What foods can help alleviate Multiple Sclerosis symptoms. How does nutrition impact MS management. Which dietary choices support overall health for individuals with Multiple Sclerosis. What role do antioxidants play in MS symptom relief. How can omega-3 fatty acids benefit those with MS.

The Power of Turmeric in Managing MS Symptoms

Turmeric, a vibrant orange-yellow spice commonly used in Indian cuisine, has gained attention for its potential benefits in managing Multiple Sclerosis (MS) symptoms. The key component responsible for its therapeutic properties is curcumin, a compound known for its neuroprotective and immunomodulatory effects.

How can turmeric be incorporated into your diet? Consider these options:

• Sprinkle it on cooked vegetables
• Add it to whole-grain rice dishes
• Consume it in capsule form as a supplement

Is turmeric safe for everyone? While generally well-tolerated, it’s crucial to consult with your healthcare provider before adding turmeric supplements to your regimen, especially if you’re taking other medications. Some drug interactions may occur, potentially leading to unwanted side effects.

Vitamin D: A Crucial Nutrient for MS Patients

Vitamin D plays a vital role in bone health and immune system regulation, making it particularly important for individuals with MS. People with this condition are at an increased risk of osteoporosis, a condition characterized by weakened bones prone to fractures. Additionally, vitamin D may help mitigate the inflammation associated with MS symptoms.

How can you ensure adequate vitamin D intake? Consider these sources:

• Sunlight exposure (with proper skin protection)
• Oily fish like salmon and tuna
• Yogurt and eggs
• Fortified cereals and orange juice

Should you consider a vitamin D supplement? Given the importance of this nutrient for MS patients, it’s advisable to discuss supplementation with your healthcare provider. They can assess your individual needs and recommend an appropriate dosage if necessary.

Antioxidant-Rich Fruits and Vegetables: Nature’s Defense Against MS Symptoms

A diet rich in fruits and vegetables provides a powerful array of antioxidants, which can help combat inflammation and potentially reduce the frequency of MS relapses. Aiming for five servings of produce daily can significantly boost your antioxidant intake and support overall health.

Which fruits and vegetables are particularly beneficial for MS patients? Consider incorporating these antioxidant powerhouses into your diet:

• Onions
• Apples
• Citrus fruits
• Berries
• Black grapes

Beyond their antioxidant content, fruits and vegetables offer ample fiber, which aids in maintaining healthy digestion – a crucial factor for many MS patients who may struggle with constipation.

Ginger: A Natural Remedy for MS-Related Symptoms

Ginger, long revered for its medicinal properties in various cultures, has shown promise in alleviating several MS-related symptoms. Research suggests that ginger may help modulate the immune system and potentially improve memory problems and muscle pain – common challenges faced by individuals with MS.

How can you incorporate ginger into your diet? Try these methods:

• Add freshly peeled and chopped ginger to stir-fries
• Steep peeled ginger root in hot water to make a soothing tea
• Consider ginger supplements in capsule form (after consulting with your healthcare provider)

Is fresh ginger more effective than supplements? While both forms can be beneficial, some experts suggest that fresh ginger root may offer the most potent health benefits. However, individual responses may vary, so it’s essential to find the method that works best for you.

Fiber-Rich Foods: Combating Constipation in MS Patients

Constipation is a common issue for many individuals with MS, making adequate fiber intake crucial for maintaining digestive health. Insoluble fiber, in particular, can be especially beneficial as it passes through the digestive system largely undigested, promoting regular bowel movements.

Which foods are rich in insoluble fiber? Consider adding these to your diet:

• Prunes and prune juice
• Whole wheat bread
• Brown rice
• Other whole grains

How much fiber should you aim for daily? Most adults should strive for at least 25 grams of fiber per day. However, it’s important to increase fiber intake gradually and ensure adequate hydration, as fiber absorbs water in the digestive tract.

Green Tea: A Soothing Beverage with Potential MS Benefits

Green tea has gained attention for its potential to alleviate certain MS symptoms, particularly muscle weakness and fatigue. A small study found that compounds in green tea, including epigallocatechin gallate (EGCG), may help reduce these common challenges faced by MS patients.

How much green tea should you consume to see potential benefits? The study participants who experienced improvements drank green tea daily for at least three months. However, it’s important to note that more research is needed to establish definitive guidelines.

What other potential benefits does green tea offer for MS patients?

• Supports immune system function
• Helps reduce inflammation
• May slow cognitive decline associated with MS

Dairy Alternatives: Exploring Options for MS Patients

The relationship between dairy consumption and MS remains a topic of debate in the scientific community. Some studies suggest a potential link between cow’s milk proteins and MS symptoms, while others find no significant association. However, for individuals with MS who also have lactose intolerance, avoiding dairy products may be beneficial.

If you’re considering reducing or eliminating dairy from your diet, what are some suitable alternatives?

• Almond milk
• Soy milk
• Rice milk
• Oat milk

When choosing dairy alternatives, look for products fortified with calcium to help maintain bone health, which is particularly important for MS patients who may be at increased risk of osteoporosis.

Omega-3 Fatty Acids: Fighting Inflammation in MS

Omega-3 fatty acids, found abundantly in certain types of fish, have shown promise in reducing inflammation and potentially improving outcomes for MS patients. A large-scale study revealed that individuals with MS who consumed 10 grams of fish oil daily were less likely to experience relapses or increased disability.

Which fish are rich in omega-3 fatty acids? Consider incorporating these options into your diet:

• Herring
• Mackerel
• Albacore tuna
• Sardines
• Salmon

What if you don’t eat fish or follow a vegetarian diet? Discuss alternative sources of omega-3s with your healthcare provider, such as fish oil supplements or flaxseed oil.

Low Saturated Fat Diets: Potential Benefits for MS Patients

Some research suggests that diets low in saturated fat may be beneficial for individuals with MS. Additionally, reducing saturated fat intake is generally recommended for overall health, as it’s associated with an increased risk of heart disease and other health issues.

How can you reduce saturated fat in your diet? Consider these strategies:

• Choose lean protein sources like skinless chicken instead of fatty red meat
• Incorporate plant-based protein sources such as beans and lentils
• Opt for low-fat or fat-free dairy products (if you consume dairy)

Are there additional benefits to choosing plant-based proteins? Beans and lentils are not only low in saturated fat but also high in fiber and folate, which may help reduce the frequency of MS attacks.

Whole Grains: Supporting Energy Levels and Digestive Health

Incorporating whole grains into your diet can offer numerous benefits for individuals with MS. These complex carbohydrates provide sustained energy, helping to combat fatigue – a common symptom of MS. Additionally, the fiber content in whole grains supports digestive health and may aid in weight management.

How many servings of whole grains should you aim for daily? Nutrition experts recommend consuming 3-5 servings of healthy whole grains each day. Some excellent options include:

• Whole-wheat pasta
• Quinoa
• Brown rice

Do whole grains offer any other potential benefits for MS patients? Some research suggests that the magnesium and iron found in whole grains might help slow the progression of MS, although more studies are needed to confirm this effect.

Customizing Your MS Diet: Working with Healthcare Professionals

While the dietary recommendations discussed can be beneficial for many individuals with MS, it’s crucial to remember that everyone’s nutritional needs and responses to different foods may vary. Working closely with your healthcare team, including a registered dietitian specializing in MS, can help you develop a personalized nutrition plan that addresses your specific symptoms and health goals.

What factors should be considered when creating a personalized MS diet plan?

• Individual symptoms and disease progression
• Existing dietary restrictions or food allergies
• Medication interactions with certain foods
• Personal food preferences and cultural considerations

How often should you review and adjust your MS diet plan? Regular check-ins with your healthcare team, at least annually or more frequently if symptoms change, can help ensure your nutrition strategy remains optimized for your current health status.

The Role of Hydration in Managing MS Symptoms

Proper hydration is crucial for everyone, but it takes on added importance for individuals with MS. Adequate fluid intake can help manage various MS symptoms and support overall health.

How does staying hydrated benefit MS patients?

• Helps regulate body temperature, which can be challenging for some MS patients
• Supports proper digestion and helps prevent constipation
• May help reduce fatigue and improve cognitive function
• Assists in the proper functioning of medications

What are the best beverage choices for staying hydrated with MS? While water should be your primary source of hydration, other options can include:

• Herbal teas (such as the aforementioned ginger tea)
• Infused water with slices of fruits or vegetables
• Low-sugar electrolyte drinks, especially during periods of increased physical activity or heat exposure

How much fluid should you aim to consume daily? While individual needs may vary, a general guideline is to drink at least 8 cups (64 ounces) of water per day. However, factors such as activity level, climate, and certain MS symptoms may increase your fluid requirements.

Mindful Eating Practices for MS Symptom Management

Adopting mindful eating habits can complement your dietary choices in managing MS symptoms. This approach involves paying close attention to your body’s hunger and fullness cues, as well as the sensory experience of eating.

How can mindful eating benefit individuals with MS?

• Helps prevent overeating, which can exacerbate fatigue and other symptoms
• Encourages better digestion through slower, more thorough chewing
• May reduce stress-related eating, which could lead to poor nutritional choices
• Increases awareness of how certain foods affect your symptoms

What are some practical tips for implementing mindful eating?

1. Eat without distractions (e.g., turn off the TV, put away your phone)
2. Take small bites and chew thoroughly
3. Pay attention to the flavors, textures, and aromas of your food
4. Pause periodically during meals to assess your level of fullness
5. Use smaller plates to help control portion sizes

Can mindful eating help with weight management in MS patients? Yes, by promoting a more conscious relationship with food, mindful eating can support healthy weight maintenance, which is important for managing MS symptoms and overall health.

Meal Planning and Preparation Strategies for MS Patients

Effective meal planning and preparation can make it easier to maintain a healthy diet while managing the challenges of MS. By streamlining these processes, you can ensure you’re consistently nourishing your body with beneficial foods, even on days when symptoms like fatigue or mobility issues are more pronounced.

What are some effective meal planning strategies for individuals with MS?

• Plan meals for the entire week in advance
• Create a grocery list based on your meal plan to avoid impulse purchases
• Incorporate a variety of MS-friendly foods to ensure balanced nutrition
• Prep ingredients or entire meals in advance when energy levels are higher
• Use slow cookers or instant pots for easy, hands-off meal preparation

How can you make meal preparation more manageable with MS symptoms?

1. Use adaptive kitchen tools designed for individuals with limited mobility or strength
2. Arrange your kitchen to minimize movement and maximize efficiency
3. Consider batch cooking and freezing portions for easy reheating on low-energy days
4. Explore meal delivery services that offer healthy, MS-friendly options
5. Enlist the help of family members or friends for shared meal preparation sessions

Can meal planning help with medication management? Yes, planning your meals can help ensure you’re taking medications at the appropriate times in relation to food intake, which can be crucial for optimal absorption and effectiveness of certain MS treatments.

Foods to Eat to Feel Better With MS

Medically Reviewed by Nayana Ambardekar, MD on April 16, 2022

This bright orange-yellow spice is common in Indian cooking, but you can use it in many dishes. Its main ingredient, curcumin, may protect nerve cells and adjust the body’s immune system. You can sprinkle it on everything from cooked vegetables to whole-grain rice, or take it in a capsule. Curcumin is safe for most people, but it may cause side effects if you take some medicines. So check with your doctor before you take it as a supplement.

If you have MS, you’re at risk of osteoporosis, a condition that makes your bones weaker and more likely to break. Vitamin D can help protect you from the problem. It may also help curb the inflammation that fuels MS symptoms. Sunlight helps your skin make the nutrient, but oily fish like salmon or tuna, yogurt, eggs, cereals, and fortified orange juice are good food sources. You may also want to ask your doctor if you should take a vitamin D supplement.

When you eat five servings of them a day, you’re loading up on antioxidants, which can help ease inflammation. If you eat them regularly, they may help you prevent relapses. Produce also has plenty of fiber, which keeps your digestion running smoothly. Load your plate with foods high in antioxidants, like onions, apples, citrus fruits, berries, and black grapes.

You might use it as a baking spice, but in other parts of the world, ginger is best known as a medicinal plant. Studies show that it may help calm the immune system and might even improve memory problems and muscle pain, which are common MS symptoms. You can take it in a capsule, but fresh ginger root may give you the most benefit. Peel, chop, and add it to stir-fries. Or steep a piece of peeled root in hot water to make tea.

“Insoluble” fiber is your best choice. You’ll find it in prunes or their juice, whole wheat bread, brown rice, and other whole grains. Your body doesn’t fully digest this fiber, so it passes through your system. That’s a good thing. It helps prevent constipation, a common problem for people with MS. Most people should aim to get at least 25 grams of fiber each day. Since it absorbs water, make sure you also drink plenty of fluids each day.

Got muscle weakness and fatigue? A cup of soothing green tea may help. A small study found that some of its compounds, including one called EGCG, may help ease these symptoms. People saw results after they drank green tea every day for at least 3 months. The drink may also bolster the immune system, ease inflammation, and slow the effects MS can have on your thinking.

Some studies show a link between cow’s milk and MS. One theory is that the proteins in dairy products can irritate the immune system. Other research does not suggest a link to MS. But if you do have lactose intolerance, then it is best to stay away from dairy.If you want to try cutting back on dairy products, swap out your usual milk, ice cream, butter, and cheese for versions made from almond, soy, rice, or oats. Look for products that have added calcium to help protect your bones.

Herring, mackerel, albacore tuna, sardines, and salmon all have omega-3 fatty acids, which can help reduce inflammation in the body. One large study showed that people with MS who took 10 grams of fish oil a day were less likely to relapse or become more disabled.) If you’re a vegetarian or don’t like fish, ask your doctor about getting omega-3s from fish oil supplements or flaxseed oil.

Some science has shown that diets low in saturated fat can help people with MS. Plus, it’s linked to heart disease and other health problems, so it’s best to limit how much you get. When you eat protein, skip fatty red meat for leaner cuts like skinless chicken. Or swap meat for beans and lentils. They’re high in fiber and folate, which may help reduce MS attacks.

Aim to eat 3-5 servings of healthy whole grains such as whole-wheat pasta, quinoa, or brown rice every day. Their complex carbohydrates can prevent energy spikes and help you feel less tired. And their fiber will help you manage your weight and avoid constipation. The right amount of magnesium and iron, which whole grains have, might also help slow the effects of MS, although scientists need more research to know for sure.

IMAGES PROVIDED BY:

1) Aamulya / Getty Images
2) svariophoto / Getty Images
3) Kinga Krzeminska / Getty Images
4) Wavebreakmedia Ltd / Getty Images
5) Arx0nt / Getty Images
6) kuppa_rock / Getty Images
7) dropStock / Getty Images
8) gbh007 / Getty Images
9) Karisssa / Getty Images
10) Elizaveta Antropova / Getty Images

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Multiple Sclerosis Society of Canada: “Healthy Eating: A Guide for People with MS.”
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Hadgkiss, E. Nutritional Neuroscience, April 2015.
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Brum, D. Arquivos de Neuro-Psiquitria, February 2014.
Bowling, A. Momentum: The National MS Society Magazine, Summer 2011.
Xie, L. International Immunopharmacology, March 2011.
Shishodia, S. Annals of the New York Academy of Sciences, November 2005.
National Institutes of Health/Office of Dietary Supplements: “Vitamin D.”
Oregon State University, Linus Pauling Institute Micronutrient Information Center: “Curcumin.”
Hasson, J. Momentum: The National MS Society Magazine, Fall 2008.
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NutritionMD.org: “Multiple Sclerosis: Nutritional Considerations.”
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Marrie, R., Neurology, Oct. 27, 2009.
Jelinek, G. The International Journal of Neuroscience, November 2013.
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Foods to Avoid, Eat, and More

Multiple sclerosis (MS) is one of the most common neurological disorders. It affects almost 914,000 U.S. adults and over 2.1 million people worldwide, and it’s two to three times more common among women than men (1, 2).

This article explains how diet may affect MS and provides a guide for dietary changes that may help manage its symptoms.

Multiple sclerosis (MS) is an autoimmune disorder that gradually destroys the protective coverings that wrap around your nerve fibers. These coverings are called myelin sheaths.

Over time, this disease can permanently damage your nerves, affecting communication between the brain and body (3).

Symptoms of MS include (3):

• fatigue
• tingling and numbness
• bladder and bowel dysfunction
• movement difficulties and spasticity
• impaired vision
• learning and memory difficulties

MS is highly complex, and the way the disease progresses varies from person to person. Scientists are still not certain what causes MS and how to cure it, but they do know immune, environmental, and genetic factors are involved. (4).

Although diet cannot cure MS, some research suggests that making dietary changes may help people with MS better manage their symptoms. This, in turn, may improve their quality of life (5, 6).

Summary

Multiple sclerosis (MS) is a neurological condition that gradually destroys the protective coverings, which are called myelin sheaths, that wrap around your nerve fibers. Scientists do not fully understand the disease, and there is no cure.

Currently, there are no official dietary guidelines for people with MS.

No two people with MS experience it the same way (4).

However, scientists believe a combination of genetic and environmental factors may cause the disease, as well as that nutrition can have an influence. The fact that MS is more prevalent in Western countries than in developing nations is one clue that diet may play a key role (7).

That is why dietary guidelines and recommendations for people with MS should aim to help manage symptoms to improve overall quality of life.

Diet may help with MS in several ways, including:

• preventing or controlling its progression
• helping manage its symptoms
• reducing flare-ups

Ideally, an MS-friendly diet should be:

• high in antioxidants to fight inflammation
• high in fiber to aid bowel movements
• adequate in calcium and vitamin D to fight osteoporosis
• pack plenty of vitamins and minerals to fight fatigue and promote wellness

It should also limit foods that have been linked to chronic inflammation and other poor health outcomes, or those that simply make day-to-day activities more difficult for someone with MS.

Some evidence suggests that other dietary patterns, including ketogenic diets, may help improve symptoms in people with MS. However, this research is ongoing, and scientists need to further investigate the role of diet in MS.

A study involving 60 people with MS found that fast-mimicking diets, or a dietary pattern that involves periodic cycles of low calorie intake, and ketogenic diets had potential to treat relapsing-remitting multiple sclerosis (RRMS). Still, the researchers suggested that more high-quality studies on the effects of fast-mimicking diets in humans were needed (8).

Another study that gave people with MS a ketogenic diet that restricted carbohydrate intake to less than 20 grams per day for 6 months found that the diet helped improve fatigue and depression, promoted fat loss, and reduced inflammatory markers (9).

A separate study found certain nutrients, including fish oil, B vitamins, N-acetylcysteine, and CoQ10, may benefit people with mild to moderate MS, potentially leading to better general functioning, as well as an improved quality of life and ability to move around (10).

The nutrients associated with these positive changes included increased fat, cholesterol, folate, iron, and magnesium intakes. On the other hand, decreased carb intake appeared to be beneficial (10).

Clinical trials investigating the effects of ketogenic diets and intermittent fasting on MS are currently underway (11).

Current evidence suggests that a modified paleolithic diet and taking supplements may help improve perceived fatigue in MS patients (12).

There’s also evidence that people with MS are more likely to be deficient in some nutrients, including vitamins A, B12, and D3 (13).

Preliminary evidence suggests that taking certain vitamins, minerals, fatty acids, antioxidants, plant compounds, and melatonin may help improve some symptoms (13).

Scientists need to do more research before making official recommendations about many of the dietary patterns discussed above. However, preliminary research is promising.

Summary

There are no official dietary guidelines for MS. However, research suggests that making certain dietary changes may help slow disease progression and help manage MS symptoms to improve quality of life.

Based on current and ongoing research, an MS-friendly diet should help people with MS manage their symptoms.

In particular, it should help manage disease progression and aim to minimize the effects that common MS symptoms have on overall quality of life.

Here is a list of foods to include on an MS-friendly diet:

• fruits and vegetables: all fresh fruits and vegetables
• grains: all grains, such as oats, rice, and quinoa
• nuts and seeds: all nuts and seeds
• fish: all fish, especially fresh fish and fatty oily fish, such as salmon and mackerel, as they’re high in omega-3 fatty acids and vitamin D
• meats: all fresh meats, such as beef, chicken, lamb, and more, especially beef liver which is particularly high in vitamin D and biotin
• eggs: good source of biotin, vitamin D, and other important nutrients
• dairy products: such as milk, cheese, yogurt, and butter
• fats: healthy fats, such as olive, flaxseed, coconut, and avocado oils
• probiotic-rich foods: such as yogurt, kefir, sauerkraut, and kimchi
• beverages: water, herbal teas
• herbs and spices: all fresh herbs and spices

In short, the guidelines for an MS-friendly diet are similar to an overall nutrient-rich, well-balanced diet. However, it emphasizes consuming more plant-based foods and grains.

That is because plant-based foods and grains are higher in fiber, vitamins, minerals, and fluid, which can help with MS symptoms, such as constipation, fatigue, and bladder dysfunction.

They’re also higher in plant-based compounds that function as antioxidants, which are molecules that help defend your cells against free radical damage and inflammation. These compounds may help fight inflammation and potentially slow MS progression (14, 15).

Fish, particularly fatty fish, such as salmon and mackerel, appear to be beneficial for MS, possibly because they’re high in anti-inflammatory omega-3 fatty acids. They’re also high in vitamin D, which can help keep your bones strong when combined with calcium (16, 17, 18).

Current research on the effects of red meat and saturated fat intakes on MS symptoms shows mixed results. However, eating red meat in moderation, while focusing on more fruits, vegetables, and grains, is likely beneficial for people with MS (19, 20).

Dairy products also show mixed results. In some studies, dairy products have been linked to disease activity. However, they’re a good source of calcium, vitamin D, vitamin A, and potassium, so you can try including them in moderation on an MS-friendly diet. Talk with your doctor if you believe dairy products are making your MS symptoms worse (21, 22, 23).

In addition, some research shows that people with MS may have a higher risk of celiac disease, an autoimmune condition that causes damage to the small intestine in the presence of gluten (24).

Gluten is a group of proteins in wheat, barley, and rye.

If you have MS and experience extreme discomfort when eating gluten-based products, such as bread, pasta, crackers, and baked goods, it’s important to notify your healthcare team to see whether you have celiac disease. Other symptoms of celiac disease include bloating, diarrhea, fatigue, abdominal pain, chronic headaches, and anemia.

People with MS who do not have celiac disease may still benefit from healthy grains in their diet.

Summary

Eating plenty of fruit, vegetables, grains, and fish may help with managing MS symptoms. A person with MS may eat red meat and dairy in moderation, as current research on their effects is mixed.

While an MS-friendly diet allows plenty of nutrient-dense, delicious options, there are still some food groups you should limit to help manage MS symptoms.

Most of these foods are linked to chronic inflammation. They include processed meats, refined carbs, trans fats, and sugar-sweetened beverages, just to name a few (25, 26, 27).

Here’s a list of foods to avoid if you have MS:

• processed meats: such as sausages, bacon, canned meats, and meats that are salted, smoked, or cured
• refined carbs: such as white bread, pasta, biscuits, and flour tortillas
• fried foods: such as french fries, fried chicken, mozzarella sticks, and doughnuts
• highly processed foods: such as fast food, potato chips, and convenience and frozen meals
• trans fats: such as margarine, shortening, and partially hydrogenated vegetable oils
• sugar-sweetened beverages: such as energy and sports drinks, soda, and sweet tea
• alcohol: limit consumption of all alcoholic beverages as much as possible

If you have celiac disease, aim to avoid all gluten-based foods, such as foods containing wheat, barley, and rye.

Summary

An MS-friendly diet is similar to a diet focused on promoting overall health and well-being. It restricts some foods, such as processed meats, refined carbs, and trans fats. These foods do not help manage MS symptoms and may worsen inflammation.

Several diets specifically aim to help slow progression and prevent flare-ups of MS. They include the Swank diet and variations of the Wahls diet. These diets are popular within the community of individuals with MS.

Swank diet

The Swank diet for MS is a low-fat, low-saturated fat eating pattern that neurologist Dr. Roy Swank, MD, PhD, developed in 1948 (28). Its recommendations include:

• avoid processed foods that contain saturated fat or hydrogenated oils
• limit saturated fat to 15 grams per day; consume no more than 20 to 50 grams per day of unsaturated fats
• avoid red meat for 1 year, then limit red meat to 3 ounces per week
• avoid dark meat poultry and limit fatty fish to 50 grams per day
• choose only dairy with 1% fat or less
• avoid egg yolks
• consume as many fruits and vegetables as you want
• enjoy whole grain breads, rice, and pastas
• snack on nuts and seeds daily
• consume 1 teaspoon of cod liver oil, and a multi-vitamin and mineral supplement daily

Research on the efficacy of the Swank diet is limited to a series of reports Dr. Swank published. The reports follow a group of individuals with RRMS who adhered to the Swank low fat diet for 50 years. Dr. Swank assessed individuals for compliance with the diet, frequency and severity of MS attacks, and performance status (wheelchair use, ability to walk, and ability to work) (28).

Those who adhered to the diet (consumed 20 grams of fat or less) had fewer and less severe MS-related exacerbations than those who consumed greater than 20 grams of fat. Individuals with lower performance status at the start of the observation period or who were in the progressive phase of MS were likely to experience continued decline, even if they complied with the Swank diet (28).

While Swank’s studies had a long follow-up duration and large cohort size, they were not randomized controlled trials and were subject to several forms of bias. Larger, better-designed studies are needed to determine whether the Swank diet can help improve symptoms or delay progression of MS.

Wahls diet

Dr. Terry Wahls developed the modified Paleolithic Wahls diet for managing MS in 2008.

The Wahls diet is a version of the Paleolithic (Paleo) diet, which recommends you eat meat, fish, eggs, vegetables, fruits, nuts, seeds, herbs, spices, healthy fats, and oils, and that you avoid processed foods, sugar, grains, most dairy products, legumes, artificial sweeteners, vegetable oils, margarine, and trans fats.

The modified Paleo Wahls diet makes the following recommendations beyond the Paleo diet (28):

• eat nine or more cups of fruits and vegetables daily (three cups each of green leafy vegetables, sulfur-rich vegetables, and intensely colored fruits or vegetables)
• emphasize consumption of seaweed, algae, and nutritional yeast
• consume limited servings of gluten-free grains and legumes
• avoid eggs
• consume lower meat and fish intake than the Paleo diet

In one small randomized, controlled trial, 17 individuals with RRMS who followed the Wahls diet for three months experienced improved quality of life and less fatigue compared to those who continued their usual diet (29). More studies are needed to assess the effectiveness of the modified Paleo Wahls diet.

Dr. Wahls developed The Wahls Elimination diet in 2015, which recommends avoiding all grains (including those that are gluten-free), legumes, and nightshades (including tomatoes, white potatoes, eggplant, peppers, and seed spices) to reduce lectin in the diet (28).

It also recommends avoiding all dairy and allows for unlimited consumption of saturated fat. Like the modified Paleolithic Wahls diet, the Wahls Elimination diet recommends at least nine cups of fruits and vegetables daily, as well as seaweed, nutritional yeast, and fermented foods.

While a study comparing the impact of the Swank and Wahls Elimination diets on MS-related fatigue and quality of life is currently underway, no research is available on the efficacy of the Wahls Elimination diet (28).

It is important to note that diets that exclude whole food groups (like grains and dairy in the Wahls Elimination diet) increase the probability of nutritional insufficiency. However, taking supplements when on these diets can help reduce the risk of nutritional deficiency.

Summary

Both the Swank diet and Wahls Elimination diet were developed to slow progression and prevent flare-ups of MS. Limited research on the efficacy of these diets for MS is promising; however, more well-designed research is needed. Keep in mind, any diet that eliminates whole food groups (like the Wahls Elimination diet) increases your risk for nutritional insufficiency.

In addition to the diet guidelines above, people with MS may want to consider the following food tips to help manage their symptoms.

• Make sure you eat enough food. Eating too few calories can cause fatigue.
• Prep your meals in advance. If you have time, batch-making meals can help you save energy later. If you’re often fatigued, this can be especially helpful.
• Rearrange your kitchen. Place food, utensils, and other equipment in areas that are close by and easy for you to clean up. This will help you save energy.
• Try “ready-to-use” items. Buying precut fruits and veggies can help you shave minutes off cooking time and make cooking simpler.
• Make thicker drinks. If you have difficulty swallowing, preparing thicker beverages like a nutrient-rich smoothie may be easier to manage.
• Soft foods may help. If chewing too much is making you fatigued, try choosing softer foods like baked fish, bananas, avocado, and cooked veggies.
• Limit crumbly foods. If you have difficulty swallowing or find yourself choking on food often, consider limiting foods that crumble, such as toast and crackers.
• Reach out for help. Even if you do not like asking for help, having members of your support network help with small tasks, like preparing meals, cleaning, or simply setting the table, can help ease your fatigue.
• Stay active. Although exercise can make a person with MS feel fatigued, it’s especially important for helping achieve and manage optimal health and a moderate weight. It’s also important for preventing osteoporosis, which is more common among people with MS.

If you have other MS-related concerns not addressed above, it’s important to notify your healthcare team. They can offer personalized tips to help you manage your symptoms better.

Summary

The tips listed above can help improve your quality of life with MS by helping you maintain a moderate weight and manage symptoms like fatigue and swallowing issues.

If you are considering changing your diet to help control your MS symptoms and would like more information, here are some good resources:

• National Multiple Sclerosis Society — Diet and Nutrition
• Swank MS Foundation — The Swank Low-Fat Diet for the Treatment of MS
• American Autoimmune Related Diseases Associtaion, Inc. — The Wahls Protocol
• National Multiple Sclerosis Society — Vitamins, Minerals & Herbs in MS
• National Multiple Sclerosis Society — Diet and Multiple Sclerosis: A Neurologist’s Perspective

A registered dietitian nutritionist (RDN) who specializes in MS can make personalized dietary recommendations to help you manage your symptoms and reduce flare-ups of MS. To find one near you, use the Find a Nutrition Expert search function at the Academy of Nutrition and Dietetics website.

Multiple sclerosis (MS) is an autoimmune condition that affects the nervous system.

There are no official dietary guidelines for MS. However, making certain dietary changes may help relieve common MS symptoms, such as constipation and fatigue, as well as improve overall quality of life.

Dietary changes that may help include eating more grains, fish, and plant-based foods.

In addition, avoiding low-nutrient foods may help with managing MS symptoms and potentially slow disease progression.

It’s recommended that people with MS avoid certain foods, including processed meats, refined carbs, junk foods, trans fats, and sugar-sweetened beverages.

Other tips to manage MS symptoms include:

• making meals in bulk
• using “ready-to-use” grocery items
• rearranging your kitchen for convenience
• choosing foods with appropriate textures
• reaching out for help to manage daily activities

As with any new diet, it’s important to notify your healthcare team before making major changes to your diet to manage MS.

“Food should please the eyes”: “Miss Russia” Victoria Lopyreva told why she doesn’t diet

Komsomolskaya Pravda

Search results 19 11:33

Sexy blonde confessed that she no longer believes in diets

Sexy blonde admitted that she no longer believes in diets. Photo: Instagram Victoria Lopyreva.

It’s no secret that the owner of the title of “Miss Russia” sample of 2003, Victoria Lopyreva – the beauty became the first Rostovite who received the main crown of the country, in perfect shape. At the same time, she managed to keep her figure even after giving birth – seven months ago, the model gave birth to a son. However, as the sexy blonde assures, the way to keep herself in shape for her is not a severe restriction of nutrition.

I DO NOT go on a diet Photo: lopyrevavika

– I DO NOT go on a diet, because I do not believe in them after my long wanderings in the world of healthy eating, visiting various spas and reading various literature on this topic, – Lopyreva admitted on her page on Instagram. – Then I lost 10 kilograms by trial and error. Now I know that it’s not a healthy lifestyle, but a healthy lifestyle – that one has its own way of life, steers the situation.

According to her, the secret is to feel how much and what you want, and if the food is not pleasing to the eyes, then the principle applies: “I’d rather go hungry.” And personally, she does not eat warm and yesterday’s food – with the exception of borscht and fried potatoes cooked by her mother.

How to look and what to wear is a personal matter for everyone. Photo: lopyrevavika

Next, the blonde spoke about macrobiotics, which suggests that there are two types of yin and yang energy in any food.

– This doctrine of nutrition eliminates dairy, you need to minimize meat, – introduces the model to his subscribers. – My diet includes avocados, thermally processed vegetables, including broccoli, celery, parsnips, pumpkin, and for dessert a baked apple, for example, with a yeast-free tartlet.

One of the fans wrote: “Frankly.” Others exclaimed that the menu voiced by the beauty and “there is a diet.”

In short, love will save the world. Photo: lopyrevavika

SPECIFIC

What is welcome

– Vegetable protein: beans, hummus, etc.

– Seafood and white fish,

9 0004 – Wild rice, quinoa, buckwheat,

– Eggs – only quails.

– Not chicken – quail or turkey, if you really want animal protein

– Coffee and tea with tannin, sugar and salt are excluded.

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Miss Chicken Ryaba salad recipe – Russian cuisine: Salads. “Food”

Salad “Miss Chicken Ryaba” recipe – Russian cuisine: Salads. “Food”

GOLDEN THOUSAND

• Recipes
• “FOOD” MAGAZINE №93 (155)
• School of “food”
• Ideas
• Authors
• Base

My recipe book

Include ingredients

Exclude Ingredients

Featured Ingredients

Recipe Type

Food Verified

Step by Step Recipes

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Recipes with History

90 077 AUTHOR:

Daniyal Magomedov

portion:

1COOK:

15 minutes

15 minutes

Recipe author

Author: Daniyal MagomedovGo to profile

Energy value per serving

Calories

Proteins

Fats

Carbohydrates

445

27

29

18 9 0003

kcal

grams

grams

grams

portions

1

Mushrooms

20 g

Chicken fillet

30 g

Chinese cabbage

30 g 9 0003

Tomatoes

30 g

Cucumbers

30 g

Mayonnaise

20 g

Toast

1 piece

Grated cheese

30 g

Potato

20 g

Chicken egg

1 piece

Instructions for cooking

15 minutes

Print

1 Chicken fillet, cut into slices or strips (boiled or stewed) is placed on a plate.