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GENES
ENVIRONMENTAL
TRIGGERS
IMMUNE SYSTEM
INTESTINAL
PERMEABILITY
AUTOIMMUNITY
AUTOIMMUNITY—
A FUNCTIONAL MEDICINE PERSPECTIVE
Fassano, 2009
WHAT IS
FATIGUE IN
MS?
A subjective lack of physical and/or
mental energy that is perceived by
the individual or caregiver
to interfere with usual and desired
activities.
Consortium of Multiple
Sclerosis Centers
80-90% of people with MS
experience fatigue
CAUSES OF FATIGUE IN MS
•Anemia
•Vitamin D deficiency
•Thyroid dysfunction
•Lack of physical exercise.
• Depression
• Sleep disorders
• Drug side effects
• Recent MS relapse
• Nocturia (using the bathroom at night)
• Renal failure
• Liver diseases
• Chronic lung disease Tur, Carmen. "Fatigue management in multiple sclerosis." Current treatment options in neurology 18.6 (2016): 26.
HIGH DIET
QUALITY
"Real food"
Low in sugar
Low in sugar-sweetened beverages
Low red meat
Fitzgerald, Kathryn C., et al. "Diet quality is associated with disability and symptom severity in
multiple sclerosis." Neurology 90.1 (2018): e1-e11.
BENEFICIAL
LIFESTYLE
FACTORS
Non-
smoker
Normal
body
weight
Low
alcohol
use
Physical
activity
Fitzgerald, Kathryn C., et al. "Diet quality is associated with disability and
symptom severity in multiple sclerosis." Neurology 90.1 (2018): e1-e11.
WHAT DID
THEY
FIND?
Higher overall diet quality and better
lifestyle was associated with less
•Depression
•Pain
•Fatigue
•Cognitive impairment
•Disability
Fitzgerald, Kathryn C., et al. "Diet quality is associated with disability and
symptom severity in multiple sclerosis." Neurology 90.1 (2018): e1-e11.
WHAT CAN
YOU DO?
•Check whether you are sensitive to gluten/all
grains and dairy
•Prioritize sleep
•Vitamin D3
•Movement. Chair yoga, home based exercises
•Mindfulness Based Stress Reduction
•Journaling/app. Find your symptom/flare
triggers
•Do not stop your medication without
consulting your doctor
Dr. Lily Kiswani MD
https://drlilykiswani.com/
Dr.Shabnam Das Kar MD, FMNM
https://drkarmd.com/
Thank You!

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Slides From Facebook Live. Using Food To Fight Fatigue in MS

  • 1.
  • 3. WHAT IS FATIGUE IN MS? A subjective lack of physical and/or mental energy that is perceived by the individual or caregiver to interfere with usual and desired activities. Consortium of Multiple Sclerosis Centers 80-90% of people with MS experience fatigue
  • 4. CAUSES OF FATIGUE IN MS •Anemia •Vitamin D deficiency •Thyroid dysfunction •Lack of physical exercise. • Depression • Sleep disorders • Drug side effects • Recent MS relapse • Nocturia (using the bathroom at night) • Renal failure • Liver diseases • Chronic lung disease Tur, Carmen. "Fatigue management in multiple sclerosis." Current treatment options in neurology 18.6 (2016): 26.
  • 5.
  • 6. HIGH DIET QUALITY "Real food" Low in sugar Low in sugar-sweetened beverages Low red meat Fitzgerald, Kathryn C., et al. "Diet quality is associated with disability and symptom severity in multiple sclerosis." Neurology 90.1 (2018): e1-e11.
  • 7. BENEFICIAL LIFESTYLE FACTORS Non- smoker Normal body weight Low alcohol use Physical activity Fitzgerald, Kathryn C., et al. "Diet quality is associated with disability and symptom severity in multiple sclerosis." Neurology 90.1 (2018): e1-e11.
  • 8. WHAT DID THEY FIND? Higher overall diet quality and better lifestyle was associated with less •Depression •Pain •Fatigue •Cognitive impairment •Disability Fitzgerald, Kathryn C., et al. "Diet quality is associated with disability and symptom severity in multiple sclerosis." Neurology 90.1 (2018): e1-e11.
  • 9. WHAT CAN YOU DO? •Check whether you are sensitive to gluten/all grains and dairy •Prioritize sleep •Vitamin D3 •Movement. Chair yoga, home based exercises •Mindfulness Based Stress Reduction •Journaling/app. Find your symptom/flare triggers •Do not stop your medication without consulting your doctor
  • 10. Dr. Lily Kiswani MD https://drlilykiswani.com/ Dr.Shabnam Das Kar MD, FMNM https://drkarmd.com/ Thank You!

Editor's Notes

  1. MS symptoms?