Treating inflammatory bowel disease (IBD) activity by changing a patient’s diet has long been one of the most desirable therapeutic strategies for IBD. Diet is a major concern for patients with IBD and “what should I eat?” is one of their most frequently asked questions.1 Many patients also seek dietary guidance with the belief that diet is safer than medical therapies (eg, biologics). Unfortunately, the scarcity of high-quality evidence supporting a specific dietary intervention has resulted in patients following exclusion diets lacking any evidence of efficacy and safety.