Best Diet For Multiple Sclerosis? What we recommend might surprise you


Howdy! Aaron Boster here with the
OhioHealth MS Center today talking about nutrition in Multiple Sclerosis. Nutrition is a really hot topic and I
want to start simply by stating there’s no magic diet that slows down MS, period.
There’s a lot of diets that have been utilized and touted in Multiple
Sclerosis. Some of them have been created by physicians, some of them have had
books written about them and I’m not telling you they don’t work. What I’m
telling you is to date there’s no scientific evidence proving that these
diets can slow down the disease process of MS. Now we have learned that
cardiovascular risk factors can speed up Multiple Sclerosis disease process so
thinking about things like morbid obesity, diabetes, hypertension, high
cholesterol, these are things that actually can speed up ms alongside being
bad for you for other reasons given that we’ve clarified this addressing comorbid
cardiovascular risk factors is very relevant in the success of managing
someone with MS and therefore it’s a very solid recommendation that people
with MS consider following a heart-healthy diet. Now up above I’ll
place the American Heart Association heart healthy diet link and I’m going to
review that with you now I’m going to divide our discussion on
heart-healthy diet into four sections the first is on becoming aware of
portion control and general caloric intake. The second is on foods that are
good to eat. The third are four foods that we’re going to want to avoid
completely or limit. And the fourth are some other behavioral considerations. This first section is a really general
concept of being aware of calories and in calories out really weight gain or
weight loss is controlled by calories in like food put in the mouth, balanced by
calories out by exercise and being active and so there are two
recommendations as part of the heart healthy diet the first one involves
portion control and this is a really important one to try to practice for
example when you go to a commercial restaurant typically the portion size
given is twice, sometimes even bigger, the recommended portion size. Try
cutting it in half and only eating half and seeing if it fills you up. Often
times it will. Now the second recommendation has to do with exercise
and it’s actually recommended that there’s daily exercise. This is very
important for people with MS for many reasons and this is part of it. By
staying physically active, you’re burning calories by revving up your metabolism.
There’s an unfortunate statistic that people with Multiple Sclerosis sit on
average twice as often as those without, and I want you to fight against that
statistic. I want to add about water, I think that we don’t drink enough water
and I think the people with MS for a variety of reasons may shy away from
water, it is very important to be a water drinker, and you don’t need to, to drowned
yourself but I want you to consider drinking at least a small glass of water
with each one of your meals this is part of this diet recommendation I’m also
gonna recommend drinking a small glass of water between each meal this is the
first section and it’s an important one. The second section we’ll call foods that
are good to eat. As part of this heart healthy diet for starters it’s
recommended, it’s highly recommended to eat fruits and vegetables from a variety
of sources ,and as a rule of thumb color is good so seek out colorful fruits and
vegetables and add them in. Likewise whole grains that are rich in fiber are
recommended. When considering protein it’s recommended to have poultry with
the skin taken off as well as fish and specifically fish is recommended at
least twice a week. When considering cooking oils they
recommend non-tropical vegetable oils non-tropical vegetable oils tend to be
lower in saturated fats and these are things like olive oil, canola oil there’s
a bunch of them out there other things they’re good to eat are low-fat milk and
dairy products low-fat like 1% or skim and lastly low sodium foods or foods
that have not been prepared with excessive amount of salts are things
that are considered good to eat. The third section I’ll refer to as foods
to be avoided, or foods to limit and so the first are saturated fats these
include a lot of red meats things like fatty beef, lamb, fatty pork, poultry with
the skin left, on beef tallow, lard. Now, if you’re gonna have red meat it’s
recommended that you try to find the leanest cut possible and that would be
helpful as part of this heart healthy diet. Other things high in saturated fats
include creams and butters and cheeses so watch out for those as well another
category to avoid are what we call trans fats. Now trans fats are found in a lot
of processed foods so these are your donuts and cookies and muffins and pies
and cakes um commercially fried items things made
with shortening or with hydrogenated or partially hydrogenated vegetable oil
should also probably be avoided for the same reason. Trans fats
they also recommend avoiding sweets or candies or things with sugar added to
them and sweet soda drinks this is a source of empty calories and is not good
for you. Lastly they recommend avoiding foods
that are high in sodium and they recommend not adding sodium to your food
preparation and so these are foods to avoid in section number three. Section four is about smoking tobacco in
drinking alcohol and there are some recommendations about both as part of
this heart healthy diet. As it relates to alcohol it’s recommended that people
consider either not drinking or drink in moderation. Moderation is defined as one
drink an evening for a woman and two drinks and even for a man and this is
based on the difference in gender and ability to process with the liver and so
that’s the recommendation with alcohol. With tobacco, the recommendation is very clear. Do not smoke. Smoking tobacco is bad
cardiovascularly, as I talked about in many other videos, is particularly bad
for people with MS because it actually speeds up their disease process. And so
these are the recommendations is of the heart healthy diet as it relates to
tobacco and alcohol. Before we conclude today we have to talk
about supplements. Now supplements are not part of the heart-healthy diet, but
it’s it’s a commonly asked question and I think it goes hand-in-hand when
discussing anything else in nutrition and so these are my opinion about
supplements. First off, I think that all adults benefit from taking a
multivitamin and I would recommend doing that. When it comes to taking other
vitamins we don’t generally recommend that you take excessive doses of other
vitamins unless there’s specific reasons and under the supervision of your
clinician Wery commonly at our Center we will push up vitamin D and we will
oftentimes supplement with vitamin d3 to drive it up to a certain level and
that’s certainly something that you would want to discuss doing under the
guidance of your clinician. If someone is found to have a low b12 level then we
would supplement the b12 in recently there’s interesting discussions about
the benefits of high-dose biotin but again you wouldn’t do these things
without supervision from your clinician other considerations for supplements are
water. I cannot stress the importance of water and adding in fiber, many people
with MS have difficulty with bowel function and oftentimes have
constipation. Having enough water in your diet, and adding fiber into your diet is
a good start a base to help with this problem. Anecdotally many people with MS
may benefit from probiotics and that’s something that some people uh really
find to be very valuable likewise there is some evidence that levo carnitine can
help with energy levels and that’s something that you could discuss also
with your provider. Lastly as it relates to supplements, I would avoid, I would
avoid taking so called immune boosters so some thoughts on supplements there you go this is Aaron Boster, with
the OhioHealth MS center, today discussing nutrition and MS pointing
out that a heart-healthy diet is important, and there are recommendations
for thinking about portion control, and exercise, foods that are good to eat,
foods that might want to be avoided or limited, recommendations as it relates to
alcohol and tobacco, and I concluded with some comments about supplements. If
you found this helpful, thank you very much, please subscribe to the channel to
hear more videos like this one! Have a great day! there you go this is Aaron boster with
the OhioHealth MS center today discussing nutrition and an S pointing
out that a heart-healthy diet is important and there are recommendations
for thinking about portion control and exercise foods that are good to eat
foods that might want to be avoided or limited recommendations as it relates to
alcohol and tobacco and I concluded with some comments about supplements if you
found this helpful thank you very much please subscribe to the channel to hear
more videos like this one have a great you

59 thoughts on “Best Diet For Multiple Sclerosis? What we recommend might surprise you

  1. @Dr Boster- What a wonderful video! Thank you so much for taking the time to make these, I always look forward to the next one and I share them with others as well.

  2. Great topic! I’m always being asked what the best diet for MS is. It’s like everything else, imho; there’s no single perfect diet for everyone. I do eat a low fat diet which means more sugars. It seems that’s a trade off for getting rid of the unhealthy saturated fats. I can do this since I’m not diabetic and I’m not overweight. I also feel as if eating all the colors of the rainbow helps my energy levels, especially berry blends. I take vitamin D to be at the top of the normal range instead of the middle and magnesium which definitely is helping to keep muscle spasms at bay for me. I was told by my son who often struggles with dehydration that I should drink a glass of water for every glass of something else. This, for me, makes getting enough water a little easier. It seems I have some sort of weird dehydration that came with my MS. I’ve not really heard anything about dehydration being caused by MS so maybe that’s just me. As always, very informative and well done!! ❤️❤️😎

  3. Fantastic video. Love hearing there is no scientific proof of a certain diet working for MS. I am bombarded by people who sell diet supplements and read too much erroneous information on the Internet telling me I need to try this, do this, blah, blah, blah. Question: is coconut oil considered a tropical oil? I was taking a tablespoon a day for awhile because some crossfitter said I should try it. I didn't notice a change other than a yucky feel in my mouth. I've been upping my water intake and follow your advice of drinking it early. I hate having to get up at night to use the restroom. I use a wheelchair so it makes it difficult.

  4. Dr Boster,
    What is your opinion of functional doctors, medicine, and MS? What do you think about their approach to MS?

  5. Dr Boster, I think I'm making progress but not sure. My doc wants me to get blood work done before next infusion. Was thinking maybe be a good idea to also run tests for sed test, c reactive protein, vitamin d levels – micronutrient tests? That should give me a baseline? Do you run those tests? What do you think?

  6. Another great video! Thank you for saying there is no proof that any of the crazy diets actually slow down MS. Eating healthy is important for Everyone! So is getting out and about doing things! I am wondering about vitamins. Do you recommend magnesium to your patients as a way to help with muscle spasms? Thanks Dr B. You’re the greatest!!

  7. Are you kidding me? I would never eat canola oil, corn oil or soybean oil.. soybeans are deadly to humans and pigs.. I am not a pig.. soybean in America causes changes in our hormones.. it acts like aztrine.. SMH.. I reversed MS symptoms when I stopped drinking or eating all things with aspartame and gluten… I read ALL ingredients and if I cannot pronounce or understand and ingredient, I put the “food “ back on the shelf.. SMH.. no way!! I’m doing the Keto diet for 3 months to heal my brain from epilepsy too..

  8. Thank you for a very thoughtful look at nutrition. Drinking water can be challenging. Ugh! It forces me close to home, near a familiar bathroom where I can use catheters more privately. And that can make socializing and being active more difficult. If I'm in an unfamiliar, public location I quit drinking. I love being out so I'm often dehydrated. Not uncommon, I suspect. Kindly.

  9. Thank you for providing this channel, Dr. Boster! I'm a longtime person with MS, so I really appreciate your scientifically-based nutritional reflections here.

  10. Sugar is our number one problem. After having trouble speaking clearly and a very pronounced limp I went on a "no sugar/ no dairy/ no processed food eating plan. In only 4 days my limp completely disappeared and now, 8 weeks in, my speech is back to normal. Removing dairy cleared up my respiratory issues, i.e. no hacking every night, no mucus buildup. Clean eating has me feeling like I'm free from MS. You said no diet can reverse MS, but my symptoms are gone. I'm sure the lesions are still in my brain and spinal column but for the first time in 2 1/2 years I feel normal! If everyone could somehow just get sugar out of their diets we would be so much healthier!

  11. I have pretty happily turn to a Seagan type of diet but I should just call it Mediterranean as meats havent shown themselves as issues but dairy although sneaky is clearly a problem for me.

  12. I am on right on track for a healthy heart. I limit my meat consumption, take exactly the vitamins I’ve spoken to my provider. I have a physically demanding job and go home in serious leg pain. I average close to 3 miles on the job.
    I believe there isn’t a cure yet but getting off the disease modifying medications is madness. I get so tired of people telling me how someone cured her/his MS through xx way. Just like everyone telling me diet drinks are bad and cause MS. I do not like diet drinks! Can you touch upon this?

  13. Well, I've been suffering from MS symptoms for 14 years. I've been on the carnivore diet for 1 week and I feel awesome. I'm feeling better every day due to eliminating all foods except animal products. I fast for 20 hrs a day and exercise at least 1 hr. Grains, nuts, legumes & oils and most processed foods make me feel terrible. Everything thing that you are saying goes against my diet. I would literally be bed ridden if I follow this plan.

  14. I can’t tell you how many people have sent me Dr. Terri Wahl’s diet, insisting that it will absolutely cure my MS. I also can’t tell you how many of those fine, upstanding, helpful folks haven’t actually read her diet, tried to make it economically feasible. A great many of them don’t know the difference between Multiple Sclerosis and Muscular Dystrophy! But they’re all frustrated dieticians. Absolutely, eat the healthiest diet you can afford! Drink at least a gallon of water per day! Exercise! Definitely! But also reduce stress, contemplate your belly button, laugh, act goofy! Most of all, BE GRATEFUL!

  15. Thank you very much doctor!!! I'd like to know your opinion about "Protocolo Coimbra", a treatment with high doses of Vitamin D (from about 70000 to 100000 IU), under medical supervision. I was considering to start this treatment, because I have seen testimonial from people who have improved a lot with it. But I have lots of doubts…

  16. Hello, thank you for these videos. I am in the process of being diagnosed with MS after 30 years. No doctors took me seriously, one even wrote munchaussen syndrome on my record. I finally got an mri and there are lesions. It’s a long wait for a neurologist. I am diabetic ( which was also diagnosed very late due to the munchaussen diagnosis made by a physicians assistant 🙄 ) but I have been following a low carb diet for awhile now. I’m not feeling any appreciable effect with the MS on this diet. I’m trying the smoothie thing now but only with veggies due to blood sugar. They say volumes of fruits n veggies will have an anti inflammatory effect. No luck so far. I think I’m in secondary progressive after 30 years. Is there a point where diet will no longer help ?

  17. Many multi-vitamins contain folate or folic acid. I've read that up to 1/3 Americans have a MTHFR (methyltetrahydroxyFOLATEreductase) gene mutation. Since for these people, folate cannot be properly metabolized, it would seem a bad idea to take multi-vitamins containing folate. An osteopath ordered the test for me and I supplement with methyl folate while avoiding supplements with folate or folic acid.

  18. Also, I've read that ms patients are deficient in niacin, or nicotinic acid. Surely smoking is bad, but maybe it is an unintentional way to supplement? I am wondering if niacin supplements could help me quit smoking?

  19. Since my diagnosis, I've gotten allergic to Gluten. Best way to.get fiber while being allergic to Gluten? It leaves me with primarily brown.rice and potatoes, which contain more sugar.

  20. Dr Booster
    Thankyou for your sound advice on diet for those of us with ms. I I was diagnosed two years ago though I know I've had it

  21. My Nutritionist recommended avocado oil because it has a higher burn rate and I’ve been loving it

  22. What about the diet outlined in Ann Boroch's book "Healing Multiple Sclerosis"? I read most of the book and she makes some outlandish claims.

  23. Weight management is not regulated by calories in calories out, it is regulated by controlling insulin. In the American heart Association is a bunch of idiots with outdated information that has been proven wrong and has no logic behind it.

  24. @Dr Boster thank you for this video. I was recently advised by a doctor not to eat gluten, something that horrified me as I love my sourdough bread! What do you think of coenzyme q10 for energy? Is taking fish oil beneficial? I find taking a multivitamin beneficial and have been on vitamin D supplements since I was diagnosed 3 years ago.

  25. What do neurologists have to say about Terry Wahls recovery from SPMS by adopting the Paleo diet ? Could this be the cure? Is her case regularly discussed amongst neurologists and what are the reasoning to such a recovery? Please reply

  26. Very nice video Dr.Boster. Here is my balanced commentary about the modern scientific evidence regarding saturated fat and multiple sclerosis with some inside information about Dr. Roy Swank: https://www.youtube.com/watch?v=sZMhSIBhk5Q&lc=z22vinor5nq1hvrgk04t1aokgnezwzbnyxuztbaeio31bk0h00410

  27. @Dr Boster
    I was recently diagnosed and have to wait a month to see a neurologist. I was guided to your page in a MS support group. I loved your video for those recently diagnosed. I watched it twice already. Thank you so much for these videos

    My question, here, is in regards to my biggest diet challenge, which is giving up red meat. I do not eat the fat on steak and usually get lean beef. What is a healthy amount to eat, if any at all?

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