler on an inflamed gut than ginger, with a beautiful aromatic warmth. Slice it thinly into broths and soups.

Best for: Bone broths, chicken soups, Thai-style dishes
Thai Basil
Soothing
Why it's safe: Same family as Italian basil — same safety profile. Eugenol (also found in cloves) gives it both its distinctive flavour and its anti-inflammatory properties. No irritating compounds.

Slightly more robust than Italian basil, with a hint of anise and clove. Thai basil is anti-inflammatory and rich in antioxidants. It wilts quickly with heat, so add it at the very end of cooking or use it fresh as a garnish.

Best for: Stir-fries, broths, steamed fish, fresh as garnish
Vietnamese Mint (Rau Ram)
Carminative
Why it's safe: No irritating compounds. Carminative volatile oils similar in action to true mint — they relax intestinal muscle and help with gas and bloating. Widely used in Vietnamese cooking to accompany proteins specifically because it aids their digestion.

Not a true mint, but with a similar carminative quality. Vietnamese mint has a peppery, minty flavour and is used extensively in Vietnamese cooking to accompany proteins. It actively supports digestion and helps with bloating. Use it fresh, scattered over soups or steamed dishes.

Best for: Soups, steamed chicken, broth bowls, as fresh garnish
Pandan Leaves
Soothing
Why it's safe: No irritating compounds. Pandan contains 2-acetyl-1-pyrroline, which gives it its fragrance, and has documented calming properties. No FODMAP load, no acid stimulation — pure gentle flavour.

Used across Southeast Asia for their delicate vanilla-like fragrance, pandan leaves are gently calming to the digestive system. Tie a leaf into a knot and simmer it in soups or broths. They also make a calming tea. The flavour they impart is subtle and beautiful — distinctly Southeast Asian.

Best for: Broths, teas, rice dishes during reintroduction
Star Anise
Carminative
Why it's safe: Same active compound as fennel (anethole) — the same carminative, antispasmodic properties that make fennel so valuable. Used in Chinese medicine for over 3,000 years specifically for digestive relief. One star is enough — the benefit is real without needing to overdo it.

The star-shaped spice that gives Chinese five-spice and pho their distinctive, warming depth. Star anise is a powerful carminative — it relieves gas, bloating, and digestive cramping. A single star simmered in your bone broth or slow-cooked meat transforms the entire flavour profile. Use one at a time — it's generous.

Best for: Bone broth, slow-cooked beef and lamb, Vietnamese pho-style soups
Ceylon Cinnamon
Warming
Why it's safe: Ceylon cinnamon (as opposed to Cassia) is low in coumarin and contains cinnamaldehyde, which has documented anti-inflammatory and blood-sugar-supporting properties. No pungency, no acid stimulation. The distinction between Ceylon and Cassia matters — Ceylon is genuinely kinder.
In perimenopause: Declining estrogen reduces the brain's glucose utilisation by around 25%, making insulin resistance a central feature of this transition — not a separate problem. Cinnamon's blood sugar support is directly relevant here. It helps moderate the glucose spikes and energy crashes that drive carbohydrate cravings, brain fog, and weight gain around the middle.

True Ceylon cinnamon — the soft, pale sticks, not the sharp Cassia variety — has a gentle warmth that supports gut motility, blood sugar balance, and has notable anti-inflammatory properties. Use a Ceylon cinnamon stick in broth or a pinch in warm drinks. Choose Ceylon specifically — it's kinder than Cassia.

Best for: Bone broth, warm drinks, slow-cooked dishes — Ceylon only
Cloves
Warming
Why it's safe: Eugenol — cloves' active compound — is one of the most studied natural antimicrobials. At culinary amounts (one or two cloves), it supports gut environment without irritation. Used in traditional medicine globally for gut health and oral health for millennia. Quantity is key — a little is beneficial, a lot is too much.

Intensely aromatic and antimicrobial, cloves have been used for gut health in traditional medicine for millennia. A single clove in a broth or slow-cooked dish adds incredible depth. Cloves are antifungal and antimicrobial — supportive of gut environment healing. Used sparingly, they are a powerful quiet ally.

Best for: Bone broth, slow-cooked lamb and beef — one or two only
Cardamom
Carminative
Why it's safe: No irritating compounds. Documented in peer-reviewed research to reduce gastric distress, relieve nausea, and ease bloating. One of the most widely trusted digestive spices in Ayurvedic and Chinese medicine — and with modern evidence to back it.

Sweet, floral, and deeply carminative. Cardamom calms nausea, eases bloating, and freshens the system after eating. Ground cardamom in a warm drink or a pod cracked open in tea is a gentle and beautiful way to support digestion.

Best for: Warm drinks, chai-inspired teas, broth, slow-cooked chicken
Shiso (Perilla)
Soothing
Why it's safe: No irritating compounds. Perilla ketone and rosmarinic acid (also found in rosemary) give shiso its antioxidant and anti-inflammatory properties. Used in Japanese and Korean medicine for allergic and inflammatory conditions. No FODMAPs, no acid stimulation.

A Japanese herb with a remarkable flavour somewhere between basil, mint, and anise. Shiso is rich in antioxidants and has anti-inflammatory properties well-documented in Japanese medicine. Use fresh green shiso as you would basil — scattered over proteins, soups, or salads. Find it at Japanese or Korean grocers.

Best for: Steamed fish, chicken, light broths, Japanese-inspired dishes
Spring Onion Tops (Green Only)
Soothing
Why it's safe: The green tops are low in fructans — the fermentable carbohydrates concentrated in the white bulb that drive bloating and feed dysbiotic bacteria. This is the same reason chives are on the list when onion and garlic are not. Use only the green — the flavour is there, the problem isn't.

The green tops of spring onions are low in the fermentable fructans found in the white bulb. They give you that gentle, fresh onion flavour that appears in almost every Asian cuisine, without the FODMAP problem. Use only the green portion — set the white bulb aside for now.

Best for: Any Asian-inspired dish, scattered over broths, stir-fries

Asian flavours to set aside for now

Chilli & Chilli Pastes
Skip for now

Gochujang, sambal, sriracha, chilli oil, fresh bird's eye chilli, dried chilli flakes — all forms of chilli need to wait. This is one of the hardest asks if you love Southeast Asian or Korean food, but capsaicin is genuinely one of the most disruptive things for an actively healing gut.

Why: Capsaicin directly irritates gut lining and triggers acid secretion
Garlic & Shallots
Skip for now

Garlic is the backbone of almost every Asian cuisine. Fried shallots, garlic oil, spring onion bulbs — all contain fructans that feed dysbiotic bacteria. Ask for dishes without garlic when eating out. Use the green tops of spring onions only.

Why: High FODMAP — drives gas and bloating during gut healing
Soy Sauce & Fish Sauce
Skip for now

Both are fermented, high-sodium condiments that can be disruptive during active healing. Soy sauce contains gluten (unless tamari), and fish sauce can trigger reactions in sensitive guts. Coconut aminos remains your best alternative. Tamari can be trialled carefully during reintroduction.

Why: High sodium, potential gluten (soy sauce), reactive in sensitive guts
Szechuan Pepper
Skip for now

Creates a distinctive mouth-numbing heat and acts as a strong stimulant to the digestive tract. Different in mechanism from black pepper but similarly disruptive during an inflamed healing phase. A wonderful spice — just not right now.

Why: Stimulates gut motility too aggressively during active inflammation
Wasabi
Skip for now

Intensely pungent and a direct stimulant to the gastric mucosa. If sushi is your go-to eating-out option, simply ask for it without wasabi — the fish itself is a wonderful choice during healing.

Why: Pungent compounds directly aggravate an inflamed gut lining
Part Three

Indian & South Asian Kitchens

Indian cooking has one of the world's most sophisticated spice traditions — and many of its most beloved spices are genuinely therapeutic. The challenge is navigating around the heat and the high-FODMAP aromatics. But when you do, there is extraordinary flavour available to you.

Eating out tip: Indian restaurants can be navigated — look for tandoori-style dishes (dry-spiced, grilled proteins), or ask if dishes can be made without chilli and with minimal garlic. South Indian cuisine (particularly Kerala-style) often uses coconut-based gravies that tend to be gentler than North Indian curries. Dhal can be enjoyed during reintroduction.

Indian spices that love your gut

Turmeric
Soothing
Why it's safe: Curcumin has hundreds of peer-reviewed studies supporting its anti-inflammatory and gut-lining-protective effects. Used in Ayurvedic medicine for 4,000+ years for gut healing. One of the most evidence-backed herbs on this entire list — and it contains nothing that irritates.
In perimenopause: Systemic inflammation — not just gut inflammation — is a defining feature of this transition. Declining progesterone removes its natural anti-inflammatory protection, and neuroinflammation directly drives brain fog, mood changes, and cognitive difficulty. Turmeric used daily addresses this at a foundational level.

In Ayurvedic and Indian cooking, turmeric has been used for gut healing, wound healing, and inflammation for over 4,000 years. The active compound curcumin is one of the best-studied anti-inflammatory agents in nature. A small pinch in any savoury dish. Use consistently for cumulative benefit.

Best for: All savoury cooking — a pinch wherever it suits
Coriander Seed
Carminative
Why it's safe: No irritating compounds. Linalool — coriander seed's main volatile oil — has documented antispasmodic and carminative effects. Used in Ayurvedic medicine as a primary digestive remedy for millennia. One of the safest spices in any kitchen.

The dried seed of the coriander plant — warm, citrusy, gently nutty. It is one of the most ancient carminative spices in the world, and is used in Ayurvedic medicine specifically for digestive complaints. Ground coriander can be used in spice rubs, broths, and meat dishes.

Best for: Spice rubs for chicken and lamb, broths, slow-cooked dishes
Cumin
Carminative
Why it's safe: No irritating compounds. Cuminaldehyde — cumin's active compound — has documented effects on digestive enzyme stimulation and bile production. Research supports its use for bloating, gas, and sluggish digestion. Safe at all culinary quantities.

Earthy, warm, and one of the world's most used digestive spices. Cumin seeds stimulate digestive enzymes, support liver function, and actively help with bloating and gas. Ground cumin or whole seeds can be used in chicken, lamb, and vegetable dishes.

Best for: Chicken, lamb, roasted vegetables, warm broths
Cardamom
Carminative
Why it's safe: No irritating compounds. Peer-reviewed evidence supports cardamom for reducing gastric distress and nausea. Central to Ayurvedic medicine for digestive comfort for thousands of years — and with modern evidence that confirms what traditional medicine already knew.
In perimenopause: The energy crashes and intense carbohydrate cravings driven by insulin resistance are one of the most destabilising features of perimenopause. Cardamom has documented effects on blood sugar and metabolic function — and the simple act of ending a meal with cardamom tea supports both digestion and glucose regulation at once.

Central to Indian cooking in both savoury and sweet preparations. The pods can be cracked and simmered in chai, broths, or slow-cooked chicken. Cardamom relieves nausea, calms digestive cramping, and freshens the system post-meal. One of the most gut-kind spices in any kitchen.

Best for: Chai teas, slow-cooked chicken, warming broths
Fenugreek
Soothing
Why it's safe: Fenugreek's soluble fibre (galactomannan) has documented gut-lining-coating and anti-inflammatory properties. Peer-reviewed research supports its use for digestive inflammation and blood sugar support. Used in Ayurvedic medicine for gut healing specifically. Use modestly — a little is helpful, more is unnecessary.
In perimenopause: Fenugreek's blood sugar support is directly relevant — insulin resistance is a central feature of the perimenopausal metabolic shift. It also contains diosgenin, a plant compound with weak phytoestrogen-like properties. At culinary amounts this is considered safe and potentially supportive, but women on hormone therapy should mention it to their practitioner.

A slightly bitter, maple-scented seed that is remarkable for gut healing. Fenugreek has significant research behind it for reducing gut inflammation, soothing the intestinal lining, and supporting healthy digestion. It also supports blood sugar balance. Use modestly — it has a distinctive flavour that becomes unpleasant in excess.

Best for: Gentle spice rubs, slow-cooked lamb, broths
Curry Leaves
Aromatic
Why it's safe: No irritating compounds. Carbazole alkaloids in curry leaves are documented antioxidants and antimicrobials. No capsaicin, no piperine, no acid stimulation. An aromatic leaf — all flavour, no provocation.

Not the same as curry powder — these are the fresh or dried leaves of the curry leaf tree, used throughout South Indian and Sri Lankan cooking. They have a warm, aromatic, slightly citrusy flavour with no heat whatsoever. They are antimicrobial and antioxidant-rich. Fry them briefly in coconut oil until fragrant and use them to season broths and cooked vegetables.

Best for: South Indian-style dishes, broths, coconut-based soups
Asafoetida (Hing)
Carminative
Why it's safe: Specifically used in Ayurvedic medicine as a garlic-and-onion substitute for people who cannot tolerate high-FODMAP foods. Its carminative action reduces gas and bloating actively. The pungent raw smell disappears on cooking — transformed into something gentle and savoury.

One of the most powerful carminative spices in the world — and often used in Indian cooking as a substitute for garlic and onion for people who cannot tolerate them. Asafoetida smells pungent raw but mellows dramatically when cooked in oil. Use the tiniest pinch — it is potent. It actively reduces gas and bloating.

Best for: A tiny pinch in hot oil before cooking vegetables
Ajwain (Carom Seeds)
Carminative
Why it's safe: Thymol — ajwain's primary compound, shared with thyme — is a well-documented antispasmodic and carminative. Used in Indian Ayurvedic medicine specifically for bloating, gas, and digestive sluggishness. Traditional practice of chewing seeds after meals has a genuinely sound mechanism behind it.

Ajwain tastes like a concentrated version of thyme — intensely aromatic, warm, and slightly sharp. In Indian tradition it is used specifically for digestive complaints: gas, bloating, and sluggish digestion. Ajwain seeds can also be chewed directly after meals as a digestive — a simple, effective practice used across India.

Best for: Spice rubs, chewed as a digestive after meals

Indian spices to set aside for now

Chilli — all forms
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Indian cooking has a breathtaking range of chilli varieties — Kashmiri, green, red, dried — and most traditional curry pastes and spice blends contain some form. Ask for dishes without chilli when eating out, or make your own spice blends at home using the gentle spices above.

Why: Capsaicin — all the same reasons as above
Garlic & Onion (in quantity)
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The base of almost every North Indian curry. At home you can omit them and use asafoetida (hing) and fresh coriander instead. Indian food is genuinely difficult to navigate during active healing — a settled reintroduction phase is a better time to enjoy it more freely.

Why: High FODMAP — disruptive to a healing gut microbiome
Garam Masala & Spice Blends
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Most commercial garam masala blends contain pepper, cloves in large quantity, and sometimes chilli. Building your own blend from individual spices listed above gives you complete control and the flavour depth without the irritation.

Why: Contains pepper and stimulating compounds in concentrations too high for healing phase
Part Four

Middle Eastern & North African Kitchens

Lebanese, Persian, Turkish, Moroccan, and Egyptian cooking traditions use herbs and spices with extraordinary generosity and finesse. Many are deeply anti-inflammatory. This cuisine translates beautifully to the healing phase — with a few careful navigations.

Eating out tip: Lebanese restaurants are often one of the best options during the healing phase. Grilled meats and vegetables (without harissa or chilli), fresh herb dishes, and simple lemon-dressed dishes are plentiful. Ask for garlic-free options. Persian and Turkish restaurants are also good choices — grilled proteins and roasted vegetables are generally safe.

Middle Eastern herbs that love your gut

Sumac
Soothing
Why it's safe: No irritating compounds. Sumac provides tartness through gallic acid — an antioxidant — not through acetic acid (vinegar) or citric acid. It adds a sour note without the acid load that can provoke reflux. One of the safest flavour additions in this entire guide.

A ground, deep-red spice with a tart, lemony flavour — it adds sourness to dishes without any acid load from vinegar or citrus. Sumac is rich in antioxidants and has anti-inflammatory properties. It is used generously in Lebanese and Turkish cooking scattered over meats, grilled vegetables, and fresh herbs.

Best for: Grilled chicken and lamb, roasted carrots, scattered over broth bowls
Fresh Mint
Carminative
Why it's safe: Menthol — mint's active compound — is one of the best-studied natural antispasmodics for the digestive tract. Peer-reviewed research supports peppermint for IBS, bloating, and gut spasm. No acid stimulation, no irritating compounds. One of the most trusted digestive herbs across every global tradition.
In perimenopause: Mint has a documented cooling and vasodilatory effect that traditional medicine has long associated with relief from hot flushes and the sensation of internal heat. While it is not a hormonal intervention, mint tea — cold or warm — is one of the simplest, most accessible tools for managing the heat and agitation that comes in waves.

Mint is used lavishly in Middle Eastern cooking — in tabbouleh, as tea, scattered over grilled meats and salads. It is one of the best carminatives available — it relaxes the digestive tract, eases cramping, and helps with gas and bloating. Fresh mint tea is one of the most effective after-meal digestive aids across all global traditions.

Best for: Fresh mint tea, scattered over meats and salads, in broth
Dried Mint
Carminative
Why it's safe: Same safety and benefit profile as fresh mint. The drying process concentrates the volatile oils — including menthol — so dried mint is actually a more potent carminative per teaspoon than fresh. No irritating compounds.

In Middle Eastern cooking, dried mint is used differently from fresh — rubbed over meats or stirred into dishes. It retains strong carminative properties in its dried form. Keep a jar in the spice cupboard and scatter it freely wherever fresh mint isn't available.

Best for: Lamb dishes, soups, yoghurt-based dishes (reintroduction)
Saffron
Soothing
Why it's safe: No irritating compounds. Crocin and safranal — saffron's active compounds — have documented antioxidant, anti-inflammatory, and mood-supporting properties in peer-reviewed research. One of the most therapeutic spices in the world, and completely without any gut-irritating properties.
In perimenopause: Saffron has peer-reviewed evidence specifically for mild-to-moderate depression and anxiety — two of the most common and least discussed symptoms of the perimenopausal transition. The neuroinflammation driven by declining progesterone disrupts serotonin and dopamine production; saffron's active compounds have demonstrated measurable impact on this pathway.

The world's most precious spice — and a genuinely therapeutic one. Saffron has documented anti-inflammatory, antioxidant, and mood-supporting properties. It adds an extraordinary golden colour and floral, honey-like flavour to broths and chicken. A few threads steeped in warm water then added to cooking is all it takes. Expensive, but a little goes a very long way.

Best for: Bone broth, slow-cooked chicken, Persian-inspired dishes
Allspice (Whole Berry)
Warming
Why it's safe: Eugenol — the same compound in cloves and basil — is allspice's primary active component. Antimicrobial and anti-inflammatory at culinary amounts. No piperine, no capsaicin, no acid stimulation. Aromatic warmth without provocation.

Despite its name, allspice is a single spice — the dried berry with a flavour reminiscent of cloves, cinnamon, and nutmeg combined. It is central to Lebanese and Syrian cooking, particularly in meat dishes. It has antimicrobial properties and adds a beautiful, warming complexity to slow-cooked dishes.

Best for: Lebanese-style lamb and beef, slow-cooked dishes, bone broth
Dried Fenugreek Leaves (Methi)
Soothing
Why it's safe: Same therapeutic plant as fenugreek seed — anti-inflammatory, gut-lining supportive. The dried leaf form is gentler in flavour and easier to use. No irritating compounds. Cross-cultural evidence from Persian, North Indian, and Ethiopian traditions all points to the same safety and digestive benefit.

The dried leaves of the fenugreek plant are used across Persian and Indian cooking as an herb — crumbled over dishes like a dried herb. The flavour is earthy, slightly bitter, and distinctly aromatic. The gut-soothing and anti-inflammatory properties are the same as the seed, but the leaf is subtler and easier to use.

Best for: Persian-style chicken, slow-cooked lamb, scattered over broths
Cinnamon (Savoury Use)
Warming
Why it's safe: Ceylon cinnamon specifically is documented to support gut motility and blood sugar balance. Used in savoury Middle Eastern dishes for centuries without any documented gut irritation. The key is choosing Ceylon — Cassia contains higher coumarin levels and is the variety to be more careful with in large amounts.
In perimenopause: The same blood sugar support that makes cinnamon valuable in sweet dishes applies equally here in savoury form. Using cinnamon in slow-cooked lamb or chicken — as Persian and Moroccan traditions have done for centuries — is a beautiful way to moderate glucose response at the main meal of the day.

Middle Eastern cooking uses cinnamon in savoury dishes — in lamb tagines, Persian rice, and Moroccan chicken. This is one of the traditions that understood cinnamon's therapeutic warmth long before modern research confirmed it. A cinnamon stick in slow-cooked lamb or chicken creates depth and warmth without any heat.

Best for: Slow-cooked lamb, Moroccan-style chicken, broths

Middle Eastern flavours to set aside for now

Harissa
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A North African chilli paste that is deeply delicious but genuinely too stimulating for a healing gut. It appears in many Middle Eastern and Moroccan restaurant dishes — worth asking specifically about when you eat out.

Why: Chilli-based — capsaicin content
Za'atar (commercial blends)
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The individual components of za'atar — dried thyme, oregano, sumac — are largely fine. However, commercial za'atar blends often contain black pepper. If you make your own at home using thyme, oregano, sesame seeds, and sumac without pepper, it is a wonderful healing-phase blend.

Why: Commercial blends often contain hidden pepper
Ras el Hanout
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A complex Moroccan spice blend that often contains up to 30 different spices — including chilli, pepper, and stimulating compounds in concentrations that are too much for a healing gut. Save it for a later phase when you can enjoy Moroccan cooking more freely.

Why: Complex blend containing pepper, chilli, and stimulating compounds
Part Five

Latin American Kitchens

Mexican, Peruvian, Brazilian, and Colombian cuisines are vivid, herb-forward, and surprisingly navigable during the healing phase — if you set the chilli aside temporarily. The use of fresh citrus, coriander, cumin, and avocado aligns beautifully with what we're doing.

Eating out tip: Mexican restaurants are better than you might think — grilled proteins with fresh salsa (ask for no chilli), guacamole, lime, and fresh coriander are all very manageable. Peruvian restaurants often offer clean grilled fish and chicken dishes. Avoid anything with chilli sauces, hot salsas, or chipotle marinades.

Latin American herbs that love your gut

Fresh Coriander (Cilantro)
Soothing
Why it's safe: No irritating compounds. Anti-inflammatory, liver-supportive, and contains linalool — the same calming compound in lavender. Used in every cuisine on this list across five continents for the same reason: it is delicious and completely without provocation.

The herb that defines Latin American cooking — scattered over everything from tacos to ceviche to soups. Coriander leaf supports liver detoxification, is anti-inflammatory, and adds a fresh, bright flavour that makes simple grilled proteins feel complete. Use it with complete freedom.

Best for: Any grilled protein, soups, broth bowls, as a garnish everywhere
Lime
Soothing
Why it's safe: On the Ideal Foods list. Same reasoning as lemon — fresh citrus juice in culinary quantities does not add meaningfully to the gut's acid load. Supports liver detoxification and contains flavonoids with documented anti-inflammatory properties.

Like lemon, lime is on the Ideal Foods list and is used with extraordinary generosity in Latin cooking. Fresh lime juice over chicken, fish, avocado, or as a base for simple dressings brightens every dish. It supports digestion and liver function. The zest adds an intense, fragrant hit that goes a long way.

Best for: Grilled chicken and fish, avocado, simple dressings, broths
Cumin
Carminative
Why it's safe: No irritating compounds. Documented digestive enzyme stimulation and carminative action. Shared between Indian, Latin American, and Middle Eastern traditions as a primary digestive spice — that level of cross-cultural convergence over thousands of years is its own form of evidence.

Already in the Indian section — but equally foundational in Mexican and South American cooking. Cumin in a spice rub for grilled chicken or lamb is a simple, beautiful choice that is also actively supportive of digestion. One of the most versatile crossover spices between cuisines on this list.

Best for: Spice rubs for chicken and lamb, broths, simple seasoning
Epazote
Carminative
Why it's safe: No irritating compounds at culinary amounts. Its traditional use specifically to counter gas from beans tells you everything about its carminative mechanism. The fact that it was adopted into cooking practice for this purpose — not just as flavour — is its own evidence of effect.

A wild herb used in Mexican cooking with a distinctive, slightly medicinal, herby flavour. Traditionally added specifically to bean dishes to reduce their gas-producing effects — which tells you everything about its carminative power. Find it at Latin grocers or specialty stores.

Best for: Bean dishes during reintroduction, broths, slow-cooked chicken

Latin American flavours to set aside for now

Chipotle & Ancho Chilli
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Chipotle (smoked jalapeño) and ancho (dried poblano) are the backbones of many Mexican sauces and marinades. Smoky, deeply flavoured — and still capsaicin-containing. These are worth the wait. They will be available to you during reintroduction.

Why: Capsaicin — heat regardless of smokiness
Achiote (Annatto)
Trial in reintroduction

Achiote gives dishes a beautiful orange-red colour and earthy flavour. It is not spicy but can be irritating to a very sensitive gut in paste form. The ground seed alone in small quantities is lower risk — trial it carefully in reintroduction if you enjoy Peruvian or Yucatecan-style cooking.

Why: May irritate a sensitive gut in paste or concentrated form
Part Six

African Kitchens

East African, West African, and Ethiopian cuisines bring a rich and diverse spice tradition. Some of the world's most potent anti-inflammatory spices originate on the African continent — and with careful navigation, there is a great deal to embrace here.

Eating out tip: Ethiopian restaurants are notoriously difficult during active healing — injera contains gluten, and most stews are spiced with berbere. East African-style grilled meats and fish (Swahili or Kenyan coastal cuisine) are far more accessible — grilled proteins with lemon, coriander, and simple spices translate well.

African herbs and spices that love your gut

Grains of Paradise
Warming
Why it's safe: The crucial distinction: grains of paradise contain paradol and gingerol-family compounds — warming without piperine. Piperine is the specific compound in black pepper that directly stimulates gastric acid and irritates the gut lining. Grains of paradise do not contain piperine. This is what makes them your healing-phase pepper substitute.

A West African spice that looks like black pepper but is entirely different in character — warm, subtly peppery, with hints of cardamom and ginger. Critically, it does not contain piperine (the compound in black pepper that irritates the gut lining). This makes it one of the most exciting discoveries for women missing that peppery depth during the healing phase. Find it at specialty spice stores.

Best for: Use anywhere you'd normally reach for black pepper — your healing-phase substitute
Rooibos
Soothing
Why it's safe: Caffeine-free. Contains aspalathin — an antioxidant unique to rooibos with documented anti-inflammatory properties. No tannins in quantities that irritate the gut lining (unlike regular tea or coffee). One of the most universally well-tolerated warming drinks available.
In perimenopause: Caffeine is a cortisol stimulant — and cortisol dysregulation is one of the most disruptive features of this transition, contributing to the wired-but-tired pattern, inverted sleep rhythms, and weight held around the middle. Rooibos gives you the ritual and comfort of a warm drink without the cortisol hit. A genuinely meaningful swap, not just a pleasant alternative.

South Africa's gift to gut health. Naturally caffeine-free rooibos tea is rich in antioxidants, has anti-inflammatory compounds, and is gentle on the most sensitive digestive systems. It makes a wonderful alternative to regular tea throughout the healing phase — warming, comforting, and nourishing. Available in most supermarkets.

Best for: As a daily tea — hot or cold, throughout the healing phase
Hibiscus (Dried)
Soothing
Why it's safe: No irritating compounds. Hibiscus anthocyanins are documented antioxidants with anti-inflammatory properties. The tartness comes from organic acids (hibiscus acid and malic acid) that do not add meaningfully to the gut acid load in tea form. Check with your practitioner if you are on blood pressure medication — hibiscus has genuine blood-pressure-lowering activity.

Dried hibiscus flowers, used in West African, Mexican, and Middle Eastern drinks, make a beautifully tart, deep-crimson tea rich in antioxidants that supports healthy inflammation levels. A refreshing iced or hot tea. Note: avoid if on blood pressure medication without checking with your practitioner first.

Best for: As a tea — hot or cold; a beautiful alternative to fruit juice
Fenugreek (North African)
Soothing
Why it's safe: Same plant, same therapeutic profile as in the Indian section. The fact that fenugreek appears across Ayurvedic medicine, North African cooking, and Ethiopian herbal traditions — completely independently — is a strong cross-cultural signal of both safety and effect.

Used across North African and Ethiopian cooking — same therapeutic properties as described in the Indian section. Ground fenugreek in small quantities in spice rubs or broths is a gentle, gut-supportive addition. Use it as a bridge between these two spice traditions.

Best for: Spice rubs, gentle broths, North African-inspired chicken

African spices to set aside for now

Berbere
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The essential Ethiopian spice blend — complex, deep, and containing significant chilli and black pepper. For now, the individual non-chilli components (coriander, cardamom, fenugreek) can give you some of that flavour character without the irritation.

Why: Chilli and pepper content
Suya Pepper (Yaji)
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The West African spice blend used for suya that typically contains chilli alongside other spices. The meat preparation itself is wonderful — the spice blend needs to wait. Ask for suya without the spice mix where possible.

Why: Chilli content and potentially high-irritant compounds
Quick Reference

Your global spice shelf — at a glance

Everything you need to know on one page.

Yes — right now, from every cuisine

✓  Western kitchen

  • Good sea salt or Himalayan salt
  • Chamomile (tea)
  • Fennel (bulb, fronds, seeds, tea)
  • Fresh parsley
  • Thyme (fresh or dried)
  • Oregano (fresh or dried)
  • Rosemary
  • Fresh basil
  • Fresh dill
  • Chives
  • Ginger (small amounts)
  • Turmeric (small pinch)
  • Bay leaves
  • Lemon juice & zest
  • Coconut aminos

✓  Asian kitchen

  • Fresh coriander / cilantro
  • Lemongrass
  • Kaffir lime leaves
  • Galangal
  • Thai basil
  • Vietnamese mint (rau răm)
  • Pandan leaves
  • Star anise (1 at a time)
  • Ceylon cinnamon
  • Cloves (1–2 only)
  • Cardamom
  • Shiso / perilla
  • Spring onion tops (green only)

✓  Indian & Middle Eastern

  • Coriander seed (ground)
  • Cumin (seed or ground)
  • Fenugreek (small amounts)
  • Curry leaves
  • Asafoetida / hing (tiny pinch)
  • Ajwain / carom seeds
  • Sumac
  • Fresh mint
  • Dried mint
  • Saffron
  • Allspice (whole berry)
  • Dried fenugreek leaves (methi)

✓  Global additions

  • Lime juice & zest (Latin)
  • Epazote (Latin)
  • Grains of paradise — pepper substitute (African)
  • Rooibos tea (South African)
  • Hibiscus tea (West African / Latin)
  • Cinnamon in savoury dishes

Not right now — from every cuisine

✗  The universal no list

  • Black pepper & white pepper
  • Szechuan pepper
  • Chilli — all forms, all cuisines
  • Paprika (smoked or regular)
  • Garlic & onion (in quantity)
  • Shallots & leek bulbs
  • Mustard & horseradish
  • Wasabi
  • Vinegar (if reflux is active)
  • Soy sauce & fish sauce
  • All commercial spice blends
  • Harissa & chilli pastes
  • Garam masala & curry powder
  • Ras el hanout & berbere
  • Sriracha & chilli oils
  • Gochujang & sambal

✗  Introduce carefully later

  • White miso (fermented — settle gut first)
  • Tamari / gluten-free soy (reintroduction)
  • Garlic & onion (reintroduction, monitored)
  • Achiote paste (cautiously)
  • Black pepper (later in reintroduction)
  • Za'atar (homemade without pepper is fine now)