Tailored Anti-Inflammatory (A-I) Diet for Hispanics with Ulcerative Colitis (UC)

Inclusion Criteria:

• Documented diagnosis with ulcerative colitis from medical records.

• Self-Identify as Hispanic /Latino

• Ages 16-75

• SCCAI between 3-9 (no greater than 12 bowel movements a day)

• Fecal calprotectin > 150mg/dl.

• On stable medications for their disease for the past 3 months

• Likeability of Latin foods (starchy vegetables, rice, tropical fruits, plantains)

• No recent Inflammatory Bowel Disease (IBD) related hospitalization in the lastmonth.

Exclusion Criteria:

• Diagnosis of Crohn's Disease (CD).

• Prior ileoanal anastomosis (J-pouch) or diversion

• No recent hospitalizations on the last 4 weeks

• No Clostridium difficile or enteric infections on the last 4 weeks

• No use of probiotics on the last 4 weeks

• Patients following the specific carbohydrate diet or mediterranean diet oranti-inflammatory diet

• No active cancer or conditions limiting their ability to follow a diet (heartfailure, end stage renal disease)

• Pregnancy, breastfeeding or planning to become pregnant during study period

• Use of Total Parenteral Nutrition at the time of screening and during the studyperiod

• Other significant or life-threatening co-morbidities

• The need for antibiotic use during the study period

• Adults unable to consent

• Ages less than 16 and > 75 years old

• Prisoners