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Wahls diet for ms: Wahls Protocol Diet for MS Treatment: Effectiveness and Foods

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Wahls Protocol Diet for MS Treatment: Effectiveness and Foods

If you have multiple sclerosis (MS), a healthy diet can help you feel your best. But experts don’t know for sure whether special diets can ease MS symptoms. That’s because there hasn’t been a lot of research done on them.

One diet you may have heard of is the Wahls protocol, also known as the Wahls diet. It’s named after Terry Wahls, MD, the doctor who created it. After she was diagnosed with MS, she began studying food and vitamins. She changed her diet based on her research and says it helped with her symptoms.

What Is the Wahls Protocol?

The diet is a version of the Paleolithic (Paleo) diet. That’s based on the idea that humans should eat more like our ancient ancestors and avoid the foods we started eating in the past several hundred years, like wheat and processed foods.

On the Wahls Protocol, you eat lots of:

  • Meat and fish
  • Vegetables, especially green, leafy ones
  • Brightly colored fruit, like berries
  • Fat from animal and plant sources, especially omega-3 fatty acids

But you don’t eat:

  • Dairy products and eggs
  • Grains (including wheat, rice, and oatmeal)
  • Legumes (beans and lentils)
  • Nightshade vegetables, which include tomatoes, eggplant, potatoes, and peppers
  • Sugar

Does the Wahls Protocol Work for MS?

Wahls says her diet helped her go from using a wheelchair to biking miles at a time. While her personal experience may sound promising, there isn’t a lot of research that shows it works for other people who have MS.

One small study found that people with MS who switched to a Paleo/Wahls-style diet for a year were much less tired. But those people also exercised and did stretches, meditated, and got massage therapy and electrical stimulation therapy. So it’s hard to say for sure that the diet helped their symptoms.

With help from the National Multiple Sclerosis Society, Wahls and a team at the University of Iowa are doing a larger study that compares the Wahls diet to another plan, the Swank diet, which some experts also recommend for people who have MS.

Talk to your doctor before starting the Wahls diet. It includes many vitamin- and nutrient-rich foods, but you may have trouble getting enough of certain nutrients or enough calories. Your doctor may recommend that you work with a registered dietitian who has experience with MS to come up with a plan that’s right for you.

Multiple Sclerosis Foundation – The Diet Debate: McDougall Diet and Wahls Protocol

Two very different diets are stirring debate in the MS community. The Wahls Protocol eliminates starches and includes certain meats, while the McDougall Diet focuses on starches and eliminates meat. What does the research say about these two diets and their effect on MS? What do you need to know? 

MSFocus Radio hosted the leading proponents of these MS diets, Dr. Terry Wahls and Dr. John McDougall, in separate interviews. In these interview excerpts, you’ll find out what these diets are and what evidence there is for their use in MS. For the full interviews click On Demand Audio. 


 


The Wahls Protocol


Avoids: Wheat, grains, legumes, dairy
Emphasizes: Leafy greens, sulfur-rich vegetables, colorful fruits and vegetables, organ meats and fish 

The Background

MSF: Our guest today is Dr. Terry Wahls, assistant chief of staff at Iowa City VA Healthcare, clinical professor of medicine at the University of Iowa, and author of the new book The Wahls Protocol: How I Beat Progressive MS Using Paleo Principles and Functional Medicine.

 

Can you let our listeners know a little bit about where you were before you began this protocol?

 
Dr. Wahls: [In] 2000, I was diagnosed with multiple sclerosis on the basis of optic neuritis, a new problem with my left leg… I had abnormal lesions in my spinal cord and abnormal spinal fluid. I knew that a third of people within 10 years would have difficulty walking – needing a cane, walker, or wheelchair – and one half would be unable to work. So I sought out the best MS center that I could find – and that was the Cleveland Clinic – saw the best people, took the newest drugs, and still, within three years, my disease transitioned to secondary-progressive. So in that phase, the disease is progressive and there are no more spontaneous remissions. My doctors told me functions, once lost, were gone forever. So I took chemotherapy, got the tilt-recline wheelchair, I even took that ‘miracle drug’ Tysabri, but continued to decline. From 2000 to 2007, I was at the point where my belly and back muscles were so weak that I couldn’t sit in a regular chair anymore. I had to be in a zero-gravity chair that allowed me to recline fully at work. I could walk short distances using two walking sticks. I had severe fatigue, was exhausted by ten in the morning, and I was just starting to have problems with brain fog.

 

In 2002, my neurology doctors at Cleveland Clinic introduced me to the work of Loren Cordain and the Paleo diet. After 20 years of being a vegetarian, I made the very big decision to go back to eating meat. I removed grains, legumes, wheat, and dairy from my diet. In 2002, I still continued to decline. When I hit the wheelchair in 2004, I started reading the science and animal studies about MS and other diseases that also had shrinking brains and spinal cords like MS. I added some vitamins and supplements as I found studies that were used in mice that protected those mouse brains. I found that slowed my decline – if I missed my vitamins one day, I felt much worse.

 

So the vitamins were clearly helpful, but they did not lead to the recovery. In the summer of 2007, I discovered the Institute of Functional Medicine and took their course, Neuro-protection: A Functional Medicine Approach to Common and Uncommon Neurologic Syndromes. I had a much deeper understanding of things that I could do to protect my brain, a much longer list of vitamins and supplements that I am now taking. Later that fall, I had the insight that I should take this list of nutrients that I was taking in pill form and figure out where they are in food. That, of course, meant more research.

 
The Diet

 
MSFocus: Can you give us a brief description of what your protocol is?

 
Dr. Wahls: Ultimately, this new way of eating still based on Paleo principles, but now organized to maximize these nutrients that were important to the brain. In fact, I now track 36 different vitamins, minerals, essential fats, and antioxidants to make sure the diet has been specifically designed to provide those things, and that is what I now call the Wahls Diet. We’re basically adding more leafy green vegetables; sulfur-rich vegetables like cabbage, mushroom, onion family; deeply pigmented foods like carrots, beets, berries; grass fed meats; wild fish; and seaweed. As people progress in the diet, we help them transition from their current way of eating to a more nutrient-dense, more low-glycemic way of eating that is better for one’s brain health.

 
MSFocus: So it sounds like it’s more than a Paleo diet – you’re using the Paleo principles, but you’re adding additional nutrients.

 
Dr. Wahls: Yes, I want to make it clear to people. I went Paleo in 2002 and declined for five more years. Paleo was not enough to heal me, and while it may be enough to heal people who are not so ill, many require a more intense approach that’s more specially-designed to lower inflammation and maximize nutrients to support detoxification.

 
MSFocus: I understand that your protocol contains more than just diet, though. Can you tell us a little bit about that and particularly about neuromuscular electrical stimulation?

 
Dr. Wahls: Another thing I discovered that summer was electrical stimulation of muscles – I did that by reviewing the study by Rick Shields. He used it to maintain the bone and muscle health of people who have had a spinal cord injury. The participants liked the intervention so much they didn’t want to stop, so he’s asking to extend the study. I thought that was very interesting and therefore decided to get that for myself, and so I approached my physical therapist. (He) told me, “It is not approved for MS. This is used for athletes to help them recover from their injuries – the athletes find it exhausting and painful. You have a lot of pain and fatigue. We could probably grow muscle in your leg, but I’m not sure that your brain can talk to the muscles that we grow.” After a long talk, he agreed to let me have a test session. He was right; it hurt a lot. But at the end, I felt the best I’d felt in years. So we began a course of training in the clinic that lasted several weeks. Then, he decided that I could tolerate it and that I could safely operate a home health device, so I began training at home. I talk about this in detail in my book – how to find someone that will help get you a test session, some of the approved indications and challenges in getting access to this, how to approach your health care provider and physical therapist to get test sessions.

 
The Research

 
MSFocus: I understand you’ve been conducting research on your protocol. What’s the status with that now, and what kind of trends are you seeing?

 
Dr. Wahls: I had my recovery in 2008. In 2009, I started writing up the protocol and the grants, and we did secure funding. So in 2010, we had the funding to test 20 people using my diet, targeted vitamins, mediation, and exercise – so everything that I did. This was such a radical new concept that the institutional review board that reviews the research said, “Okay, I’ll tell you what: you can take 10 people. Give us a safety report, and if everything is safe, no one is harmed, and the trends are in a favorable direction, we will let you do the second ten.” So we did that and published the results on the first 10. It showed that people could implement the study diet. The biggest side effect was that if you were overweight, you lost weight and got back to a healthy weight without being hungry. And the fatigue… with a severity scale score from seven to one – one equaling no fatigue and seven being total fatigue  – that improved by 2. 38 points on a baseline of 5.70 to 3.32 at 12 months. This is the largest reduction of fatigue reported. By contrast, if you use exercise to treat fatigue you can see an improvement of about .5. The drug studies have been variable showing no benefit to showing modest benefit at the .6 – .75 range. So an improvement of 2.38 really is clinically meaningful. Very, very exciting. And it was quite remarkable that even in this very small sample size the T value is .0008, and that is just a demonstration of how large the effect size is. Now we have more studies going on that are looking at the exercise alone, another that is looking at the diet alone, and another that is looking at diet – comparing the original Wahls diet with the ketogenic version of the Wahls diet and usual care. We are writing grants all the time. I just sent a grant off to the MS Society. We are hopeful because our preliminary data now is so exciting that we’ll have greater success with getting funding for a much larger study.

 


Find out More 

The Website: www.terrywahls.com

The Book: The Wahls Protocol: How I Beat Progressive MS Using Paleo Principles and Functional Medicine 

 


Common Ground: Both diets have been proven to have a positive effect on MS fatigue. They eliminate dairy, encourage eating a variety of colorful vegetables and fruits, and avoid processed foods. 

 


The McDougall Diet


Avoids: Meats, dairy, oils, processed foods
Emphasizes: Rice, grains, corn, beans, colorful fruits and vegetables 

MSFocus: Today’s guest is Dr. John McDougall, nationally renowned expert on health and diet, creator of the McDougall Diet, and co-author of a recent study on the effects of that diet on MS.
 
Let’s start from the beginning. What led to your interest in diet as a form of healthcare?
 
Dr. McDougall: I have a long history – I’ve been at this for a while, almost 40 years – and my interest really grew out of frustration. Medicine does some wonderful things when it comes to a thing called “acute problems.” These are things like lacerations, broken bones, infections. These are things that when modern medicine gets involved, you can describe it as nothing short of a miracle. [But] when it comes to chronic disease, doctors come in with their pills and surgery, and just… the difference they make in a positive way is really hard to see sometimes. I was frustrated, and I wanted to do a lot to help people – that was my goal, as it is with every other doctor – and when I applied my skills as a young doctor, I didn’t see those kinds of benefits. I took it as a personal failure until I realized that the problem is that you can’t deal with chronic disease by just adding a bunch of pills and potions.
 
But there is a way to deal with chronic disease; that is to stop it at the source. The injury that is producing the illness – we have to stop that. For example, you see a cigarette smoker and they’re coughing. [They] have a chronic cough and mucus production. The way you stop that is you stop the repeated injury of 20 or 30 cigarettes a day. If someone is falling down drunk, and they have liver damage as a result of drinking too much, you don’t give them vitamins or pills to solve the problem; you stop the daily consumption. When people are suffering from ‘food poisoning’ – now, let’s get this term on the table now – ‘food poisoning’ is what causes the majority of illness that people suffer from in most Western countries, and one of those diseases is called multiple sclerosis.
 
MSFocus: And what led you to the conclusion that a vegetarian diet was going to have a positive impact?
 
Dr. McDougall: Well, it’s a little premature to call it vegetarian, but you could. I mean, I could be accused of teaching a vegetarian or vegan diet, and I guess that could be fair, but it would be a little off-point. What I teach is a diet based on starches. Starches are a category of food that are vegetable in matter but also have a lot of calories. When I say starch, you should think beans, corn, sweet potatoes, and rice. Those are the kind of foods that I teach people to eat, and yes, they are vegetable foods, and along with those, you eat non-starchy green, red, purple, and yellow vegetables – such as kale, broccoli, and cauliflower – and some fruits. The most important thing that I teach is that the diet should be mostly from starches, grain, tubers, and legumes – those kinds of foods. Those are the foods that people have been eating for ten, fifteen, twenty thousand years. All major civilizations have consumed those foods.
 
From just what I learned in high school, I should have figured out that the diet of human beings was a diet of starch. When I look at the Mayan and the Aztecs and how they’re the people of the corn, and – what I learned from the people in South America –the Incas, they were potato eaters. In the Far East, you’re looking at people that are rice eaters, and the Middle East, that is the bread basket of the world.
 
The Diet
 
MSFocus: With your own diet protocol, can you tell us what you specifically recommend?
 
Dr. McDougall: I’ve been doing this for over 35 years, and I’ve taken care of over ten thousand patients, and we’ve published results in scientific literature about changing people’s diets. People who come to see me are typical Americans. In fact, if you go out on the street right now or walk out of your office and look around, you will see the people that I take care of. Eighty percent of the people in our country are overweight, and most are sick because they’re suffering from ‘food poisoning.’ What I do is I take people – your friends, your relatives, your coworkers, and by the way, your children – I take these people who are sick from ‘food poisoning’ – they are being poisoned by red meat, poultry, fish, eggs, cheese, and milk – and I take them off those foods.
 
[But] you can’t just walk up to people and say, “Hey, you’re not going to eat hamburgers or pepperoni pizza anymore.” They think to themselves, “I’m going to starve to death.” What you have to do is, in place of that calorie source from meat, dairy, and junk food, you have to replace it with something else. You say, “Okay, you’re going to eat a starch-based diet … what you have to eat is oatmeal for breakfast, hash browns, pancakes, or waffles. For lunch, you can have bean soup, pea soup, or lentil soup. For dinner, you can have bean burritos, veggies over rice, or pasta with marinara sauce.” We have over three thousand recipes published in books and on our website that my wife has put together.
 
[The standard diet] is ‘food poisoning.’ It would be the same as feeding someone lead – you take it away, and your body will eliminate the toxin, and the body will heal and get well. That’s what you do. You’ve heard this before. You’ve heard this – that eating bacon, butter, and brie will make you sick, and if you stop eating these things you will get well.
 
MSFocus: So with this diet protocol that you recommend, is it different for people with MS or do you recommend the same diet for all?
 
Dr. McDougall: It’s the same diet for humans. Multiple sclerosis is another disease of ‘food poisoning.’ Many manifestations occur when you get yourself poisoned with arsenic or lead. Many manifestations occur in the body, but you wouldn’t call them separate diseases from separate things; they’re all due to those poisons. Likewise, you get an infection from, let’s say bacteria like tuberculosis, for example, you can get brain tumors, spine tumors, lung infection, and so on. You don’t say that they are all different diseases – you say it’s from the tuberculosis. It’s the same thing with ‘food poisoning.’ ‘Food poisoning’ damages the arteries, bowels, the skin, and the nervous system, and sets us up for diseases that are all secondary to malnutrition – malnutrition from over-nutrition of animal foods and oils and an under-nutrition of starch. The result is because of this ‘food poisoning’ people get multiple sclerosis.
 
This is a disease that occurs only with the Western diet. Back before 1980, there were almost no cases of multiple sclerosis in China. [In] post-WWII Japan, virtually no multiple sclerosis. These are diseases that only came out when those countries switched to the Western diet.
 
The Research
 
MSFocus: The recent study that you did with Oregon Health and Science University, can you tell us how that study was structured and what the results were?
 
Dr. McDougall: I set up a research foundation – the McDougall Research and Education Foundation, which was a private 501(c)(3) foundation – several years back and raised money. Not a lot of money in terms of what research costs, but I raised the money and went to the Oregon Health and Science University in 2008, and asked them if they had any interest in work based upon the work of (pioneering MS diet researcher) Dr. Roy Swank. […] They wanted to, so we started in 2009. Do you know it took ethics board – the IRB (institutional review board) – at Oregon Health and Science University almost a year to determine that feeding patients rice, corn, and potatoes was safe? It took them almost a year to determine that treating a patient with diet was okay to do, was safe. Yet the same board will approve drugs that cost fifty-five hundred dollars a year and have horrible side effects and questionable benefits.
 
We started the study with only a limited amount of money, so I was only able to enroll a small amount of people – 60 people total – which we had to divide into two groups. So 30 went into the diet therapy group, and 30 went to the control group. We started in 2009 and finished the study in 2013. We  evaluated the two groups with MRI scans and clinical measures, and we gathered data, and it showed some really remarkable things in the short period of time.
 
First of all, we showed that it was safe, and second of all, we showed that it improved the general health of these people. We got between about a 10- to 20-pound weight loss that was permanent. People don’t think that patients will follow a healthy diet, so we studied to see if people would follow the diet, and what we found was that the average fat intake compared to the control group… the control group was 40 percent fat intake in the year. The average fat intake dropped to 15 percent of the calories and was maintained over a year. So people permanently changed their diet and dramatically. The estimate is 80 percent of the people followed the diet all of the time for the year. In other words, 10- to 20-pound permanent weight loss, about a 20-point drop in cholesterol, and similar drops in the lipids in the patients permanently over a year. The other thing that it showed that was quite dramatic – and I think that this would be important info for MS patients and their doctors – was the change in fatigue. The NMSS says that 80 percent of MS patients suffer from fatigue. What we showed was a dramatic drop in fatigue almost overnight, and it lasted through the year.
 
What we didn’t show was changes in disability or changes in MRI scans. There are several reasons for this. One is that this was a short study – it was only a year – and two, we only had a limited number of people, so we were limited in what we could do. What we did, in my mind, was kind of amazing. We opened the door for diet treatment for MS. We showed benefits that you have to accept: permanent changes in people’s diets, dramatic improvement in overall health, dramatic drop in fatigue. We showed those things. We can help MS patients have a better life. 
 


Find out More

The Website: www.drmcdougall.com

The Book: The Starch Solution: Eat the Foods You Love, Regain Your Health, and Lose the Weight for Good 

A Radical New Way to Treat All Chronic Autoimmune Conditions Using Paleo Principles: Wahls M.D., Terry: 9781583335543: Amazon.

com: Books

INTRODUCTION

I used to run marathons and climb mountains in Nepal. I’ve competed multiple times in the American Birkebeiner 54-kilometer cross-country ski marathon (once while pregnant), earned a black belt in tae kwon do, and won a bronze medal in women’s full contact free sparring at the trials for the 1978 Pan American Games in Washington, DC. I used to feel invincible.

Then I developed multiple sclerosis. After decades of troubling symptoms I tried to ignore, I was finally diagnosed in 2000. By that time, the disease had a good footing in my central nervous system. My decline progressed rapidly. Within two years of my diagnosis, I could no longer play soccer with my kids in the backyard. By fall 2003, walking from room to room for my hospital rounds exhausted me, and by summer 2004, my back and stomach muscles had weakened so much that I needed a tilt/recline wheelchair. Within three years of initial diagnosis, my disease had transitioned from relapsing-remitting multiple sclerosis into secondary progressive multiple sclerosis. In that phase, disability slowly progresses despite increasingly aggressive therapy. By 2007, I spent most of my time lying in a zero-gravity chair. I was 52 years old.

Everyone with multiple sclerosis has a story—the years of clues and strange symptoms that finally, in retrospect, make sense. It is in the nature of most neurological and autoimmune diseases that symptoms accumulate slowly, bit by bit, over the course of decades. This is what happened to me. As a doctor, I was compelled to find answers: a diagnosis and a cure. As a patient, I was compelled to save my own life.

Like most physicians, I was always focused on quickly diagnosing my patients, and then using drugs and surgical procedures to treat them—that is, until I became a patient myself. Conventional medicine was failing me. I saw that. I was heading toward a bedridden life. Since the beginning of our profession, physicians have used self-experimentation, either to prove a scientific point or to treat themselves when the conventional treatments were of limited value. In that tradition, and in the face of this chronic, progressive disease for which there was no cure, I began to experiment on myself. What I didn’t expect were the stunning results I got from my self-experimentation: I not only arrested my disease, I achieved a dramatic restoration of my health and my function. What I learned changed forever how I saw the battling worlds of health and disease.

More than a hundred years ago, Thomas Edison said, “The doctor of the future will give no medicine, but will interest his [or her] patients in the care of the human frame, in a proper diet, and in the cause and prevention of disease.” This became my new course, my passion, and my mission. I understood health and disease in an entirely new way. I became a new person, both physically and emotionally, both personally and professionally. I also became passionately committed to helping other people become new people, too.

My Diagnosis

The stress and pressure of medical school may have been what triggered my first symptoms in 1980, years before I had any idea what they were. I would eventually call them “zingers”—intense stabs of facial pain. They lasted just a moment and would come randomly, sometimes in waves, the episodes building over a week or two and then gradually fading over the next several. They were most likely to happen during my busiest and most brutal hospital rotations, with shifts lasting thirty-six hours and allowing for little sleep. Over the years they became steadily worse, like electrical pain that felt like a 10,000-volt cattle prod sticking me in the face.

At the time, I thought the episodes of face pains were an aggravation, nothing more. I thought it was an isolated, unexplained problem—one of those medical mysteries that don’t really require solving. Even as a doctor, I didn’t think much about it. I was too busy with my own patients to dedicate too much diagnostic thought to myself. I certainly never suspected an autoimmune problem.

This was my first symptom, but it was not likely the moment when multiple sclerosis began its relentless march through my central nervous system. For at least a decade before then, probably two, my brain and spinal cord had been under siege from friendly fire—my own immune system attacking the myelin that insulated my nerves. I couldn’t feel it at first. I couldn’t feel it for years. Nevertheless, it was happening.

As the years passed, I became a mother, first to my son, Zach, then my daughter, Zebby. The rigors of parenting and full-time work distracted me, but my multiple sclerosis clock was ticking. This was a clock I did not hear, even though alarms of visual dimming and the zingers were going off. I fully expected to be an active, adventurous, vibrant woman for at least forty more years. I imagined mountain climbing with my children, even as a white-haired old grandma. I never thought my unexplained symptoms would have anything to do with something as basic as my mobility or as crucial as my thinking.

One evening at a dinner party, I was talking to a neurologist and I happened to mention that I perceived the color blue somewhat differently in my right and left eyes. Blues were a bit brighter when I used my right eye than if I used the left. She seemed interested.

“You’ll have multiple sclerosis someday,” she said. It was the first time anyone had said those words. My father died the next morning, and so her words were forgotten in the chaos of grief. Years later, I recalled those prescient comments.

The day my wife, Jackie, noticed I seemed to be walking strangely, I didn’t believe her. I didn’t even notice until she insisted we go for a three-mile walk to the local dairy for ice cream. By the time we got back, I was dragging my left foot like a sandbag. I couldn’t pick up my toes. I was exhausted, nauseated, and scared. I scheduled an appointment with my physician.

Many people who are ultimately diagnosed with multiple sclerosis go through a similar experience. Symptoms develop slowly over years, and diagnosis may take additional years once physical problems manifest and become obvious.

I spent the next few weeks going through test after test, dreading each result. Some tests involved flashing lights and buzzers. Others involved more electricity and more pain. There were more blood tests. I said little and feared much. Everything came back negative, but there was clearly something wrong with me.

Finally, we were down to the last test: a spinal tap. If there were oligoclonalband proteins (an indicator of excessive amounts of antibodies) present in the spinal fluid, then the diagnosis would be multiple sclerosis. But if this test was also negative, then I likely had what they call “idiopathic degeneration of the spinal cord” (meaning they don’t know the cause). In the long list of potential diseases I had faced, this seemed like the best option. I was hopeful.

When I got up the next morning, I knew that the results should be in my chart. I could get into the clinic medical records from my home computer through remote access. I brought up my medical record on the screen and went to the laboratory section. Positive. I stood up. I paced. Two hours later, I logged onto the system and checked again. Five times I looked up my results,

hoping they would somehow change. They never did.

It was official: I had multiple sclerosis.

 

My Decline

In summer 2000, I moved with Jackie and my children from Marshfield, Wisconsin, to Iowa to accept a joint appointment as assistant professor at the University of Iowa and chief of primary care at the VA hospital. I was newly diagnosed with multiple sclerosis. I was taking Copaxone, which my physician had prescribed for the MS, and I relied entirely on my physicians for treatment decisions. I had been trained as a doctor and conditioned to believe that doctors know best. Besides, what did I know about multiple sclerosis? It wasn’t my area. I was seeing the very best people and getting the very best treatments available, so I assumed I was doing all that I could do.

I was determined not to let my diagnosis influence my new job. I was in a leadership position with plenty of challenges, and I loved it. I enjoyed teaching, and the kids were thriving in their new home. I thought I was doing pretty well, and so did my doctors. I even began to imagine I might never get much worse. I dreamed I might not even have to confess to my children that

I had multiple sclerosis.

Then my right arm and hand became weak. My doctors gave me steroids to suppress my immune cells, and my strength slowly returned, but it was the beginning of a slow, steady decline. I could see it, Jackie could see it, and so could the kids. They’ve since admitted that sometimes it was embarrassing to have me around because I was less and less mobile. Sometimes they wished I wouldn’t attend their activities, and that made me feel guilty for wanting to be there. It was a strain on the whole family, and I felt responsible. It was all my fault. I was supposed to be the provider, and I was slowly losing my ability to manage my own body. It had been only two years since my initial diagnosis.

Then something happened that changed my life. In 2002, my neurology doctor at the Cleveland Clinic noted that I was slowly getting worse and suggested I check out Ashton Embry’s MS charity website, Direct-MS, at www.direct-ms.org. Dr. Embry is a geologist with a Ph.D. whose son has MS. Dr. Embry’s son improved dramatically by changing his diet, so Dr. Embry became an active and vocal proponent of the link between diet and multiple sclerosis. This was the first I’d heard of such an idea—or, at least, the first time I paid attention. Although it sounded a little like “alternative care” to me—and, being a conventional doctor, I didn’t put much stock into what I saw as fringe medical practices—this was a suggestion from my neurologist, so I took her seriously. I decided to check it out.

Dr. Embry’s website was full of scientific references, which I began to read one by one. The articles were from peer-reviewed journals, written by scientists from highly respected medical schools. This wasn’t “soft science.” This wasn’t “fringe.” This was legitimate research. It was difficult science, too. A lot of it was in fields outside my expertise, or it relied on basic science concepts that hadn’t been part of my medical training. I had trouble absorbing everything, and the MS-related brain fog didn’t help. There was so much new information—how did I not know about any of this? After a lot of intensive reading, I determined that Dr. Embry was not a charlatan and that maybe he was on to something. What if diet could have a major impact on MS? After years of leaving my health in the hands of doctors while continuing to decline, this idea fascinated me. I could control what I ate. It seemed too easy and too good to be true. I had to know more.

Dr. Embry’s website was the first place I heard about Dr. Loren Cordain. Dr. Cordain linked changes in the human diet to the development of chronic disease in Western society. He had published a number of articles and had also recently published a book for the public called The Paleo Diet: Lose Weight and Get Healthy by Eating the Foods You Were Designed to Eat, which was much easier reading than the technical scientific papers.1 I began to absorb information more quickly: molecular mimicry, leaky gut, lectins, immune modulation (I’ll talk about all these things later in this book). I began to see where Dr. Embry and Dr. Cordain were going with their theories. I began to consider that what we eat has a major, rather than a minor, influence on how our bodies work.

I was particularly interested in the idea that excessive carbohydrates and sugars in our modern diet lead to excess insulin and inflammation. The evidence that the original human diet could possibly improve my MS was compelling, but switching to this kind of diet would be a major change for me. I had been a vegetarian since my college days and I loved my beans and rice.

I loved making bread. Could I really cut out grain, dairy, and legumes, the current staples of my diet?

But I wanted to arrest my disease more than anything else. I wanted to keep walking, working, and playing with my kids. I decided to try it. Meat was back on the menu, and I gave up the now-forbidden foods I loved so much. At first the smell of meat was nauseating to me. I started slowly, adding meat to soup in small amounts. With time, it got easier.

I was hopeful about this change, but despite this switch to a Paleo Diet, my decline continued. I couldn’t play soccer in the backyard with my kids without falling. I couldn’t take long hikes with the Cub Scouts and Girl Scouts.Then it became harder to take even short walks with Jackie. Fatigue became more and more of a problem. I was disappointed, at times despondent, and tears came at inconvenient times. But I was determined. Some of the entries on Embry’s website said that recovery took five years. I realized I could not expect an overnight miracle, so I stuck with the changes. Even if progress would be slow, it was still something I could do for myself, and that came with its own sense of empowerment.

Meanwhile, I rearranged my schedule to avoid walking. My doctor told me that it was time to get a scooter, and then changed his mind and suggested a tilt/recline wheelchair because of the worsening fatigue. He also suggested I try taking mitoxantrone, a form of chemotherapy. When that didn’t help, I switched to a new, potent immune-suppressing medication called Tysabri; but before I went in for my third injection, Tysabri was pulled from the market because people were dying from the activation of a latent virus in their brains. After this, my doctor suggested that I take CellCept, a transplant medicine, which would suppress my immune cells. I often had mouth ulcers after that. My skin was grayish. I started every day tired, and despair gnawed at me each night as I lay in bed. Jackie, Zach, and Zebby were my lifeline. Jackie would hold me and tell me we’d get through everything together. We often discussed our kids and how they were absorbing the ways that we dealt with what was happening. For their sakes, I didn’t want to let my discouragement and fatigue show.

Though I had resisted getting the tilt/recline wheelchair, it actually felt liberating once I had it. I was able to go outside and stroll (or rather, roll) with my family as we hiked around the county park or the neighborhood. It did make my life easier. It weakened my back muscles, however, and the more those muscles atrophied, the more time I spent in bed. I didn’t talk about it much, but I thought it likely that eventually I would become bedridden. Sitting at my desk at work was exhausting. Then I found a zero-gravity chair, designed like the NASA chairs used during space flights. When I was fully reclined, my knees were higher than my nose and gravity held me in the chair. I had one for my office and another for my home. That helped with the fatigue a great deal, but this wasn’t how I wanted to live my life. I just couldn’t accept that this was my future.

Taking My Life Back

Getting into that wheelchair triggered something. I realized that conventional medicine was not likely to stop what was happening to me. I still hoped that the Paleo Diet would make a difference, but I hadn’t seen much of a change thus far. I decided to go back to reading the medical literature. I wanted to know if there was something more, some other avenue, something the doctors had overlooked. I had come to accept that recovery was not possible, but maybe I could slow things down. I was through ceding my power to doctors and not seeing results. I needed to be more forward thinking. I vowed to research and study and exhaust every avenue, just in case there was some other answer for me out there, something that would delay a little longer the inevitable life in bed.

At first, I began to read all about the latest clinical drug trials going on, but then I realized that those all involved medications that I’d be unable to get. This kind of knowledge would only be theoretical. So I started to think outside the box. I knew how science worked—I knew that studies on mice and rats are always the source of tomorrow’s treatments, but that it’s typically years, often decades, before anything becomes a matter for a clinical trial, let alone a standard of care. This was the cutting edge of the cutting edge, so I began to look there. I wanted to know what the brightest minds were thinking and how they envisioned the future of diseases like mine.

Each night I would spend a few minutes searching www.pubmed.gov for articles about the mouse model for MS. I knew that brains afflicted with MS shrink over time, so I also began reading about the animal models of other conditions with shrinking brains. I researched Parkinson’s disease, Alzheimer’s dementia, Lou Gehrig’s disease (amyotrophic lateral sclerosis, or ALS), and Huntington’s disease. I discovered that, in all four of those conditions, the mitochondria—small subunits within cells that manage the energy supply for that cell—stop working well and lead to early death of brain cells, causing shrinking of the brain. More searching led me to articles in which mouse brains and their mitochondria had been protected using vitamins2 and supplements like coenzyme Q, carnitine, and creatine.3

I didn’t have anything to lose, so I decided to take action. I translated those mouse-size doses into human-size ones, then made an appointment with my primary-care doctor. She looked over my list and decided the supplements were likely safe. She entered each one into my medication list, one by one, to check for potential adverse interactions with my medication list. There were none. I was excited about starting my new, experimental vitamin-and supplement routine. I began to take them and was disappointed when nothing happened. After a couple of months I stopped taking them, and a few days later I couldn’t get out of bed. When I resumed the supplements, I could get up again. They were helping after all!

This was a ray of hope. Obviously, I thought, my body was getting something from those supplements that it wasn’t getting without them—something it needed.

Discovering E-Stim

Next, I discovered electrical therapy. I got the idea by reviewing a research protocol that used electrical stimulation of muscles to treat people who’d become paralyzed due to an acute spinal injury. The purpose of this therapy, known as e-stim, in the research was to maintain bone health and quality of life for these patients. Reviewing that research protocol made me wonder if the electrical stimulation might slow down my disability. I talked to a physical therapist who used this technology, and he warned me that it was painful and exhausting for the athletes who did it. He wasn’t sure if it would help me, but he was willing to give it a test session.

During my first session, the therapist had me lie on my belly and applied the electrodes to my left paraspinous back muscles. I lifted my left leg off the table and held it there as he dialed up the electrical current. If felt like bugs racing across my skin. He kept dialing up the current. The bugs raced faster. It became more and more electrical, and then painful. After a minute my therapist asked if he could turn up the current again. This is the typical procedure because the brain releases endorphins and nerve growth factors that make the e-stim more comfortable, so after a few minutes patients can typically tolerate a higher dose of electricity. When that was done, we did my quadriceps muscles on my left leg, where I suffered particular weakness. After it was over, I had completed thirty minutes of “exercise” that was more rigorous than what I had been able to do in years. I began a regular regimen of e-stim therapy.

Discovering Functional Medicine

Every night, after everyone else was sleeping, I searched the Internet, looking for more information that might help me. One night I stumbled onto the webpage for the Institute for Functional Medicine and was immediately intrigued.

Its goal was to provide clinicians like myself with a better way to care for people with complex chronic disease by looking at how the interaction between genetics, diet, hormone balance, toxin exposures, infections, and psychological factors contribute to the development of disease or the improvement of one’s health and vitality.

This was exactly what I had been searching for since I’d hit the wheelchair. The institute had textbooks, conferences, and continuing education courses for physicians and other health care professionals. One course captured my attention immediately: Neuroprotection: A Functional Medicine Approach for Common and Uncommon Neurologic Syndromes. I ordered it and began studying, night after night. Although it was difficult at first, that functional medicine course taught me that I could improve the condition of mymitochondria and my brain cells. It gave me an entirely new way of thinking about brain health and how it relates to whole-body health. Although it wasn’t the way I was trained, it made sense to me. It was all logical and scientifically supported, so it resonated with me as a doctor, but it also fit into the context of my experience as an MS patient.

I also understood that it was likely that I had a genetic vulnerability, or several, that had increased the likelihood that I’d develop multiple sclerosis. I finally had a much deeper understanding of the significance to the brain of leaky gut, food allergies, toxins, mitochondria that were not providing enough energy for the cell, neurotransmitter problems, and the impact of having inefficient enzymes for the metabolism of B vitamins and sulfur. Based on what I now knew, I had a much longer list of vitamins, minerals, amino acids, antioxidants, and essential fatty acids that I understood were helpful for mitochondria and brain cells. I finally understood why my brain was on fire, under attack by my immune cells, and I also had some ideas about what I could do to cool the fires of inflammation that were raging there. My worldview was changing. I immediately began to plan and implement lifestyle changes that went far beyond anything I’d been doing before. The seeds for the Wahls Protocol, although not yet named, were sown.

But how would I do it? I had a long list of nutrients, but was I really going to take huge fistfuls of pills every day? And would that even work? The Paleo Diet suggested that food was the best source, but many functional medicine concepts relied on supplements. Our Paleolithic ancestors didn’t take supplements, obviously. The Paleo Diet had taught me to eliminate certain foods but didn’t necessarily tell me how to get the precise nutrients I now knew I needed. Functional medicine helped me to determine what nutrients I needed with their list of advised vitamins and supplements to take but didn’t necessarily tell me how to get them.

If I could get those same nutrients I was taking in pill form from the food I was eating, I reasoned, those nutrients might be more effective than the synthetic versions of the nutrients I was taking. In addition, I might also pick up many additional compounds—maybe thousands of compounds—that had yet to be named, that contributed synergistically to the effectiveness of a particular vitamin or supplement because they existed along with the nutrients in the original package. (Most vitamins in nature are actually a family of related compounds that are all biologically active in our cells.) I realized that I needed an eating plan specifically designed to maximize my mitochondrial and brain function—an eating plan that went beyond anything I’d already encountered. It would incorporate Paleo principles, functional medicine concepts, and my own research. Maybe that would jump-start the changes in my body I desperately wanted to see and feel.

I stared at my new list of the nutrients functional medicine suggested I needed for better brain health and wondered: Which foods contain these nutrients? I had no idea. I showed my list of nutrients to my registered dietitian friends, but they didn’t know where to find those things in the food supply, either. Next I went to the health science library. I couldn’t find any answers there, and so I went back to the Internet and began searching once again. With more work, I finally developed a long list of new foodstuffs to add to my diet that seemed to match up nutritionally. I began to add these to every meal.
 

That’s when things really began to change in my brain and body.

Generating the Proof

I was just about to start a new position as the primary care doctor for the polytrauma unit, treating veterans with head injuries. It was a job I wasn’t sure I could do, and Jackie and I both wondered whether the hospital had assigned me the position in order to force me to face the fact that I could no longer work. Instead, I surprised everyone, including myself. After just three months practicing the new diet, gradually increasing my e-stim exercises, and practicing daily meditation and a simple self-massage, I could walk between exam rooms using just one cane. After six months I could walk throughout the entire hospital without a cane. But it wasn’t just my body that had changed. I experienced and saw the world very differently. The old me—the conventional internal medicine physician—had been struck down like Paul on the way to Damascus. The old me, who had relied on drugs and procedures to make my patients well, who had been made progressively more feeble by my illness, had been replaced with someone who understood intellectually and physically that disease begins at the cellular level, when cells are starved of the building blocks they need to conduct the chemistry of life properly, and that the root of optimal health begins with taking away the things that harm and confuse our cells while providing the body with the right environment in which to thrive. I finally understood what I had to do to provide my cells with all the building blocks of life they needed to heal. I was doing it, and it was working.

This completely altered how I practiced medicine. I began teaching residents and patients in our primary care clinics how to care for themselves in a way I had only just discovered as optimal, using diet and health behaviors for diabetes, high blood pressure, high cholesterol, mood disorders, posttraumatic stress disorder, and traumatic brain injury instead of relying only on drugs. The residents learned that diet and lifestyle are powerful treatments, often as effective, if not more so, than drugs. The patients in the traumatic brain injury clinic were also eager to learn what things they could do to speed the healing of their brains. In patient after patient, I watched symptoms and the need for drugs decrease as diet and lifestyles improved.

The many people I helped notwithstanding, however, anecdotal evidence wasn’t good enough for me. There was no question that the medical establishment wouldn’t believe, let alone endorse, my protocol without a clinical trial. I felt compelled to apply the same rigor to my own work that I had required when researching what to do for myself. I needed definitive tests to determine whether this would help others. I decided to begin the long, complex, and expensive process of doing a clinical trial to prove that my new protocol didn’t just work for me—that it would work for anyone with a similar affliction. That meant designing a clinical trial, writing the grant, securing funding (in a world that funds less than 2 percent of grants), and getting my study approved by the Institutional Review Board (the committee that oversees research at the VA and university). In less than eighteen months, I achieved the seemingly impossible. On October 6, 2010, we enrolled our first patient.

In fall 2011, a group organizing a local TEDx talk asked me to submit a proposal to speak. For those not familiar with TEDx, it is an offshoot of TED, which stands for Technology, Entertainment, Design. This is a set of nonprofit conferences on a variety of topics that are filmed and available for public viewing on the Internet. TEDx is similar. Conferences are organized locally but are also available to view for free online, and speakers are not paid. Millions of people view the TED and TEDx talks, however, and many have gone viral. I would have eighteen minutes to tell my story and explain how I designed a diet specifically for my mitochondria and my brain. I agreed.

In my TEDx talk, I explained the specifics of my intensive nutrition plan, and I challenged people to become ambassadors for their mitochondria and to eat for health. At the end of November, that TEDx talk, “Minding Your Mitochondria,” was placed on YouTube. It spread into the Paleo community, the MS community, and the functional medicine community. Within a year, that lecture had more than 1 million views. I’d touched more lives than most physicians or scientists will touch in their lifetimes. I felt like I was helping to change the world for the better, and that was exhilarating, but I wanted to do even more.

My mission was never clearer. I needed to continue to do the research so I could reach my physician colleagues and eventually change the standard of care. I needed to continue to teach the public because I believe the public will soon be far ahead of the medical community when it comes to understanding the power of food to reclaim and maintain health.

The next step was to write this book.

Meanwhile, I’ve expanded the lab, we have additional studies under way, and our preliminary results continue to be very exciting. We have submitted the first study’s safety data. Once that paper is published, we will work out our next papers, which will describe in detail the outcomes data, specifically showing changes in fatigue levels, mood, thinking, and walking ability. We have several other trials in the works so we can continue to refine and improve and disseminate information about the limitless potential of this lifestyle.

I still have multiple sclerosis, but now I also have my life back.

Your Story

It will take many years and millions of dollars for us to do clinical trials that can prove that the Wahls Protocol is effective for multiple sclerosis and other chronic diseases. I am busy writing and submitting grants to conduct those studies. In the meantime, I invite you to read my book, take my story to heart, and talk to your family and your physician about the protocol. Because here’s the most important thing I want you to realize: Your doctor cannot cure your autoimmune disease. Your medication can only ease your symptoms, sometimes with side effects that make you feel even worse. But this is not the end of the story. The power of healing is within you. All you need to do is give your body what it needs and remove what is poisoning it. You can restore your own health by what you do—not by the pills you take, but by how you choose to live. When you eat and live in accordance with the needs of your cells, your body can finally concentrate on healing, and that is when the dramatic changes will happen for you.

The purpose of my years of self-experimentation was to determine exactly what the body needs to fight back against autoimmune disease. The result is the Wahls Protocol: a systematic and aggressive intervention into your body’s downward spiral. It is a mending of your broken biochemistry that comes not from your doctor or your pharmacist but from you, making changes that are entirely under your control. It is a restoration of your body’s healing power generated by altering what you eat and do each day. You don’t have to wait until all the proof comes in and is vetted by the medical community. You don’t have to wait until a “food prescription” becomes part of the standard of care in your conventional doctor’s office (which I believe someday will happen—it is the only rational course). You can have this information right now. Food is the bedrock of health. Our food choices can either lead to disease or create health and vitality.

As you implement the Wahls Protocol, you will likely begin noticing that your thinking is clearer, your moods are better, and your energy is coming back. Those over their ideal weight will find that their weight normalizes without hunger. In my clinics, when people come back in three months, everyone who has fully implemented the diet has begun noticing all these things. For the next three years, I typically see my patients “youthen”—they look younger and younger each time I see them as their cells revitalize and their bodies become healthy once more.

If I can rise up from a tilt/recline wheelchair by changing the way I live my life, consider what the people you love, your community, your country, and the world would look like if everybody began eating and living to optimally fuel their cells. We could restore health and vitality to the world and dramatically lower the cost of health care, saving billions of dollars. What choice will you make? How will you choose to live the rest of your life? With disability? Or with vitality? It’s all up to you.

Reprinted by arrangement with Avery, a member of Penguin Group (USA) LLC, A Penguin Random House Company. Copyright © Terry Wahls, M.D., 2014.

Eating for Autoimmune Disorders, The Wahls Protocol

Dr. Terry Wahls is a woman with a passion for knowledge. After discovering that she had an autoimmune issue which was continuing to cause a decline in her health she decided to go back to the drawing board and re-evaluate her current wellness strategy. The care and feeding of her mitochondria became her main focus.

Dr. Terry Wahls

Dr. Terry Wahls is a clinical professor of medicine at the University of Iowa where she both teaches and conducts clinical trials. The focus of her clinical trials tests the effect of nutrition and lifestyle interventions to treat MS and other progressive health problems, resulting in over 60 peer reviewed scientific papers on her findings.

This is a personal project for Dr. Wahls as she has been diagnosed with secondary progressive multiple sclerosis. Her initial approach was to take her doctor’s advice, consuming numerous medications and undergoing chemotherapy to slow the disease. After three short years she was confined to a tilt-recline wheelchair and her health progressively got worse. Determined to reduce her health’s rate of decline, Dr. Wahls drew on her medical training to take a deep dive into the research of her disease. She knew that research in animal models of disease is often 20 or 30 years ahead of clinical practice so began to implement some of the findings in her everyday life.

Dr. Wahls became focussed on nutrition and redesigned her diet eating solely for vitamin intake. Using medical literature, functional medicine, and her knowledge of the hunter-gatherer diet, Dr. Wahls created – The Wahls Protocol.

The Wahls Protocol

The Wahls Protocol focusses on feeding your mitochondria, the powerhouses of your cells. When your mitochondria aren’t functioning efficiently, your health can begin to deteriorate.

+ To learn more about your mitochondria, click here.

Dr. Wahls suggests skipping foods that can cause harm to cells such as sugar, processed foods, grains, soy, dairy, eggs, and legumes, while embracing veggies, grass-fed meat, fish, fruit, and plenty of healthy fats. It reads a lot like the Paleo diet (it is a variation of a Paleo diet) but there is a difference. The Wahls Protocol has a specific focus on veggies, six to nine cups of non-starchy vegetables a day, which Dr. Wahls says gives the mitochondria the power it needs to convert food to energy, healing the body in the process.

Dr. Wahls is now the author of The Wahls Protocol: How I Beat Progressive MS Using Paleo Principles and Functional Medicine, The Wahls Protocol: A Radical New Way to Treat All Chronic Autoimmune Conditions Using Paleo Principles, and the cookbook The Wahls Protocol Cooking for Life: The Revolutionary Modern Paleo Plan to Treat All Chronic Autoimmune Conditions.

Dr. Wahls ditches the wheelchair

By combining this new diet with neuromuscular electrical stimulation, Dr. Wahls’ health began to improve. Within a year she was able to walk through the hospital without a cane and even complete an 18-mile bicycle tour. She no longer uses her wheelchair and rides her bike to work every day.

Wahls now teaches the public and medical community about the healing power of the Paleo diet and therapeutic lifestyle changes that restore health and vitality. She also has a very successful website where she shares her tips on how to implement The Wahls Protocol with ease and success, in addition to a hugely popular TED Talk on Youtube. 

Reviewed by Kai Man Yuen/ BSc PGDipSci MSc 

The Wahls Protocol® Diet and MS: An Interview with Dr. Terry Wahls

Many members of MyMSTeam have been asking each other about the Wahls Protocol® — a diet and lifestyle program created and used by Dr. Terry Wahls, who has multiple sclerosis herself. Diagnosed with secondary progressive MS in 2000 and confined to a tilt-recline wheelchair for four years, Dr. Wahls supplemented her medical regimen with a program she designed specifically for her brain. Dr. Wahls is now out of the wheelchair and rides her bike to work each day at the University of Iowa. She is actively running clinical trials on her protocol — including the Wahls Protocol® Diet — for many chronic conditions, including multiple sclerosis.

In this interview, MyMSTeam talked with Dr. Wahls about her program, how she uses it for herself and for her patients, and any tips she has for MyMSTeam members considering the Wahls Protocol® Diet.

What Is the Wahls Protocol®?

The Wahls Protocol® involves three key elements, all of which are being tested or have shown results in clinical trials. Those three elements are:

  • The Wahls Protocol® Diet — Dr. Wahls is meticulous about what she eats. “Food is the most potent medicine,” she said.
  • Physical Therapy — Dr. Wahls exercises and uses electrical stimulation therapy.
  • Meditation — Dr. Wahls meditates twice a day.

“It’s more than a diet,” Dr. Wahls explained. “It’s a diet and lifestyle. Any time we’re trying to create new behaviors, and extinguish old, troublesome behaviors, [we] have to rewire part of our brains.” The program starts by asking you to improve your diet quality.

What’s on the Wahls Protocol® Diet?

Dr. Wahls designed her diet to be high in nutrients that improve the common MS symptoms of fatigue, brain fog, and walking issues. It’s gluten- and dairy-free and gets rid of added sugar and processed foods. Dr. Wahls summarized her diet as follows:

  • Get Rid of Sugar — “Eat berries instead.”
  • Get Rid of Gluten — “No gluten-containing grains. Eat nonstarchy vegetables. Rice is OK if you have to have grains, but cauliflower rice or cabbage would be better.”
  • Get Rid of Dairy — “Swap out dairy and use coconut milk or almond milk.”
  • Ramp Up the Vegetables — Aim for 3 cups per day. “More greens, spinach, kale, chard.”
  • Ramp Up the Colors — “Deeply pigmented vegetables and berries like carrots, beets, blueberries, and blackberries.”
  • Ramp Up the Sulfur-Containing Veggies — “More cabbage, onion, garlic, and mushrooms.”
  • Yes, You Can Have Meat — “Six to 12 ounces of grass-fed or wild-caught fish for protein per day, and organ meats like liver are good two days per week.”

You can download the Wahls Protocol® Diet Cheat Sheet to see more details.

Getting Started on the Wahls Protocol® Diet

“Our brains crave sugar, salt, fat, and inactivity,” Dr. Wahls explained. “Processed foods have been designed by food scientists to make products that are incredibly tasty, addictive, and that create cravings that may result in some withdrawal symptoms if you stop.” Examples include the obvious — like chips, soda, donuts, cookies — and the less obvious — like pasta, breads, white potatoes, dairy, and eggs. To stop acting on these cravings, Dr. Wahls said, “We have to rewire part of our brains, rewire some automatic activities.”

Changing these habits can be challenging. Dr. Wahls offered some ideas for staying motivated to make positive health decisions.

Do It For Someone or Something Special

Dr. Wahls likes to ask her patients if there’s something or someone they care about so deeply that they’d run into a burning building to save them — kids, grandkids, the ability to dance at your son’s wedding or attend your granddaughter’s graduation, etc. She asks her patients to link the new health behavior to being there for that special person or reaching that goal. “Now they will be ready to do the work,” Dr. Wahls said. ”If they don’t have anything they care about deeply, it’s going to be a huge struggle, and I’ll probably make a much smaller recommendation.”

Create a Conducive Food Environment

It’s particularly difficult to follow this diet if your social circle is not supportive and your food environment is not conducive to following a strict diet. Dr. Wahls explained, “My preference is to remove the foods that are most inflammatory, and then be sure that you have the foods that give you the building blocks your brain needs to make myelin, turn off the inflammation, and fuel the mitochondria.”

Commit 100 Percent for 100 Days

If you are willing to commit 100 percent for 100 days, you will be able to see if this diet is working for you. Of course, once you start seeing success and feeling better, the diet itself can become addictive. Dr. Wahls shared her own story: “I discovered that I could not get enough greens. Within three months my pain [from trigeminal neuralgia, which causes debilitating facial pain in some people with MS] was gone. My brain fog was gone. My fatigue, gone.”

Dr. Wahls had been in a tilt-recline wheelchair for four years at that point and found that after three months, she was able to start sitting up at the table to have supper with her family. She started walking around using walking sticks and then, after six months, she tried riding her bike. “That felt so miraculous,” she said. “My kids are crying, my wife’s crying, I’m crying. … It was such a momentous day in my life.”

Diet Is Not a Replacement for Medication, but an Important Part of Your Treatment Regimen

Dr. Wahls does not suggest people with MS stop taking their medication and replace it with her diet. Although she has been off of all disease-modifying drugs since 2008 (with her neurologist’s approval), Dr. Wahls still takes low-dose Gabapentin for trigeminal neuralgia.

Although there is strong clinical evidence that people with MS who are consistently on disease-modifying medications have better health outcomes, more neuroscientists and neurologists agree that improving diet and lifestyle are key to brain preservation. Dr. Wahls says that diet and lifestyle changes significantly improved her MS symptoms. She hopes the clinical trials done on the Wahls Protocol® Diet and other diet and lifestyle interventions, including one funded by the National Multiple Sclerosis Society, will help diet and lifestyle changes become part of the standard treatment for MS and many other chronic conditions.

In an initial prospective clinical trial of the Wahls Protocol® Diet in people with secondary and primary progressive multiple sclerosis, approximately 80 percent showed a clinically meaningful reduction in fatigue severity and improvement in quality of life. Half of the participants showed improvement in walking.

Dr. Wahls encourages all people facing MS to ask their neurologists and primary care physicians to support their efforts to incorporate a healthier diet such as the Wahls Protocol® Diet, physical therapy, and meditation into their treatment and wellness regimens.

“Your [MS] specialist likely won’t know anything about diet and lifestyle, but your primary care team should,” Dr. Wahls said. “If they can’t be excited about your eating more vegetables and cutting out sugar and processed foods, fire them and get a different primary care person. If they can’t be excited that you want to learn how to meditate, again, fire them and get someone else. If they aren’t willing to give you a referral to physical therapy to help you design a home exercise program, fire them.”

People often ask Dr. Wahls about her personal self-care plan. She has been refining her routine over the last 20 years. Her current daily self-care ritual includes:

  • Morning meditation and evening meditation
  • A workout augmented by electrical stimulation
  • A sauna (many people with MS following the Wahls Protocol® are able to tolerate and enjoy heat again)
  • Riding her bike to work (10 miles)
  • Dinner with her family, where they take time to be grateful by sharing three joyful memories before eating

Clinical Trials

You can learn more about the Wahls Protocol® at www.TerryWahls.com. Dr. Wahls is recruiting newly diagnosed patients with either relapsing-remitting multiple sclerosis or clinically isolated syndrome. Learn more about how to join a current clinical trial with the Wahls Lab. If you have questions, you can also email the study team.

Further Reading: Dr. Wahl’s Recommended Studies

Vegetable-rich Wahls diet lowers fatigue in multiple sclerosis patients by raising good cholesterol

Fatigue affects majority of MS patients, impacting quality of life and ability to work full time

BUFFALO, N.Y. — Higher levels of blood high-density lipoprotein (HDL) — or good cholesterol — may improve fatigue in multiple sclerosis patients, according to a new University at Buffalo-led study.

The pilot study, which investigated the effects of fat levels in blood on fatigue caused by multiple sclerosis, found that lowering total cholesterol also reduced exhaustion.

The results, published recently in PLOS ONE and led by Murali Ramanathan, PhD, professor in the UB School of Pharmacy and Pharmaceutical Sciences, highlight the impact that changes in diet could have on severe fatigue, which impacts the majority of those with multiple sclerosis.

Fatigue is a frequent and debilitating symptom for people with multiple sclerosis that affects quality of life and ability to work full time. Despite its prevalence and the severity of its impact, treatment options for fatigue are limited. The medications used to treat severe fatigue often come with unwanted side effects.

“Fatigue in people with multiple sclerosis has been viewed as a complex and difficult clinical problem with contributions from disability, depression and inflammation. Our study implicates lipids and fat metabolism in fatigue,” said Ramanathan. “This is a novel finding that may open doors to new approaches for treating fatigue.”

In previous studies, Terry Wahls, MD, clinical professor of internal medicine and neurology and creator of the Wahls Protocol diet, and her team of researchers at the University of Iowa, showed that a diet-based intervention accompanied by exercise, stress reduction and neuromuscular electrical stimulation (NMES) is effective at lowering fatigue. However, the physiological changes underlying the improvements were unknown.

The researchers examined changes in body mass index (BMI), calories, total cholesterol, HDL, triglycerides, and low-density lipoprotein (LDL) — commonly known as bad cholesterol. Fatigue was measured on the Fatigue Severity Scale.

The study followed 18 progressive multiple sclerosis patients over the course of a year who were placed on the Wahls diet, which is high in fruits and vegetables. The diet encourages the consumption of meat, plant protein, fish oil and B vitamins. Gluten, dairy and eggs are excluded.

Participants also engaged in a home-based exercise program that included stretches and strength training, NMES to stimulate muscle contraction and movement, and meditation and self-massages for stress reduction. However, adherence to the diet was the main factor associated with reductions in fatigue.

“Higher levels of HDL had the greatest impact on fatigue,” said Ramanathan, “possibly because good cholesterol plays a critical role in muscle, stimulating glucose uptake and increasing respiration in cells to improve physical performance and muscle strength.”

Patients consumed fewer calories and experienced decreases in BMI and triglyceride and LDL levels as well. However, these factors were found unrelated to changes in fatigue.

The results provide the basis for a larger study that could examine the effects of metabolic changes on fatigue.

Additional UB investigators include Bianca Weinstock-Guttman, MD, professor, and Richard Browne, PhD, associate professor, both at the Jacobs Schools of Medicine and Biomedical Sciences; and Kelly Fellows, PhD, School of Pharmacy and Pharmaceutical Sciences graduate.

The investigators from the University of Iowa include Wahls; Linda Snetselaar, PhD, professor and chair of epidemiology; Babita Bisht, PhD, postdoctoral research assistant; Linda Rubenstein, PhD, statistician; and Catherine A. Chenard, clinical trial and data management specialist.

Can You Beat MS With the Paleo Diet?

Can eating like a Stone Age hunter-gatherer ease symptoms of multiple sclerosis (MS)? One doctor who has MS, Terry L. Wahls, MD, clinical professor of internal medicine at the University of Iowa Carver College of Medicine in Iowa City, says the answer is yes and that she’s living proof.

The Paleo diet, of which there are multiple versions, consists only of those foods that were available to humans during the Paleolithic era, such as lean meats and fish, fruits, vegetables, nuts and seeds, and certain types of oils and fats. Foods that are not part of the diet include grains, dairy products, refined sugar, and other processed foods.

Much of the enthusiasm for a Paleo-like diet as a treatment for MS comes from Dr. Wahls, who was diagnosed with MS in 2000 and by 2003 had to rely on a wheelchair to get around. Today, after changing her diet and making some other lifestyle changes, she can jog on a treadmill.

She chronicled her journey in a 2011 independent TEDx Iowa City talk and has published several books on the topic, including The Wahls Protocol: A Radical New Way to Treat All Chronic Autoimmune Conditions Using Paleo Principles.

The Paleo Diet for MS

In her TEDx talk, Wahls recommends consuming the following on a daily basis:

  • 3 cups of green, leafy vegetables
  • 3 cups of sulfur-rich vegetables, such as those from the cabbage family, the onion family, mushrooms, and asparagus
  • 3 cups of deeply colored vegetables or fruits, such as beets, carrots, and berries
  • Omega-3 fatty acids from wild fish and grass-fed meat

She also recommends consuming the following on a weekly basis:

  • Organ meats, which are high in vitamins and minerals, including coenzyme Q10, or CoQ10, an antioxidant that may have heart-health benefits
  • Seaweed, a good source of iodine

Wahls’s version of the Paleo diet does not include gluten (a protein found in wheat, barley, and rye), dairy, or eggs. It does allow nuts and seeds and some oils.

RELATED: The Lowdown on a Low-Carb Diet for MS

“Most Westernized diets are lacking in vitamins, nutrients, and fat that support brain health,” Wahls says. Also, many people with MS have a genetic tendency toward an aggressive immune response to gluten, casein (a protein in milk), and egg protein, she says.

A number of studies have found an association between celiac disease (gluten intolerance) and MS. Both are autoimmune diseases, and celiac disease sometimes causes neurological symptoms that may resemble symptoms of MS.

What to Expect When You Start the Paleo Diet

“People have the most success when they do it as a family unit,” says Wahls, warning that you’ll probably feel worse during the first week of the diet but better by week two. Within a month, she says, you’ll have more energy, more mental clarity, and less fatigue, and “will start to see how you’re turning the corner on the disease.”

She cautions that following the diet will cost more than the groceries you are likely buying now, but that the payoff will be better health and fewer doctor’s bills.

Research on the Paleo Diet

A small study from Wahls’s lab published in the Journal of Alternative and Complementary Medicine in May 2014 showed that people with secondary-progressive MS who followed Wahls’s version of the Paleo diet, took nutritional supplements, and participated in an exercise and meditation program — among other interventions — were less fatigued at the end of 12 months. But the study involved only 10 people, of which 8 completed the study and 6 adhered to the diet and other parts of the study for the full 12 months.

A study that examined the use of alternative and complementary medicine among people with MS, published in the Journal of Community Health in February 2015, found that the study subjects following the Paleo diet did not meet the estimated average requirement for vitamins D and E set by the Food and Nutrition Board of the Institute of Medicine. But again, the number of people studied was very small.

In August 2016, the National Multiple Sclerosis Society (NMSS) announced it had committed more than $1 million to support a clinical trial at the University of Iowa, to be led by Wahls, to compare the ability of two popular diets to treat multiple sclerosis-related fatigue.

Study investigators planned to recruit 100 people with relapsing-remitting MS who experienced fatigue to enroll in the 36-week clinical trial. Participants would follow their usual diet for 12 weeks, then be randomly assigned to follow a low-saturated-fat diet (called the Swank diet) or a modified Paleolithic diet (the Wahls diet), for 24 weeks. Their health and activities would be extensively monitored during the study.

The Swank diet was created by the late Roy Swank, MD, PhD, a former head of the division of neurology at Oregon Health & Science University, in 1950, after he observed a higher incidence of MS in geographic areas that consumed more foods high in saturated fat. While there is no scientific proof that the Swank diet controls MS, some people who have followed it say it makes them feel better.

Should You Try the Paleo Diet?

Not everyone believes the Paleo diet is the “right” diet for everyone with MS. Many critics point out that there is limited scientific evidence that the diet alleviates MS symptoms or progression. And some people who have tried it have not seen their symptoms get better.

Lori S. Chong, RD, a nutritionist at Ohio State University’s Wexner Medical Center in Columbus, says that the Paleo diet can have health benefits for anyone, including people with MS.

“Cutting out sugars and processed foods, reducing refined oils, and returning to natural sources of fats is smart,” she says. “The diet is rich in fish, nuts and seeds, fruits, and vegetables, which are known to have health benefits.”

The typical American diet doesn’t hold a candle to the Paleo diet, she says, because “it contains very few fruits and vegetables, all grains are stripped of minerals and fiber, and processed foods are the norm.”

Rosalind Kalb, PhD, vice president of the NMSS’s professional resource center and coauthor of Multiple Sclerosis for Dummies, says trying the Paleo diet is a case of “first do no harm.”

“Try it and see what happens,” she says. “We have no evidence that the Paleo diet will affect the disease itself, but it does not appear to cause any harm.”

Additional reporting by Ingrid Strauch.

Clinical Study Multiple Sclerosis: Wahls Paleo Plus, Waltz Diet – Clinical Research Registry

Measure Time limit
Biomarkers Baseline and 12 weeks
Biomarkers – glucose and ketones Baseline and after 4, 8, 12 weeks
24 hours food recall. Baseline and 12 weeks
Daily food logs Baseline until end of study (12 weeks)
IS functional summary assessment. Baseline and end of study (12 weeks)
6 minutes walk Baseline and Week 12
Search for medical symptoms. (MSQ) Baseline, weekly up to week 12
Assessment of living spaces Baseline and Week 12
Drug audit Initial level
Physical examination baseline and 12 weeks
Health questions 절차 (비 복강경 수술 흉부, 심장, 복부 또는 혈관 수술) 동안, 대상 은 1 차 표준 의 기존 수술 지혈 방법 이 효과 가 있고 비실용적 인 더 많은 후 대상 부위 출혈 에 경증 에서 중도 의 연조직, 혈관 실질 이 있습니다 …… 사용 지침 에 따라 Surgicel 을 적용 해야 합니다.
MS Quality of life (MSQoli 54) Baseline, week 12
MS Quality of Life Inventory (MSQLI) Baseline and Week 12
Demographic data Baseline and Week 12
Functional Medicine Assessment Summary Baseline or 12 weeks
Quest for the special activity of veterans. Baseline and 12 weeks.
Function scale MS baseline and week 12
Satiety scale Baseline and weeks 10 and 11
Harvard Quest “Frequency of Food”. Initial level
Brachial artery dilatation (FMD) and endothelium-dependent dilatation (EDD) and endothelium-independent dilatation Baseline and Week 12
Extended disability assessment Baseline and 12 weeks

Read “The Walls Protocol.The latest research on autoimmune diseases. A Structural Nutritional Treatment Program for Multiple Sclerosis – Wals Terry – Page 3

About Responsibility

Medicine and Nutrition is an evolving science. on Nutrition, Treatment and Drug Therapy The authors checked sources believed to be reliable with the intention of presenting complete information in accordance with the standards accepted at the time of publication.However, subject to the possibility of human error or changes in the medical field, neither the authors, publisher, nor any other party who participated in the preparation or publication of this work does not guarantee that the information contained in this document is accurate or complete in all relationship, and they are not responsible for any errors, omissions or results obtained from the use of such information. Readers are encouraged to corroborate the information in this document with other sources.

The FDA has not evaluated any claims made on my sites, in my lectures, or in my books. This information is provided for educational purposes and is not intended to diagnose, treat, cure, or prevent any disease. This book is based on an analysis of hundreds of basic scientific research and studies in animal models, analysis of hundreds of clinical trials in humans, my personal experience in primary health care clinics and a clinic for the treatment of brain injury, my own experiments over the past ten years, and our clinical trial.

Trademark Notice

Terms Wahls Protocol ™ Wahls Protocol Program, Wahls ™ Wals Diet, Wahls Paleo ™ Wals Paleo Diet, Wahls Paleo Plus ™ Wals Paleo Plus ™ and Wahls Warriors ™ Wals Warriors Dr. Terry Wahls LLC (LLC Dr. Terry Wahls). When the terms Wahls Protocol, Wahls Diet, Wahls Paleo, Wahls Paleo Plus, or Wahls Warrior appear in a book, they refer to the Wahls trademarks. Protocol ™, the Wahls ™, the Wahls Paleo ™, the Wahls Paleo Plus ™ and Wahls Warrior ™.

Preface to revised edition

Much has happened since the first edition of the Walls Protocol was published in 2014. When I first found myself in the spotlight and closely watched by my peers, I received a lot of feedback about the book’s content (and my TEDx talk). Since then, the world and priorities in science in general and in practical medicine in particular have changed a lot. A huge amount of research has been published today on the effects of diet and lifestyle on human health.This is no longer a new or controversial topic. Our scientific direction has become mainstream. Interesting concepts such as the microbiome and the gut-brain axis have become popular research topics, which directly affect human health and are largely shaped, functioning and dependent on both food and lifestyle.

What caused this change? To a large extent, you are. It was challenging for us to publish the first article, which described preliminary data on the first ten subjects with secondary progressive MS.These patients showed statistically (and, more importantly, clinically) significant reductions in fatigue following the implementation of the Walsh Protocol. Now such studies are hardly unusual, and all because people wanted to know more. You demanded answers. You’ve always guessed that diet and lifestyle affects health. You needed more than the latest drugs to change the course of multiple sclerosis. You wanted to take control of your condition. And it has prompted doctors, scientists, the media, and research funders to pay attention to your demands.The National MS Society of the United States (NMSS) has been collecting data from social networks to understand the interests and needs of its target audience – people with MS. When The Wals Protocol was first published, there was a spike in mentions of diet, exercise, lifestyle, and the Wals Protocol that overshadowed the mention of all the drugs that alter the course of multiple sclerosis! This ultimately led to NMSS hosting a wellness conference where I was invited as a participant.A total of 45 scientists and 45 MS patients gathered (I was on the team with both). I encouraged the NMSS to develop a new peer review process for nutritional therapy research, as this method differs from the principle of drug development. I also urged NMSS to create resources to provide patients with information on the Walsh Diet, Swank Diet [4], Mediterranean Diet and Gluten Free Diet. The resources should also present sections with the research results for each of them and the potential benefits and risks.

NMSS [1] did indeed create these educational resources and make diet and lifestyle change interventions a priority for research. They also supported our research lab with a $ 1 million grant over four years [2] while conducting a comparative study of the Swank diet and the Wals diet. We will analyze the data and present our results after the analysis is complete. However, all these events would not have happened without your help.

Since 2014, we have had a lot of work to do: all of our subjects have completed twelve months of the protocol.We published a second article that also showed significant reductions in patient fatigue and improved quality of life for patients. In the third article, we pointed to a decrease in the rates of anxiety and depression, as well as an improvement in verbal and non-verbal reasoning [3]. It was just wonderful.

We then conducted a randomized controlled trial, but this time our patients only had relapsing-remitting multiple sclerosis [5]. People were randomly instructed to start the diet immediately or after 12 weeks.We studied and compared clinical outcomes at baseline and 12 weeks later and showed that our diet was associated with significantly less fatigue, improved quality of life and improved motor function [4].

We recently published another article showing that our diet raises HDL (“good”) cholesterol levels, and that levels are associated with less fatigue in people with MS. Further analysis of the diet will continue in future articles [5].

We followed up with a randomized controlled trial comparing the original Wals Diet with the Ketogenic Wals Paleo Plus Diet to see if the ketogenic version was superior to the original Wals Diet.The results of this study will be published in the next publication.

It is difficult to overestimate the significance of the changes that our discoveries have brought to the nature of research in this area [6]. Today, other doctors and scientists are studying our work. Since the appearance of The Wals Protocol on PubMed [6], hundreds of scientific articles on nutrition and MS have appeared. Few of them describe current clinical trials, but most are based on our research.

I am collaborating with scientists at the University of Iowa and together we are investigating the effects of our Protocol on the microbiome and eye function.We are also developing collaborations with MS researchers at other universities who have specialized expertise in lipids, metabolism, vitamin K and vitamin A, and brain structure analysis. We have collected a lot of data for analysis and a lot of material for writing articles.

Lekar se save the diet from multiple sclerosis

From the moment it was developed to its own Protocol (the so-called Wals Protocol), an American woman Dr. Teri Wals helped the choir with autoimmunity and neurological diseases.Tya e crawled paleo-principle, functional medicine and ketogenic diet. Sega Teri Wals is a clinical professor of medicine at the College of Medicine at the University of Iowa Carvar in Iowa, SASCH, where she teaches internal medicine at the clinic for primary medical assistance.

Dr. Teri Walse is a medical practitioner who has discovered this form for multiple sclerosis. For 7 years, she received nai-temporal therapy, but the pain continued and progressed. Much soon a trace was put on the diagnosis of a married woman who had a handicapped person.In a single moment, Teri made a decision to change her belly and yes she had experience herself and a move for a bolsta. And she zapochna yes that interest and yes si izyasnyava as much as possible with the help of a diet and pre-attunement of her own si nervous system. I zapochnil yes from the crawl of the golem of the amount of vitamin-rich products, kato premahal from the menu and all the one onova, which could and provoke an inflammation. With the help of a diet, thee managed to do it well.

Dr. Walls stepped and consumed about 1-1.5 kilograms of various fruits, incl.h. Gorski fruit, all kinds of den. The diet included foods rich in vitamins and microelements, offal and algae. This is the menu for eating a lot of vitamins from B groupate, and food and iodine, koito participate in the process of stretching and myelination on the nerves of the vagina. According to the principle of myelinated wrapping on the nerve, like insulation on the electrical conduction. Without the basin, the myelin entanglement nerve impulses and propagate along the nerve vlac by 10 five times.

Dr. Teri Walls first wrote the book “Let’s Cut For Mitochondria!”The title was presented by Teri Walls at the annual TED conference The next is the book “The Walls Protocol” and the collection from the recipe “The Walls Protocol: Gotwim for the stomach”. Teri Wals has developed protocol differences, including the ketogenic diet and the Paleo diet, which is called Wals Paleo Plus.

Rag and behold are limited to 100 grams per den, dory and little by little, explains Dr. Walls.You can do it this way, so the next thing to do is to use polyunsitenite jelly or hydrogeniziruyte daub, and so you can use it in your diet. K’m tyah se will take topeno oil, coconut oil, zhivotinskite daubs and use mono-non-niteni mastny jelly, eating it into zekhtina and butter from avocados.

From menus on multiple sclerosis (MS) and other autoimmunities of illnesses, the next and every other will turn off such casein and gluten – those who eat it will consider provoking factors, which can lead to the development of autoimmune diseases and storing …

Casein ‘e is a milky beltchina, and gluten is a beltchina, eating her into wheat and nyakoi other lives of the Kulturi. When consumed with casein and gluten in the body, it forms opioidite peptides, gluteomorphin and casomorphin. Assuming that these substances can act like a drug and a predisvicate drug.

Stored, eating casein and gluten,

may be a lot attractive. Those are capable of letting passiveness hang on the wall, and you can lead to the development of various autoimmune diseases, to disturbances in behavior, to anxiety and depression.With such a sickness, problems appear with the psyche, for no reason wagging on tegloto, burning processes and many other violations. Similarly, show it honestly will relate to the “distance, difficult to diagnose”.

In an interview, published on the website th, Dr. Wals, explaining to protect her, will disseminate autoimmunity for illnesses, so why do you have a problem:

1. Zagavane is used for male.

2. Toxic environment, we live in koyato – metal, plastic, tin, livestock.

3. Vloshavane quality in storage.

Dr. Teri Wals paid special attention to the vegetarian diet, admitting that a vegetarian in 20 years was beating her samata. Not this was given by togawa, which vegetarian izpitvat did not reach for vitamin B12, and there are still huge problems for health. Do not forget to eat a lot of antibiotics in childhood, as well as a lack of balance in the daub of Omega-3 and Omega-6.

Dr. Wals is confused that any of these sins in his possession could have been for a reason or more from multiple sclerosis.And the soil, what a lot of stuff from MC, koito sega lekuwa,

for long time vegan or vegetarian

“Az vijdam vegetarians and vegan, koito se feel great for two years, zelenchuci nay veche consumiraki. But if someone has an adventure, save them from B12 and need minerals, good soil for them, and all of them. And in the brain there are problems with neuroprocessing. It is difficult to convince the choir that the koito initially felt great with the vegetarian diet, but that may even have added to the problem of shoga.”

Diet, koyato eating thee, all the food from nyakolko step. “First of all, it’s about what the maximum amount of imposition is on the product, according to the Paleo diet, with an additional amount of others, keep useful substances in the food.”

Akotova didn’t shy away from lightning, as she turned the golem’s diet over the amount of daub for ketosis. See it with a bit of interest, just for the ketosis: “Hilyadi years of the khorat were in the stand for ketosis every winter, every war, everybody was smooth.We still know from 1990 that when the chorus is in ketosis, it will make convulsions and all the good work is done for the brain. Sega veche ima has a lot of research, elucidation of various psychiatric and neurological diseases that creep out into ketosis, for letting them blush and cheer them up. But ketogenic diets, such as vegan and vegetarian diets, can be difficult to get right. All you need to do is convince and pay attention to the goods and get all the necessary vitamins, minerals and necessary daubs ”.

Dr. Wals underlined, Che Diet

Rabba da bde individual,

th e food sensibility in the horat to store the products.

It is useful for all to carry out detoxification of the body with the use of a sauna infrared. In spite of all, I’m sick, I’ll carry it. Dr. Teri Walls prescription supplements:

Vitamins from groupat B.

Vitamin D.

Omega 3 and Omega 6 jelly beet ratio is correct.

When autoimmunity is ill with multiple sclerosis, it is the bleach of a powerful scream. Clinical izsledovaniya showed that when the horata, koito will stop the protocol for treatment, the silnata of the scream burzo se vzvrscha. This is just the reason for Dr. Teri Walls: “And so, the segmentation is clear, yes, you can figure out how from our icy point we start on the belly. Tova is not a diet. Tova doesn’t start on the belly. Tova enov starts on the belly, as you seek and stay healthy, so live and let you return to your belly ”.

Ty iztkva, che ima hilyadi followers and che protocol Wals help not itself with multiple sclerosis, but also with many other diseases:

  • Bolest on Parkinson.
  • Fibromyalgia.
  • Depression, various mental health problems.
  • Zatlstyavane.
  • Diabetes.
  • Other autoimmunity conditions: diseases for cervata, lupus, arthritis, asthma, psoriasis, eczema.

“Every season adds a dozen and a dozen others,” says Dr. Wals in conclusion.- I’ll go to ochakvam, we’ll sort it out, we’ll give a clue, why chronic illnesses in the extreme sense in the nyakakva degree se yavatyavat autoimunni. For example, try to get sick sega se study kato autoimmune distance. Highly high level of real autoimmunity, as well as schizophrenia. I’m crumpled, we’ll analyze the next 20 years, when there is a chronic illness, the component is autoimmune ”.

Yana BOYADZHIEVA, v. “DOCTOR”

Multiple Sclerosis – Can Wals’ Diet Help?

Khorata with multiple sclerosis and technical relatives understandably Chetat carrying a lot with hope but intend to start and amuse the move on the disease.She’s been suspected of being a dietary on Walls, she’s got a lot of websites on her, and on Youtube she’s got videos and videos from her. It is important that you can read the source from a trustworthy source and you know that you have given a method and whether it will be recognized by the medical profession or not. In the basin of the station, we describe a professional position on neurolositis in relation to the diet on Walls.

Professionals are clear about the diet for multiple sclerosis (MS). If you eat food, there is no evidence of an effective diet (ketogenic, Mediterranean, diabetic and brute diets), admit from neurolositis for epilepsy and other diseases, MS has learned a lesson from different diets, but for the day, there is sufficient evidence of dietary evidence yes be included in the professional protocol on the MS.

Diet teach a lesson than a diet, rich in polynon-nonsense jelly, it is not useful, combined with the fact that in an Asian country, where it is consumed for riba and vegetable oils is traditionally honest, it is honestly on MS e nisk.

Combination of polyunsiteness of mastny kissel (omega-3, omega-6, linolenic kissel, gama-tocopherol (vitamin E)) II. Significantly smeared broths on relapse and progressed on disability in 30 months, followed by randomized placebo-controlled trial, but no more cases are needed for the support on the basins of the preparation.

There is a lot of polyunsiteness of the kissel mast from vegetative origin, the flow at the stein temperature is oil, but you eat with a lot of food on the polyunsiteness of the kissel.

The Walsh Diet Story

Diet on Walls is described for the multiple sclerosis drug Teri Walls, who was diagnosed with a disease in 2000. The trace is put on the diagnosis, the recurrent remitting course on the bolt stav is secondary in relation to the progress of 3 years in a nutshell and in addition to which you can use therapeutic options at the same time, Teri beat an invalid for the age of 52 years.In response to an alternative treatment for the opening of the site on Dr. Ashtun Embri, who is commended for the success of a special diet with a patient with MS.

That premina is right for the vergetarian, and the trace of that for the Paleozoic diet, but that does not change the progression. Pubmeden (collection from the medical statistics, online book) Trsi studies, koito trail blast on Huntingtun, bolest on Parkinson, bolst on Alzheimer and amyotrophied sclerosis (ALS) in bear model with different diets. That opening nyakolko teachings, when koito, the keepers of the additives sang from crawling when the bear was behind the spiran on the cellnata smrt, it was connected with a definite illness.Those include coenzyme Q, carnitine and creatinine.

Then multiply the dose to your own body, and then the next consultation with your own neurologist is in order to take a suitable dose for it (the precursor to exclude the anti-MS drug reaction, take from Wahls) and the spasm of the paleo diet. The concept is on the paleo diet, but a rag and a tova, who beat just enough for a person from a hilyadi godini, and not let a tova, who knew that mankind, and if you wanted to last 200 years (for example, zeneni kulturi).Through the natatshni research of Teri, add additional medicinal products with omega-3 kisselini masters.

Nutrition per diet

Inspired by Functional Medicine, Teri Wals on the Wals Diet Protocol. This is based on a holistic approach to illnesses: paleo diet, some modifier, supplement storage and physiotherapy (electrical stimulation, self-massage) and meditation. Stay on the doctor’s side with a tahnoto izpolzvan, so get reinforcements for the clinical nutrition and presentation on Youtube in 2011.beshe wide gledana.

Keep the Diet on Walls:

  • Meso and Riba
  • green leaves zelenchuci
  • pollen fruit kato berries, raspberries, cherries, etc.
  • zhivotinsky and vegetable daubs, especially omega-3-edible daubs.

Keep, withdrawn from diet on Walls:

  • Zorneni kulturi (wheat, oriz, oats)
  • zelenchuci kato bob, bream
  • zelenchuci kato domati, ingots, kartofi and patlajan
  • Zachar
  • eggs and milk products

Despite the experience with Dr. Wals, there is a lot of encouraging evidence that the diet has helped other patients with multiple sclerosis.Dr. Wals and the University of Iowa will do some research on the participants, and they will test whether the Wals diet is effective on other diets, but I really need to clarify the evidence for an effect on the diet that progresses to the disease. The ima of the indication, which is a lust for these, which follows the protocol of Wahls, has taken a beating.

In the beginning, on statues spomenes, which are less than a little lesson, koito demonstrates efficiency in storage, rich in non-nasty kiselini masters (riba, vegetable oil) for fun on progresiyata on MS.As you can see, the Wals diet is developed from the paleo diet, it prefers riba and vegetable oils that eat omega-3, such as the Wals diet does not support patients with MS, nito doesn’t eat it, which was revolutionary news. on the MS.

Tezi, koito follow the Wahls protocol, in addition to complex rehabilitation procedures, with a positive response from a patient with MS on a daily basis, who do not pay attention to health care and do not receive complicated rehabilitation procedures.

Source: WEBBeteg
Nashiyat medically author: Dr. Eva Kerekes, neurologist and pediatric neurologist

Fucking for cock

Decata ce needs vitamins and minerals.

Ako is not very good for the time being, the deficit in iron storing is all the same.

It is difficult to diagnose multiple sclerosis (MS) and many other diseases are difficult to diagnose and have similar symptoms – but different.

A real healer and researcher does not know how exactly the predisposition of autoimmunity is a process that causes multiple sclerosis, but is dead.

Lumbalnata puncture (known as a tap or lumbalna puncture) is a diagnostic or therapeutic procedure, in which case a special needle is crawled.

Follow the rules for starting on the belly and simple practice, you can do it and send a lot for the symptoms of multiple sclerosis, pain.

Ako use small or rare, your medicine can be used for more treatment and more treatment and you see how you develop pain.

How do you imagine craniopharyngoma (pronounced craniopharyng)? How can you cause this to happen? What symptoms can cause? How can we recognize it? How and how are you doing?

Multiple sclerosis (MS, transcriptional multiple sclerosis) is not a chronic, potentially damaging disease, but also a central nervous system.

For some practical difficulties, the patient has been prepared for a progressive type of illness and how do you relapsed and remittance to get sick?.


Can Yes Win MC with Paleo Diet for Daily

There is some evidence suggesting that the paleo dietician may or may not be symptomatic of multiple sclerosis. You will teach how to turn on the diet.

Is it possible for a stone catcher to relieve symptoms of multiple sclerosis (MS)? Edin medik, koito ima MC, Teri L.Wals, M.D., is a clinical professor of medicine at the University of Iowa Carver College of Medicine in Iowa City, Qazwa, for even more vivid evidence.

Paleo diet, for koyato ima many versions, keep it for yourself from onezi, koito sa beaten access for khorat prez palaeolithic era, kato lean meso and riba, fruits, zelenchutsi, poison and seeds, some kind of oil and daub. Store, which is not part of the diet, including storage containers, milk products, refined sugar and other storage processes.

Golyama is often from entusiasm for a paleo-like diet catho treatment on MS and two from Dr. Walls, who was diagnosed with MS in 2000 and until 2003, it was shaking and disabled, for this trip. Dnes, a trace of kato change the dietary si and direct nyakoi other exchanges in the beginning to the belly, maybe jogir to banga pateka.

Describing the situation in 2011 in an independent talk at TEDx Iowa City and publishing a few books on the topic, including The Wahls Protocol: Radical new starting for treatment for all chronic autoimmune conditions, from a crawl of paleo principles.

Paleo diet per MC

In the speech of B for TEDx Wals the speech and the consumir every day track:

  • 3 bowls of herbs, green leaves
  • 3 bowls of rich na syara zelenchuci, kato tezi from the family to zeleto, family to onions, kill and aspergize
  • 3 bowls for a blooming zelenchuci or fruit, kato flowering, carrot and fruit
  • Omega-3 mastni jelly from diva riba and meso, stored from trev

Tya ssho taka preporchva da consumirate slednoto on weekly base:

  • Organic mesas, coytosa with a high intake of vitamins and minerals, including coenzyme Q10 or CoQ10, antioxidant, which can be used to crawl for health
  • Vodorasli, additional source for iodine

Waltz version on the Paleo diet does not include gluten (protein that is eaten in wheat, echemik and ryzh), milk products or eggs.Allowing yachks and seeds and nyakoi oils.

“In the trap of the diet, Lipsvat vitamins, stores of substances and daubs, will keep you healthy on the brain”, Kazwa Walls. There are so many choirs with MC imat a genetic tendency to be aggressive immune discouragement to gluten, casein (protein in milk) and egg protein, maybe.

Reditsa teachings ca established a link between tsioliakia (non-tolerance to gluten) and MS. And two of the autoimmune diseases, and celiac disease, of course, causing neurological symptoms, koito can deserve to be on the symptoms of MS.

Kakvo and ochakvate, when you will fix a paleo diet

“Khorata imat ni-golam success, who is ruled by a kato family unit”, kazwa Wals, warn you that you are more likely to feel the mischief of starting a week for a diet, but good for the second week. In the frame for one month, you will see more energy, more mental clarity and a little hilarity, and “you will zapochyte and see how you will put ygla on the bolst”.

Tya warned you that there is no need for a dietary plan more often from storing drains, koito probably kupuvate sega, but you are sad and have a good sense of health and a little medicinal sense.

Studied on the paleo diet

Malko Lessons From The Wals Lab, Published in The Journal of Alternative and Complementary Medicine May 2014, Showing Cheating With Secondary MC, Coito Following The Wahls Version For Paleo Diet, Taking Supplement Custodians And Participating In The Program For Exercise and meditation – together with other interventions – byaha, a little bit, to the edge for 12 months. But 10 souls themselves took part in the lesson, from the koito 8 they finished the lesson, and the 6 itself came to the diet and other parts from the lesson presumed 12 months.

Trickery, which is later used for alternative and supplemental medicine in choir environments with MS, published in the Journal of Community Health in February 2015, find out why you should not investigate the subjects who use the Paleo diet, they will not dissuade you from fooling the average demand for vitamins D and E, Determinations from the Russian Federation are retained and retained by the Medical Institute. But again they throw a lot of malks on the izsledvanite chorus.

Pres Aug 2016 National Nototo Multiple Sclerosis Society (NMSS) Announce $ 1 Million or more for a Clinical Subject at the University of Iowa, Wahls, Equated in Ability to Two Popular Multiple Treatment Diets sclerosis – screaming.

Researchers planned for a lesson and hired 100 souls from a recurring remitting MC, koito sa had a scream, and for that they would be included in the 36th week clinically. Participate in a follow-up diet for 12 weeks, and a follow-up of a diet with low eating on a diet (called the Swank diet) or modified the Paleolithic diet (Wahls diet) for a period of 24 weeks. Soundly and efficiently, they will have a wide observation over time for a lesson.

The Swank Diet is Deceased by Dr. Roy Swank, former head of the Department of Neurology at the University of Health and Science in Oregon, prez 1950, observing the trail of catho from the top of the MS in geography, koito consumirate so keep with a high swell on Nasitenite daub. In spite of Che Nyama, there is scientific evidence that the Swank diet of the MC controller, nyakoi chorus, koito sa I spazed, kazvat, che tova gi kara and they feel good.

Is there a rag and a paleo diet?

Not everyone is a värva, the paleo diet is a “normal” diet for all people with MS.Much criticism has been given to limit the scientific evidence that diets tend to alleviate symptoms or progression to MS. And the nyakoi of the chorus, who lived in it, didn’t see what you were symptomatic of.

Laurie S. Chong, RD, Nutritionist from Wexner Medical Center at the University of Ohio in Columbus, Qazwa, the paleo diet can be crawling for health at all, including on the chorat with the MC.

“Store dirty on harvested and processed, smeared on oil refineries, and then naturally naturalize out of precision on smears cleverly,” Kazvaya.“The diet is rich in riba, yachki and seeds, fruit and zelenchuci, for which it is known to crawl for health. “

The typical American diet does not eat food for a paleo diet, it really doesn’t eat a lot of fruit and zelenchuchi, all the way to keep the minerals and fibrids away, but work on keeping the norm. ”

Dr. Rosalind Kalb, Vice President of the Professional Resource Center at NMSS and author of Multiple Sclerosis for Mannequins, Qazwa, Diet for Paleo and Do Not Harm.

“Experiment and see how many things happen,” she says.

Additional report from Ingrid Schrauch.

Protocol Walls; Reserve MS Paleo Diet Dr

Protocol Walls: Radicalnew starting for treatment for all chronic autoimmune conditions, crawling principally on Paleo by Teri Walls, MD with Eva Adamson – published in cinnamon meki on December 30, 2014

An integrative approach for treatment for chronic autoimmunity from the drug, investigator and suffering from progressive multiple sclerosis, read by TEDx conversation in the evening.

Similar to many healers, Dr. Teri Walls has been focusing on topical treatment for illnesses in a patient with medication or surgical procedures – until as of 2000 you were not diagnosed with multiple sclerosis. – the patient has a disability. Conventionalize a medical procedure for a failure and you will be insured, even if you are chained up to the edge on your belly.

Dr. Wals soil and study find research results in autoimmunity of diseases and brain biology and solution and si adding vitamins, minerals, antioxidants and indispensable kisselin from storage, koyato poison, and not grubs and additives. Dr. Wals’ intake is rich in the paleo diet, which gradually improves and integrates into the neuromuscular stimulation regimen. Parvo, you are better, after evenly and the trail of the change will come for miles in one day. November 2011Dr. Wals made it clear in a TEDx talk that the country is viral. Sega, in The Wahls Protocol, give the details for the protocol, which will allow you to get a lot of symptoms from your symptoms, yes, from your belly, and yes, you can borrow from a new mission: yes, sharing the Wahls protocol with others suffering from the devastation of a lot of sclerosis and other autoimunny of the distance.

International orders

Ako living in a foreign land, you can use the Prairie Lights for a book.In order to communicate with the international plan, you will have it with Karl.

Pray, you will find your international post address, have a copy of it. Trace Carlsche, you should pay for the delivery and even send the order, as the book can be sent to the address.

Praise for the Wahls Protocol

Teri proves that you are a healer of raspberry and non-standard food.

Richard M. Coen, New York Times bestselling author on Slap: Publishing on the stomach over a bolsta

In the Wahls protocol, Dr. Wahls is granting the graceful approval of the government that diet truly represents the most potent medicine.Tazi’s book is well backed by nai-modern scientific research and giving a signal for hope versus the constantly changing landscape for pharmaceuticals for multiple sclerosis.

David Perlmutur, # 1 MD, # 1 bestselling author in the New York Times on Grain Brain

Innovative! You will disassemble the trail for good reason, and keep it healthy, Dr. Walls will provide you with a detailed map, and you will be guided by it. Tovasche exchange the belly for mnosine.

Rob Ulf, New York Times bestselling author on The Paleo Solution

From crawling clear yes, Dr. Wals teach how to beat no guard and start on the stomach when healthy or sick depending on our choice.For everyone who suffers from autoimunni or other chronic health problems, just change your belly.

Mark Hyman, # 1 MD, is a New York Times bestselling author on The Blood Sugar Solution.

Regardless of how they got sick with autoimmunity, The Wahls Protocol couldn’t get enough of it. Dr. Wals, giving a clear, bogged down, abundantly taught, protective and starting a protocol on the stomach, koito da vi help and sing an excuse for health and belly si.An absolute book, so you can read it.

JJ Virginia, New York Times bestselling author on The Virgin Diet

Teri Wals is a hero for a lot of sclerosis. In the minutes of Wals Teri setting out a clear plan for comprehended on good health through good protection. Not for the patient with MS, the Walsse protocol is a captivating story, which proves the medrost on Hipocrat: “Neka keeps a bade of medicine.” Read on, work!

Paul Jaminet, Dr., Author on Perfect Health Diet and Editor-in-Chief on The Journal of Evolution and Health

Dr. Wals wee teach you how to keep it and live, for it you can and give it a drastic brain and weakness.

Sarah Gottfried, MD, New York Times bestselling author on Hormonalnotherapy

Novata book on Teri Walls is one of the most important books for health, writing nyakoga. Towa is not a hyperbolic statement, just a fact. Ako healers accept tazi incredible information for a person (and in his practice), a crisis in tozi is a holy adventure – the cancer industry is still smeared and grows on auto-immunity for a long time. Istinskat healthy reform of the Congress in these pages.I couldn’t let the book go overboard. Bravo Dr. Walls!

Leanne Ely, C.N.C., New York Times bestselling author at Saving Dinner

It has long since been reported to all diagnoses with MS, who have a lot of interest in health and treatment, and from the next work for Dr. Wals online, but play in the evening. Protocol Walsh is a resource for everyone suffering from MS or other autoimmune distance who is ready to be hit. Dr. Wals has a clear outline, change the approach to a diet and start on the stomach – backed up by extensive research and testing on the planet – which will put everyone on a good health.Regardless of whether MS was given to them or not, the protocol Wahls e gold mine from the forest behind the follow-up, the keepers of the nasoki from the true storage, which will be punished, and this feeling is incredible, even if you do it, you may be like a friend.

Dayan Sanfilipo, BS, NC, New York Times bestselling author on Practical Paleo

Protocol Wals e single “ah-ha” trail of each other as a realization on Teri Wals could help you in your health care. You will not just get stuck by reading it, but teach you how to be healthy.Strongly obnoxious.

Dr. Tom O’Brian, Contributor for Zrno na Truthata: Gluten e-Summit

Teri Wals the work is incredible, kato emphasizing the importance of microelementite (vitamins, minerals and basic daub) kato is often inseparable from preventing it and growing on pain. Neynata’s story is incredible and hope for millions who are suffering unnecessarily. The Wals Protocol is legally indefensible for any claim and naturally auto-immunity of the distance.

Mira Calton, CN and Jayson Calton, Ph.D., author for Rich Food, Poor Food

Nay-kindness treatment for multiple sclerosis, autoimmunity and chronic illnesses will teach the Khorat how to protect and live for optimal health. Through a combination of neo-novate science with all the important factors on storage, exercise and health starting on the stomach, the Wahls protocol overwhelms conventional treatments and provides realistic solutions.

Ahn Boroch, C.N.C., author on Healing for Multiple Sclerosis: Diet, Detox, and Safeguarding Transformation for Fully Installed

Dr. Wals has never been trained for his triumph over multiple sclerosis, nor has he been trained for the value of a diet rich in substance storage for our cellular health.You will still have attraction and inspiration and control over your own health, until Dr. Walls has made his own experience, knowledge and suffering. Rub the niva on the Wals protocol will provide a concrete plan – including the change to diet and starting on the stomach – koito da vi will help you to get it back.

Dr. Sarah Balantine, author on the Paleo Approach

Protocol Wals is of fundamental importance for everyone who suffers from chronically ill and is sued and sounded healthy.All therapies that will bring well-being to Dr. Walls are described in detail and summarized briefly in the appendixes. A huge amount of scientific information, clear explanations and practically light will turn the tazi book into an invaluable resource and an irreplaceable reference.

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