DIFFERENT TYPES OF MS NUTRITIONAL IMPLICATIONS MULTIPLE

There are 4 different types of Multiple Sclerosis:

Relapsing-Remitting MS (RRMS):
Low access to absorption of vitamin D due to
less sun exposure
Postprandial (after-eating) Inflammation
SCLEROSIS
This is the most common form of MS Fatigue may lead to unhealthy food choices
Clear attacks or increase in brain Bladder issues may cause someone to limit
impairment happening months or years at their intake of fluids which can be problematic
a time, followed by periods where
symptoms are dulled or even stopped CONTACT US
and cause other issues
Calcium deficiency due to use of
During dulled periods, symptoms do not
progress corticosteroids
Typically, with each attack the damage
worsens and is irreversible NUTRITIONAL TREATMENT
Secondary Progressive MS (SPMS): Research Shows Benefits With:
This is initially similar to RRMS, with
+1 450 568-8793
High Vitamin D
Decreases
+1 4 risk
5 0of increased
5 6 8 - 8 7symptoms
94
periods of attacks followed by stable
Reduces associated brain activity
symptoms
Regulates cell growth and differentiation from
However, it later becomes a constant
immune system
progression of disability
Omega-3 and -6 supplementation
Reduction in reoccurrence of symptoms
Primary-Progressive MS (PPMS): Anti-inflammatory, saturated fat leads to
This is a steady attack with a constant 16/F Cypress Tower,
inflammation
increase of disability due to the continual Calcium Third Ave. San Pablo,
ETIOLOGY
ETIOLOGY
attack on nerves protector Corticosteroids
C Alead
9 4to
80deficiency
6 in calcium
Multiple Sclerosis, or MS, is a long-lasting and
High Biotin
progressive autoimmune disorder that affects the
Improves disability by MS
Progressive-Relapsing MS (PRMS): Can interfere with lab values so talk to your Central Nervous System (CNS), such as the brain and
This is similar to PPMS since it is a doctor before supplementing biotin the spinal cord.
constant increase in disability however, High Fiber
the attacks continue to grow which Helps with constipation associated with MS Myelin is the protective, insulated covering that
speeds up the disease Low Sugarw w w . m e d i c a l - c a r e . c o forms around nerves. MS is a demyelinating
Decreases inflammation condition, meaning it attacks the immune system
Antioxidants and destroys the myelin.
Slows free radical nerve damage
Adequate calories When the myelin is damaged, it leads to slowed or
Decreases oxidative damage even stopped nerve impulses, causing irreversible
Adequate Vitamins and Minerals issues with the nerves.
Too much or too little has additional side
effects
By Kelsey Dunn and Lauren Mahoney
allows for catabolism
The exact cause of MS is unknown. However, it has
been connected to both genetic and TESTS MEDICATIONS 
environmental factors:
For RRMS:
Most people are diagnosed between the ages
These symptoms can be confused with other Corticosteroids, cell cycle inhibitors, and
of 20-50 years old intravenous immunoglobulins blunt the auto
diseases such as Lyme disease, Syphilis, HIV, HTLV,
More common in areas that are further from Vitamin B12 deficiency, Autoimmune disorders, immune process
the equator (but it differs between groups in Sarcoidosis and Vasculitis. Plasmapheresis filters plasma to remove
the same geographical areas) antibodies
2-3x more likely in women than men Immunosuppressants like recombinant beta
There are some tests that can be helpful in excluding
interferon decrease levels of inflammatory
Higher risk for children and siblings of a other diseases to determine if it is MS:
cytokines in brain and increases function of T
person with MS
regulatory cells
Cerebrospinal fluid (CSF)
Electrophoresis and Isoelectric Focusing Other types of MS:
SIGNS AND SYMPTOMS CSF and serum banding patterns are Managing the symptoms like depression or
evaluated bladder dysfunction with medications
Protein stain is applied to each separately
Fatigue Walking difficulty 2 or more IgG antibodies in CSF and not
Weakness Vision impairment in serum = positive
Numbness Dizziness 90% of MS patients are positive
Tingling Vertigo (spinning TREATMENT FOR MS
Stiffness feeling) CSF Immunoglobulin G (IgG) Index
Muscle spasms Bowel issues Excess IgG is produced in the central There is no treatment for MS, only ways to slow
Cognitive changes Speech problems nervous system when there is a problem progression and deal with symptoms:
Can also be from trauma or inflammation
Cognitive Rehabilitation Therapy
Physical Therapy
DIAGNOSIS Healthy diet
Myelin basic protein
No specific MS diet
There are no lab results, physical findings, or Increased protein in CSF shows
symptoms that can determine on their own if you demyelination Suggested to get a well balanced,
have multiple sclerosis. Not specific to MS low-fat, high fiber diet with little
-Other causes must first be excluded processed foods or alcohol
consumption
MS Diagnosis Criteria: MRI (magnetic resonance imaging)
Regular exercise
Damage in at least 2 different areas of the Multiple white matter plaques or scars in
central nervous system (including the brain, brain (myelin deposits)
spinal cord, and optic nerves)
AND
Have evidence the damage happened at Visual evoked potentials (VEP)
different times
Measures brain response to visual stimuli
AND
Damaged myelin slows responses
Have ruled out all other possible diagnoses

Talk to your healthcare provider if you believe you or

a loved one may be suffering from MS