A food and symptom diary is the part of this process that does the actual work. The screen gives you a shortlist to start from; the diary is what turns that shortlist into something you can trust or discard. This page covers what to record, how long to record it for, how to spot reactions that arrive hours or days after the food, the mistakes that quietly ruin most diaries, and how to run a structured reintroduction at the end so your conclusions mean something.
It is written to be usable on paper. You do not need an app, a subscription or a lab. You need about four minutes a day and the discipline to write things down when they happen rather than reconstructing them at bedtime.
Before the practical part, it is worth being blunt about where the report fits, because it changes how you should treat what the diary tells you.
What the hair sample screen is:
What it is not:
That is why the diary matters more than the report. The diary is your data. The report only decides where you point the torch first.
A diary is most useful when the picture is muddy rather than obvious. It tends to be worth the effort if:
If your symptoms are severe, worsening, or accompanied by weight loss, bleeding, difficulty swallowing or persistent pain, stop here and see your GP first. A diary is not the right first step for those.
Six fields, every time. More than that and you will stop within a fortnight.
Write the clock time of every meal, drink and snack, and the clock time of every symptom. Without times you cannot measure the gap between eating and reacting, and that gap is the single most useful number in the whole exercise.
“Curry” is useless. “Chicken curry — takeaway, contained cream, ground almonds, garlic, chilli” is usable. Where you cannot know the ingredients, say so; an honest “unknown sauce” is better than a guess you will later treat as fact.
This is the field most people skip and the one that most often explains a confusing result. A splash of milk in tea and a bowl of cereal in milk are not the same exposure. Use grams, millilitres, or plain household measures — “2 slices”, “half a mug”, “roughly a fist-sized portion”. Consistency matters more than precision.
Rate each symptom 0 to 5, where 0 is absent and 5 is the worst you have known it. Numbers let you see a trend across six weeks; adjectives do not. Track no more than three or four symptoms, chosen at the start and kept the same throughout. Changing what you measure halfway through destroys the comparison.
One short line a day: hours slept, stress (0–5), alcohol, exercise, illness, medication or supplements taken, and — if relevant — where you are in your menstrual cycle. These explain a great many “mystery” bad days, and if you have not written them down you will end up blaming a food.
If digestive symptoms are part of your picture, note frequency and rough consistency once a day. It takes five seconds and it is often the first thing that shifts.
Four days from a diary kept during a baseline week. Note the times, the portions, and the confounder column.
| Day / time | Food and drink (with portion) | Symptoms (0–5) | Other factors |
|---|---|---|---|
| Mon 07:20 | Porridge, 50g oats, 200ml semi-skimmed milk, 1 banana | — | Slept 7h. Stress 2. |
| Mon 12:45 | Cheese sandwich — 2 slices white bread, ~40g cheddar; latte (large); crisps (25g) | — | |
| Mon 16:30 | — | Bloating 3, foggy 2 | ~3h 45m after lunch |
| Mon 19:15 | Chicken curry with cream (takeaway), 200g rice, 1 pint lager | — | |
| Mon 22:00 | — | Bloating 4, wind 3 | Late meal |
| Tue 07:30 | 2 slices toast, butter, black coffee | Bloating 2 on waking | Slept 6h. Stress 4 (deadline). |
| Tue 13:00 | Jacket potato, beans (200g), side salad, water | — | |
| Tue 17:00 | — | Bloating 1, foggy 1 | Gym 45 min |
| Tue 20:00 | Salmon, new potatoes, broccoli, water | — | Bowels: normal, once |
| Wed 08:00 | Greek yoghurt (150g), honey, tea with milk (splash) | — | Slept 8h. Stress 2. |
| Wed 12:30 | Pasta with tomato sauce (large bowl), garlic bread (2 pieces) | — | |
| Wed 16:45 | — | Bloating 4, foggy 3, headache 2 | ~4h after lunch |
| Thu 08:00 | Eggs (2), 1 slice toast, black coffee | — | Slept 7h. Stress 2. |
| Thu 13:15 | Chicken salad, olive oil, water | — | |
| Thu 17:30 | — | Bloating 1 | Best afternoon this week |
The tempting conclusion is “wheat and dairy”. Look again. Monday and Wednesday were the two heavy-bread, heavy-dairy days and also the two large-portion lunches. Tuesday had bread at breakfast and was mostly fine, but stress was 4 and sleep was short, which muddies it further. Thursday had eggs and no bread and was the best day — but it was also the smallest lunch of the week.
Four days cannot separate wheat from portion size from stress. What the diary has given you is a reasonable hypothesis and a clear next step, not an answer. That is genuinely all a diary of this length can do, and pretending otherwise is how people end up cutting out foods for years for no reason.
Reactions people describe as intolerance are frequently not immediate. Reported gaps commonly run from around thirty minutes to several hours, and sometimes into the following day. That delay is exactly why memory fails and why the diary needs times written at the moment, not at bedtime.
When you get a symptom, look at everything you ate in the previous 2, 6, 12 and 24 hours and mark them as candidates. Do this every time a symptom occurs. After two weeks, count how often each food appears in those windows. Foods that show up before nearly every bad episode are worth exploring first. Foods that show up equally often before good days are almost certainly noise.
Some reactions appear to depend on total amount over a day or two rather than one exposure. If you had a splash of milk on Monday and were fine, then a milky coffee, a yoghurt and a cheese sandwich on Wednesday and were not, the useful column is portion, not presence. This is why field three matters.
Sleep, dehydration, a virus, hormonal cycle, medication and stress all produce symptoms that look exactly like a food reaction. If you cannot explain a day, write “no clear trigger” and move on. Forcing an explanation onto every bad day is the fastest way to end up with a diet of six foods and no more information than you started with.
If cutting foods is making your diet narrow, stressful or socially difficult, ease off and speak to a GP or a registered dietitian. Long-term restriction has its own costs, and no screen is worth a worse diet.
Reintroduction is the half most people skip, and it is where nearly all the information is. Removing three foods and feeling better tells you almost nothing about which one, or whether it was the food at all. Bringing them back one at a time, deliberately, is what turns a hunch into something you can act on.
Budget roughly a week per food. Three foods is about three weeks of reintroduction on top of the six-week elimination, so the whole exercise runs to around two to three months including baseline. That is the honest timescale.
One to two weeks of baseline, six weeks of elimination, then roughly a week per food during reintroduction. Around ten to twelve weeks in total. If you only have the appetite for one stretch, make it the six weeks — it is also the condition attached to the 90-day money-back guarantee, alongside keeping the diary.
No. Household measures are fine — slices, mugs, handfuls — as long as you use them the same way each time. The point is being able to compare Tuesday with Thursday, not laboratory precision.
Write down what was going on — illness, poor sleep, a stressful fortnight — and keep the diary running. Do not restart. Confounded weeks are still usable if you have labelled them; they only become a problem when you have not recorded why the week was unusual.
Everything you eat and drink. If you only record the flagged items, you will never discover the trigger that was not on the list, and the screen has no proven accuracy — the list is a starting point, not a boundary.
It is a common and legitimate outcome. It usually means the improvement came from something other than that specific food — smaller portions, less alcohol, more regular meals, better sleep, or simply time. That is still useful information about yourself, and it is a more honest conclusion than picking a food to blame.
No, and neither can the screen. Those are clinical assessments made by a doctor, and coeliac testing in particular requires you to still be eating gluten when you are tested — so speak to your GP before you cut it out, not after. A diary can be genuinely helpful to bring to that appointment, because it gives your GP dates, timings and frequencies instead of a vague description.
When to speak to your GP. A food and symptom diary is a self-observation tool, and the hair sample screen is a non-medical wellness screen with no proven accuracy — neither diagnoses anything. See your GP if you have persistent or worsening symptoms, unexplained weight loss, blood in your stools, severe or ongoing pain, difficulty swallowing, or any symptom that worries you, and before starting any restrictive diet if you are pregnant, breastfeeding, taking medication, managing an existing condition, or planning an elimination for a child. Speak to your GP before removing gluten if coeliac disease has ever been suggested, because testing is unreliable once you have stopped eating it. If you have ever had swelling, a rash or breathing difficulty after a food, treat that as a possible allergy and seek medical assessment rather than running an elimination yourself.
More: Food Intolerance Guides