Diet and nutrition

Eating too much salt can disrupt the energy metabolism of regulatory T-cells (Tregs), which normally work to control inflammation and fight autoimmunity, prompting them to adopt an inflammatory profile similar to what’s seen in multiple sclerosis (MS) and other autoimmune diseases, a study found. Even a short-term exposure to…

Welcome to “MS News Notes,” a Monday morning column where I comment on multiple sclerosis (MS) news stories that caught my eye last week. Here’s a look at what’s been happening: More remyelination research For years, most MS research has focused on stopping disease progression. In the past couple…

Treatment with docosahexaenoyl ethanolamide (DHEA), an omega-3 fatty acid found in fish oil, reduced inflammation and disease severity in a mouse model of multiple sclerosis (MS). These findings suggest that “an increase of omega-3 consumption may be beneficial to patients diagnosed with MS,” researchers said. “We believe our findings…

A tailored diet plan from a dietitian may help people with multiple sclerosis (MS) ingest more calcium from foods, which could make their bones stronger and less prone to osteoporosis. That’s according to data from CalciCoach (NCT02664623), a clinical study that compared the amount of dietary calcium consumed…

Welcome to “MS News Notes,” a weekly Monday morning column where I comment on multiple sclerosis (MS) news stories that caught my eye last week. Here’s a look at what’s been happening: Tysabri biosimilar on the horizon Tysabri (natalizumab) is a very effective disease-modifying therapy (DMT) for…

Summer is one of the cruelest times of year for people with multiple sclerosis (MS). Thanks to Uhthoff’s syndrome, it’s hard to enjoy all the fun that comes with warm temperatures. I don’t seem to sweat anymore (not that it helps much in our high humidity), so I…

Supplementation with coconut oil and epigallocatechin gallate (EGCG), a green tea extract, in combination with a Mediterranean-style diet, was associated with improvements in balance and gait in people with multiple sclerosis (MS). Those were the findings of a small pilot study in Spain, which also found that all participants,…

Celiac disease, in which the ingestion of gluten causes the immune system to attack the lining of the small intestine, is not common in people with multiple sclerosis (MS), a meta-analysis found. While the diet-caused autoimmune disease  is estimated to affect between 0.2% and 0.7% of people in the…

Daily use of MS14, a natural product derived from Persian medicine, safely led to gains in physical activity and walking for people with multiple sclerosis (MS) with walking difficulties, according to data from a small placebo-controlled trial. MS14, which contains both herbal and marine ingredients, “could be used as…

Eating a lot of acidic foods like meat, eggs, cheese, and grains — and fewer alkaline ones, such as fruits, vegetables, and milk — is significantly associated with worse depression scores over five years among people with multiple sclerosis (MS), a study found. “The level of depression at the…

A dietary supplement called Neuroaspis plp10 significantly lowered relapse rates and slowed disability progression among people with relapsing-remitting multiple sclerosis (RRMS) on interferon beta medications, according to a small clinical trial in Greece. “The results of this study suggest that Neuroaspis plp10 may offer greater benefit to patients with RRMS…

Welcome to “MS News Notes,” where I comment on multiple sclerosis (MS) news stories that caught my eye last week. Here’s a look at what’s happening: Understanding stem cell therapy Researchers in Zurich wanted to understand what happens to the immune system of a person with MS undergoing a…

Dietary interventions may help ease fatigue and improve quality of life in people with multiple sclerosis (MS), although it doesn’t seem to impact disability progression, according to a new analysis. Researchers emphasized that it’s difficult to draw solid conclusions about the impact of diet in MS because there haven’t…

Here are a few multiple sclerosis (MS) stories that caught my eye last week: Can nabiximols ease MS spasticity? In “4 Weeks of Nabiximols Found to Ease Spasticity in MS Pilot Study,” Margarida Maia reports some potentially good news for people with MS spasticity. Nabiximols, marketed in…

High adherence to a Mediterranean diet is associated with a lower risk of disability outcomes, as well as reported disease symptoms, in people with multiple sclerosis (MS), a new study shows. The data provide important information for further studies to guide clinical recommendations in MS. The study, “Mediterranean…

Guar gum, a type of dietary fiber that can be taken as a supplement, lessened inflammation and disease severity in a mouse model of multiple sclerosis (MS), a new study reports. While fiber-rich diets have long been recommended to improve overall health, these findings help pinpoint which fibers have…

Intermittent Fasting in MS Leads to Immune Cell, Metabolic Changes Although the National MS Society will tell you there is no such thing as an “MS diet,” many people follow various diets that seem to help them. One that’s been around for several years is intermittent fasting. In…

Leading a healthy cognitive and physically active lifestyle, including having a normal body weight and well-controlled blood pressure, may increase brain reserve — the brain’s ability to adapt after damage — and delay disability progression in multiple sclerosis (MS), according to a new study. The study, “Lifestyle factors…

An eight-week calorie-restricted diet plan — known as intermittent fasting — led to immune and metabolic changes among people with multiple sclerosis (MS) in a small pilot clinical trial, data show. The findings could underlie some of the proposed benefits of calorie restriction on MS disease course, the researchers…

If you weren’t aware (I wasn’t), last Friday, June 17, was National Eat Your Vegetables Day. The day wasn’t created to tout any special diet per se, but to increase awareness of the benefits of vegetables in a healthy diet. If you were already aware of those benefits, then…

FDA Decision on Ublituximab for Relapsing MS Pushed to Year’s End Ublituximab is similar to Ocrevus (ocrelizumab) and Kesimpta (ofatumumab), which also target B-cells, the immune cells that play a role in the inflammatory attacks that harm the central nervous system of people with MS. Each of…

The U.S. Department of Defense (DOD) has awarded $3.9 million to fund clinical research to test the impact of a low-glycemic diet on physical, cognitive, and psychological function in people with multiple sclerosis (MS). The four-year project, called “Impact of diet quality and calorie restriction on physical function and…

Cannabis ‘Highly Effective’ Against MS Symptoms, Some Users Report I would’ve expected many users to report that cannabis has been highly effective at treating MS symptoms, not just some. But comments about this study on the MS News Today Facebook page indicate that people have mixed results. Even…

Eating a ketogenic diet — one low in carbohydrates and high in fats — led to markedly less fatigue and depression for people with relapsing-remitting multiple sclerosis (RRMS) in a small clinical trial that was designed to assess the tolerability of the dietary intervention. Measures of disability and quality…

Ketogenic Diet Eases Symptoms, Aids Life Quality in Small RRMS Study This new report says that a ketogenic diet might help people with MS. It’s certainly helped my wife lose weight, but will it help my symptoms? I wondered about that in a recent ‘MS Wire’ column.

For the past few months, my wife, Laura, has been following a ketogenic diet, and she’s lost a bunch of weight. But in addition to helping people slim down, the low-carb keto diet may have other benefits, including potentially for those with MS. A small study that will be…

A short-term ketogenic diet, which dramatically cuts carbohydrate consumption, is safe and results in significant improvements in people with relapsing-remitting multiple sclerosis (RRMS), a small study in patients reported. “Our study provides evidence that a ketogenic diet is safe and beneficial, reducing some symptoms for people with MS, when…

Immune system reaction to casein, a protein in cow’s milk, can trigger an inflammatory neurological disease in mice that’s similar to multiple sclerosis (MS) and includes the loss of myelin, a study reported. “These results identify how consumption of milk and milk products may exacerbate the autoimmune response in…

Blood Stem Cell Transplant May Help Immune System Longer I’m a proponent of autologous hematopoietic stem cell transplant (aHSCT) to treat MS. The process entails extracting a patient’s own stem cells, usually from the bone marrow, treating them to kill immune cells that trigger MS attacks, and then infusing…

Eating a lot of green leafy and other vegetables, beans, nuts and berries seems to significantly lower the likelihood of developing multiple sclerosis (MS), according to a study from Iran. The findings also suggest that the chances of developing the disease may be higher in people who eat more…