Multiple Sclerosis Nutritional Handout PDF
Multiple Sclerosis Nutritional Handout PDF
Multiple Sclerosis Nutritional Handout PDF
It is important that the diet be adhered to strictly, and without fail. To neglect to do so will result in continued activity of the disease and ultimate serious deterioration Swank & Dugan
Dairy products containing 1% butterfat or more will be eliminated with exception of: o 1 serving (1g) of dairy products containing 1% butterfat.
Eliminate Whole milk, cream, butter margarine of any kind, sour cream, ice cream exceeding 1 % butterfat, ice milk, cheese exceeding 1 % butter fat, creamed or partially creamed cottage cheese, imitation dairy products containing palm, coconut, or any hydrogenated oil. 4. Eliminate all processed foods containing saturated fat 5. Daily Fat intake: o Less than 15g (3 teaspoons) of saturated/animal fat (These are solid at refrigerator temp): All margarine, butter, shortening, lard, cocoa butter, palm oil, coconut oil, any hydrogenated (processed) oils. ground beef, dark chocolate, salmon, eggs, cashews, soybean oil etc.
Minimum of 20g (4 teaspoons) of polyunsaturated fat (oils), and a maximum of 50g (10 teaspoons) p/day. These are vegetable and fish oils (liquid at refrigerator temp): Safflower oil, sunflower seed oil, canola (rapeseed) oil, corn oil, cottonseed oil, soybean oil, sesame oil, wheat germ oil, linseed oil, peanut oil, olive oil.
Do not reuse oil when cooking. Always refrigerate oil after opening to avoid rancidity (except olive oil). Keep olive oil in a cool, dark place (do not refrigerate). Do not heat oil to the smoking point. Count oil used in cooking in your daily oil allowance. Three (3) teaspoons of oil = one (1) tablespoon. Sixteen (16) tablespoons of oil = one (1) cup. If an oil clouds or hardens at refrigerator temperature, do not use. (Olive oil is the exception to this rule.)
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Eggs
o The white of the egg contains no fat. The yolk contains 5 grams of mostly saturated fat. You are allowed three eggs per week, but no more than one per day. One complete egg = 5 grams of saturated fat.
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Crackers
o Snack crackers containing no shortening, butter, margarine or processed oils are permissible. Rye-Krisp, melba toast, matzo bread, non-fat saltines, fat-free graham crackers and non-fat tortilla chips are acceptable snacks. Avoid all commercially prepared chips and fancy crackers.
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Condiments
o With the exception of mayonnaise, condiments such as mustard, catsup, relish, barbeque sauces, taco sauces, sweet & sour sauces, herbs and spices are permissible in any amount. Mayonnaise contains unsaturated fatty acids (oil) and must be counted in your daily oil allotment. 2 tsp. mayonnaise or salad dressing, commercial = 1 tsp. oil 1 tsp. mayonnaise, homemade = 1 tsp. oil 1 Tbsp. "fat-free" mayonnaise = 1 tsp. oil Fat-free salad dressings = zero (0) fat and oil
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Beverages
o Caffeine-containing products increase nervousness and insomnia, as well as frequency and urgency to urinate. Therefore, it is necessary to limit these beverages to a maximum of 3 cups daily (can be combined). If an increase in symptoms occurs, do not consume caffeine. Example:
1 cup coffee + 1 cup tea + 1 cup cola = 3 cups daily total. 3 cups coffee or 3 cups tea or 3 cups cola = 3 cups daily total.
In whatever way you decide to combine your caffeine, the daily amount must not exceed 3 cups. Alcohol. Most patients tend to be sensitive to alcoholic beverages. A glass of wine or a cocktail with the evening meal is permissible.
2 tsp. peanut butter or other nut butters (old-fashioned, non-hydrogenated) = 1 tsp. oil 1/2 oz. (about 10) peanuts, almonds or cashews = 1 tsp. oil 1/3 oz. (about 10) any other kind of nuts (walnut and pecan halves, filberts, hazelnuts) = 1 tsp. oil 3 tsp. sunflower seeds = 1 tsp. oil 3 tsp. pumpkin kernels = 1 tsp. oil 1/3 oz. Energy Snack Mix = 1 tsp. oil (mix together almonds, walnuts, hazelnuts, pumpkin seeds, sunflower seeds and sesame seeds)
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Fruits
o o Recommended amount is 2 fruits daily. All fresh fruits are permissible in any amount. Frozen fruits can be used, as well as canned, but are not recommended. The following fruits contain unsaturated fatty acids and must be counted in the daily OIL allotment: Avocados (1/8 = 1tsp = 5g) Olives 3 medium black = 1tsp = 5g 6 medium green = 1tsp = 5g
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Vegetables
o Recommended amount is 2 cups daily. Vegetable provide the body with vitamins and minerals and are rich in essential fatty acids. You are encouraged to include a variety of vegetables in your daily diet.
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Poultry
o o Skinned, trimmed white chicken or turkey is permissible Avoid processed meat, eg. Ground turkey/chicken, luncheon meats, and canned meat.
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Fish
o All White fish is permissible in any amount: Cod, abalone, halibut, snapper, smelt, flounder, sole, sturgeon, tuna canned in water, shark, mahi mahi, haddock, perch, Pollack, etc. All shellfish is permissible in any amount. If you suffer from high cholesterol you should eat shellfish infrequently: Clams, crab, lobster, oysters, scallops, shrimp Fatty fish contain unsaturated fatty acids and must be counted in your daily oil allowance, aka maximum 50g (10tsp) per day:
Red Meats
o o None, incl. pork for the first year. Of the following low-fat meats, 3 oz = 1 tsp saturated fat. You are allowed 3 ounces (weighed after cooking) following the first year: Leg of lamb, liver (chicken, turkey, beef, calf, pork), Kidney (pork, veal, lamb), Heart (calf, beef lean portion only), tongue (calf only), rabbit, venison, Elk, Gizzard (chicken) 2 oz of the following medium-fat meats = 1tsp of saturated fat. You are allowed 3 oz following the first year: Beef (lean only), Ham (lean only), Lamb (rib, loin, shoulder), Pork (lean only), Veal, Chicken & Turkey (dark meat, no skin), Pheasant (no skin), Heart (lamb, chicken, turkey), Kidney (beef), Tongue (beef), Gizzard (Turkey)
www.swankmsdiet.org supplies recipe ideas and a forum for patients Supplements that you will take:
o Std Process Tuna Omega 3 oil capsules. (4 capsules = 5 grams oil to be counted in your daily allotment). *Std Process Catalyn includes Vit D
It has long been known that the risk of MS increases as one moves further from the equator. Only recently has the role of vitamin D, a vitamin we get from the sun, been elucidated in MS. In the past few years, research demonstrates that vitamin D deficiency increases the risk of MS whereas intake of vitamin D is associated with a lower incidence of MS. Vitamin D deficiency is now recognized as an epidemic in the United States, especially for in areas with limited sun exposure (the northern half of the US) and those who spend most of their time indoors. In MS, the risk of osteoporosis is high, and prophylactic vitamin D and calcium should be considered at an early stage, as these nutrients are essential to prevent bone loss.
*Std Process Trace Minerals B12 or weekly B12 injections when experiencing active lesions.
B12 is important for the formation of myelin in the brain & spinal cord. In relapsing-remitting MS, there may be a
The materials and content contained on this form are for general holistic nutrition information only to help support and enhance the bodys own healing properties and are not intended to be a substitute for professional medical advice, diagnosis or treatment for any medical condition. You should not rely exclusively on information provided on this or any other nutritional guidelines for your health needs. All specific medical questions should be presented to the appropriate medical health care provider.