Balance Hormone Levels With Your MS Diet

By : | 17 Comments | On : January 16, 2013 | Category : MS Diet Tips

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ms diet respect hormones

I have recently chatted to a few women who have been convinced that hormonal changes in their bodies have given rise to their MS and also play a role in their relapses. Some women complain that at certain points in their monthly cycles, they experience the same irritating and sometimes debilitating symptoms. This means that the complex physiological processes of the disease could be very closely related to the ups and downs of our hormones, in particular, our sex hormones. It also implies that if we can keep our hormone levels in balance and at optimum levels, then we have a greater chance of keeping MS at bay and staying well for the rest of our lives.

Women And Hormones

It is a well known fact that MS affects two to three times as many women as it does men (tweet this). This is especially true of women diagnosed between the onset of puberty and menopause. This is the time of a women’s life when she experiences a flood of hormones as her body prepares for child bearing. Is it a coincidence that far more women than men are diagnosed during these peak hormonal years? Interestingly, once women reach menopause and post menopause, there is an equal ratio of MS in women to men.


During pregnancy, on average, women also experience significantly less relapses and MS activity and most report feeling much healthier. This is because estrogen levels are much higher during pregnancy and seem to have a protective effect. As estrogen levels fall after the birth, there is an increased risk of a relapse in the following three to six months.

pregnancy helped my MS

I can certainly relate to this pattern with my pregnancies. It was so much more obvious with my second pregnancy because I knew about my diagnosis then. I had a minor episode at the start of my pregnancy but after this minor hiccup, I felt fantastic for the rest of my pregnancy. I was full of energy, clear headed and not a symptom in sight. It definitely helped that I had just started my MS diet. My hormones were obviously in just the right balance. After the birth, I did have a return of some numbness but nothing to write home about. My MS diet has definitely helped me recover beautifully from my pregnancy and has hopefully helped to avoid any major flare ups since. More on diet and hormones to come!

First if all, let’s take a closer look at the role hormones play in our bodies.

Understanding The Role Of Hormones

Hormones have an incredibly important part to play in helping our bodies to function effectively. Hormones are the little messengers that travel between cells and organs making sure every part is doing what it is supposed to. These amazing chemicals control processes such as growth and development, metabolism, sexual reproductive functions and mood. We need just the right amount of our hormones at any one time to keep things working smoothly and effectively. Problems begin when there is too much or too little of a certain hormone. Usually an imbalance results from an unhealthy lifestyle dictated by too much stress, too many refined foods and not enough exercise. We need to make sure that we stay healthy and fit in order to keep the delicate balance of our hormones in check.

As women, it is important to understand the role that hormones play in our monthly cycles. This can help us anticipate the effects of the various hormones on our energy levels, mood and MS symptoms. Estrogen, progesterone and testosterone are the main sex hormones that peak and dip throughout our cycle. Estrogen is our feel good hormone and we feel great when we have plenty of it, in phase one of our cycle. We could possibly feel a bit low when it starts to dip in phase two. Let’s have a brief look at what we can expect during each week of our cycle.

Phase One

Week 1 (Day 1-7)

At the start of your period, estrogen and testosterone levels are their lowest which may cause you to feel fatigued and a bit down in the dumps. However, they both start to rise within a few days, which should lead to improved mood and energy levels.

WEEK 2 (Day 8-14)

In week two, estrogen and testosterone continue to rise. This should help you to feel positive, energetic and upbeat about life. This is usually a good week!

Phase Two

Week 3 (Day 15-21)

This week marks the start of ovulation and progesterone levels start to rise as estrogen and testosterone take a dip. They do recover within a few days, however, you may feel a little on the grumpy side as they fall. You may feel slightly fatigued during this week from the rising progesterone as it is known to have a sedating effect.

WEEK 4 (Day 22-28)

This is the dreaded premenstrual week when all three hormones take a nose dive. As we all know, during this week, we can often experience feelings of irritability and become frustrated and stressed out over little things. This is a result of the plunging levels of estrogen, our ‘pick me up’ hormone.

It is good to be aware of where you are in your monthly cycle so that you can plan to get a little more rest when you need to or do something fun and energetic when you know you are going to have the energy. Not that our lives should be dictated by our monthly cycles or anything but it is just good to know what is happening and when! Now you that you are familiar with the effects of these important hormones on our minds and bodies, we can discuss how they can play a role with MS.

Can Hormonal Changes Give Rise To MS?

There seems to be a growing body of evidence to suggest that abnormal hormone levels play a role in Multiple Sclerosis. Interestingly, both estrogen and progesterone are critical in nerve health and remyelination. So, it stands to reason that if these levels are too high or too low, this could have a negative effect on our nervous system, allowing inflammation and damage.

A recent research study published in The Journal of Neurology, Neurosurgery and Psychiatry has shown the effects of various hormones on MS. In this study, researchers compared levels of a range of hormones in healthy people and those with MS. The average age of the participants was 32, and those with MS had had the relapsing-remitting form of the disease for an average of six years. Women were tested during both phases of their menstrual cycle, to account for variations in hormone levels.

the right hormone levels is what matters

Testosterone and estrogen, appeared to have the most significant connection to Multiple Sclerosis. The women with MS had lower testosterone levels than the healthy women. This was the case throughout their menstrual cycle. Women with Multiple Sclerosis and abnormally low testosterone levels had more brain inflammation than women with multiple sclerosis and normal testosterone levels. However, irreversible brain tissue damage was more common in women with MS and abnormally high levels of testosterone. So, it seems that women with MS need to have testosterone levels which are ‘just right’ to avoid symptoms.

The real question is: How do we keep our hormones at normal, healthy levels? Let’s explore some of the most effective ways to do this with our diet.

MS Diet And Hormones

Here is the fundamental fact: the food we eat has a direct effect on our hormones (tweet this). Eating a highly nutritious diet with zero refined and processed foods is the best way to keep your hormones at healthy levels. The various food groups each have their own unique effects on hormones.

ms diet fruit or pills Balance Hormone Levels With Your MS Diet

Fruit And Veg

Eating a MS diet rich in fruit and veg helps you to avoid all those nasty hormone disrupting foods. Most importantly, it gives your body the tools it needs to create hormones and produce them in perfect amounts at just the right moment. Try to eat a large variety of green, brightly coloured and white fruit and veg. Juicing is an amazing way to get those nutrients into your system quickly!


The right fats are of particular importance when in comes to the hormonal system. It simply will not work properly without Omega 3 and Omega 6 essential fats. The majority of people are consuming the wrong types of fats which only helps to throw things out of balance even more. Make sure you are eating fats such as flaxseed oil, nuts, avocado, extra virgin olive oil and salmon, as well as reputable supplements.

Refined Sugar

Another good example of a hormone disrupter is sugar. Refined sugar causes more insulin to be released into the blood stream than what is ideal. Insulin, in its attempt to keep blood sugar levels in balance, stores the excess sugar as fat in our bodies. When insulin levels increase, so do cortisol levels. Cortisol is a hormone that also raises blood sugar levels and it steps in to make sure insulin doesn’t drop our sugar levels too much. Unfortunately, cortisol decreases thyroid hormone which can lead to thyroid problems. Just by eliminating refined sugar from the diet this entire vicious circle can be avoided. You can clearly see that removing refined sugar is one of the most important things you can do for your hormones and MS.


Gluten, the only protein found in grains, has been shown to have a negative effect on the hormonal system. Many women, especially those with MS are gluten intolerant. This means they experience weight gain and increased MS symptoms when consuming gluten. Gluten needs to be removed for at least six weeks for an improvement to be seen. You will also see a difference in your skin and bowel movements.

Chemical Additives

Chemical additives in food can interrupt the way hormones work. Be very careful to avoid processed foods with artificial colourants and flavourants, as well as preservatives.

Dairy And Meat

For someone with MS, “non-organic” meat and dairy products should be avoided at all costs. Most almost certainly contain chemicals and artificial hormones, which can remain in the human body long-term, left to concentrate in the fat cells. Even “non-organic” animal byproducts contain hormones that have made their way through the system. These can unbalance your delicate hormonal system. As with gluten, if you have a sensitivity to dairy, any amount you consume will cause a change in your hormone levels.

Soy Products

Soy products are also a “no no” on the MS diet because of the potential allergic reaction the body may have towards them. Many people with MS have a sensitivity towards soy products which can cause an activation of the immune system and lead to MS symptoms. They also contain high levels of phytoestrogen which mimics the functions of the female sex hormone estrogen. Estrogen is great but in just the right amounts – too much estrogen can lead to:

  • weight gain
  • menstrual irregularities
  • thyroid dysfunction
  • poor reproductive system functioning

Soy isoflavones are known to be endocrine disruptors, and have the potential to cause negative effects on reproductive health, fertility, infant development and even brain development. On the other side of the coin, in post menopausal women, soy products have been shown to actually help with hormone replacement. I do still feel that soy products need to be approached with caution even at that stage of life as they may still cause an imbalance in other important hormones.

What About Hormone Replacement Therapy?

Hormone replacement therapy (HRT) has been described by Kathryn Simpson, the author of ‘The MS Solution‘ as essential for resolving the inflammation associated with MS. It seems that hormone replacement therapy may actually have great benefits for women with MS who are going through menopause. Women lose 90% of their estrogen and progesterone production within a short two-year period during menopause which can be quite a shock for the body. This is usually the time of a women’s life in which her MS can suddenly worsen and she is hit the hardest with the “progressive” stage of the disease. This is obviously related to the steep drop in estrogen, progesterone and testosterone. It seems that hormone replacement therapy may have tremendous benefits for women of this age, helping to calm inflammation and keep MS symptoms at bay. This does need to be done in a very controlled way with expert medical help, and in the context of an extremely healthy lifestyle.

ms diet menopause Balance Hormone Levels With Your MS DietThere has been a lot of hype, in recent years, about HRT contributing to breast cancer. Research has shown that the risk differs slightly according to the type of HRT. For instance, combined HRT (oestrogen and progestogen) accounts for three extra cases of breast cancer in every 1,000 women who use it for five years between the ages of 50-59.

There appears to be no increased risk if it is taken for less than three years. Oestrogen-only HRT has a lower risk than combined HRT. The risk with tibolone (a synthetic HRT) appears to be similar to that of oestrogen only HRT.

Having a risk factor doesn’t necessarily mean that a woman will develop breast cancer. And even if a risk factor is identified in a woman with breast cancer there is no way of proving that this was the cause. Cancer Help UK states that any cancer risk associated with HRT reduces to a normal level five years after you stop taking HRT.

Summing It All Up

I do think that it is beneficial to have your hormone levels tested so that you know what is happening in your body. However, if you have not yet reached the age of menopause yet, your body is still capable of producing healthy hormonal levels when given the right tools to do so. Eating highly nutritious foods, paying attention to possible food allergies and taking nutritional supplements are all more natural ways to keep your hormones in balance and at the right levels.

Phew, so much to talk about! I think we are just scratching the surface when it comes to hormones and MS. So much more research needs to be done! Hope this has helped to convince you to keep going with your MS diet. It is the only long term solution to keeping your hormones in check!

Respect the hormones!

kimsignature Balance Hormone Levels With Your MS Diet

PS: If you need help with MS diet meal plans, recipes, fasting guides, or even one-on-one coaching, please visit the Resources page. Our new MS Diet For Women Community is also growing quickly, we'd love you to join us and get the support you need!

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Kim avatar 64x64 Balance Hormone Levels With Your MS Diet
Kim was diagnosed with Multiple Sclerosis in October 2010. She is in her thirties, married and has two beautiful children. Kim is passionate about helping others with MS by sharing what she learns about the disease with her fellow MS sufferers. She loves to discover new recipes that are both tasty and help to treat her condition. She is currently living a normal life - her mission is to help others do the same. Read more about Kim...
Kim avatar 64x64 Balance Hormone Levels With Your MS Diet
Kim avatar 64x64 Balance Hormone Levels With Your MS Diet
Kim avatar 64x64 Balance Hormone Levels With Your MS Diet
Over the years I have developed many tools I use to help me keep living well, slow my MS progression and reduce my MS symptoms. I am confident in them, because they work for me… in fact, if I didn’t have MS, I would still live this way. You can get MS diet meal plans, recipes, fasting guides, or even one-on-one coaching on the Resources page.

Related posts you may also enjoy:

Calming Your Immune System With Omega 3 and 6
Where Is MS Diet For Women Headed?
Hormones: The Key to Recovery from MS?

Has this post helped you in some way? Please leave a comment below, I'd love to hear your thoughts, and so would others! Or why not leave a comment below to introduce yourself, I love to meet new people with MS!

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  1. posted by Megan on January 16, 2013

    Hi Kim, thanks for another wonderful post!

    • posted by Kim on January 18, 2013

      Hi Megan

      You are so welcome! I enjoy researching new topics and then presenting them in a, hopefully, easy to understand way. It really helps me with my understanding of my MS and how to do better with my diet.

      Hope to chat to you soon again!


  2. posted by Mary Taggart on January 16, 2013

    I was diagnosed in 2003. I realized at age 50 that my monthly cycle played a big part on the body. My doctor had me take depopevera shots every 3 months. No more cycles! And it really helped my symptoms. at age 55 hormone tests showed I had gone thru menopause and stopped the shots. It really helped me. Just fyi

    • posted by Kim on January 18, 2013

      Hi Mary

      Thanks for your feedback and for sharing your story! Wow, just more evidence that hormones can make a difference to our MS and either help our symptoms or make them worse. Such a fine balance to be maintained.

      Has your Dr. Recommended any form of HRT for you?


  3. posted by Trace on February 10, 2013

    Have you looked into bio-identical hormones instead of the traditional HRT, in relation to MS?

    • posted by Kim on February 17, 2013

      Hi Tracy

      Thanks for the message! Yes, I have read a little about bio-identical hormones. Sounds like a break through treatment, especially for menopausal women with MS. Have you had any experience with this treatment?


  4. posted by Debbie Tilley on February 19, 2013

    Hi Kim,

    Do you know anything about the effect the contraceptive pill has on MS? I have been on the pill since I was 16, had my first symptoms at 28. (I’m 33 now.) My symptoms have only been mild so far (and long may it continue!) I stopped the pill for a brief time two years ago and noticed an increase in my symptoms. I didn’t think it was related but then I read an article about how the pill can help MS because it works by ‘tricking’ your body into thinking it’s pregnant!

    Any thoughts on this?


    p.s. Fantastic website! I was so strict about my diet when I was first diagnosed but I have slipped terribly over the last couple of years. You have motivated me to get back on it!

    • posted by Kim on February 19, 2013

      Hi Debbie

      Thanks for your comment and question. I have heard mixed reports about the pill and its effects on MS. Some people say that it keeps your hormonal levels consistent which is good for MS. Others report that it creates an artificial hormonal environment which throws the usual hormonal levels out of balance.

      I suppose it works a bit differently for everyone. I have decided not to use contraceptives because I feel that by artificially altering my levels, this may lead to imbalances and symptoms.

      Very interesting article about tricking your body into thinking it’s pregnant. Is that because of the high oestrogen levels it creates?

      Sorry I can’t give you a definite answer on this! I guess more research needs to be done.

      I do, however feel that menopausal women benefit from HRT because low hormonal levels seem to cause an increase in relapses. Have you read my post on Hormones and MS?

      All the best with the diet! You can do this!

      Chat to you soon!


  5. posted by Giselle Rozzell on August 19, 2013

    Another informative post; well research and written. I love doing researches for ms, had I not then I just would have been taking Vitamin D, though it is a vital one and a high dose to. Once diagnosed you are very much left alone. I would encourage anyone to google things.

    • posted by Kim on August 20, 2013

      Hi Giselle! Yes, it is amazing what info is actually out there. Thank you for your lovely comments. Vit D is so important.

  6. posted by Yemisi on August 28, 2013

    I just discovered this site at a crucial time. Thanks thanks thanks.
    I didn’t get much relief when I was pregnant. I also tend to feel better when I have my period. This is contrary to everything my Neuro and everyone says.
    Thanks again for your gooood work.

    • posted by Kim on August 29, 2013

      Hi Yemisi! Very happy that you are finding the site useful. Interesting that you feel better when you have your period because most people feel worse. Hope you are finding the way of eating that works for you. All the best to you! Kim

  7. posted by Leanne on January 21, 2015

    I feel great when menstrating too, the worst time for me and my MS symptoms is four days after menstration and the week before. I have always claimed that if scientists could develop something to balance my hormones then I would be MS free. I have had very mild MS for almost 30 years, I eat all the right foods that work with my body and I’ve contributed this to such a mild disease course. But…because I’m post menopausal and have notice a shift in my menstrual cycle my MS symtoms have come with a vegence and have been steadily worsening for the past three months, I’m 44, so I can vouch that although diet is crucial, it is not enough to balance hormones. I have always eaten a diet identical to the Wahls diet long before it became ‘famous’. I grew up eating this way so it was normal to me and still is. I also felt great through my pregnancies and relapsed after each. I am not on any medications whatsoever (not even ABC drugs), so I can rule that out too. It’s the natural shift in my hormones that is causing recent relapses. I am certain of this because I eat super healthily, I weigh a healthy 7 stone 10 pounds (I’m only 5ft 1in). I don’t take any medications as I feel they mask the reality of what’s going wrong in my body, I exercise, I live in the country in Ireland and get loads of fresh air and grow my own organic food. I don’t smoke, I have no fillings, there is no family history of any illness whatsoever in my family….they are all super fit and healthy. I have been very stable with symtoms for the past 30 years, only having mild optic neuritis aged 14, mild tingling and very mild balance issue after first child aged 21 and severe optic neuritis in one eye after second child aged 31, which resulted in permanent blindness in that eye. Apart from that I’ve been symtom free, with the odd tingly finger or knee once in a while, usually when stressed, up until 3 months ago, (stress plays havoc with hormones). So I think it’s definitely safe to conclude that hormone imbalance is the cause, definitely in my case.
    I love your articles on MS and hormones, I just wish that Neurologists would listen to me when I try to tell them all this.

    • posted by Kim on January 21, 2015

      Hi Leanne. Thank you for your comment and for sharing your remarkable story with me. It’s amazing to hear you confirm everything I have suspected to be true about hormones and MS. Hormones, are undoubtedly involved in our MS symptoms. I think we need a baseline. What levels should our hormones be at for MS to be stable? There must be a specialist out there, somewhere, who knows something about this! I know that there are some natural hormone replacement therapies that can help to keep hormones at ‘normal’ levels. I think these are worth researching. I’m glad that you are relatively well and that your MS has remained mild. Eating well has definitely helped you with this. Please stay in touch! Kim

  8. posted by Ellen on July 25, 2015

    Interesting article. I have been on HRT for maybe 25 years. I found out I had MS about 10 years ago. I have a pretty mild case of RRMS. I feel pretty good. I tried a lower dose of HRT and had a big problem with it. So I’m back on what I was (premphase.) Now am feeling guilty about the equine source of those hormones, but not sure I want to change. I take HRT for MS and because I am a soprano and would like to be able to sing in my higher register even though I am past the age that most sopranoes continue singing, but there is a link betweet menopapause and singing. Have you looked into this at all?

    • posted by Kim on July 29, 2015

      Hi Ellen, very interesting to hear from you! I must say that I haven’t looked at the link between menopause and singing but I can assume that hormone levels have an impact on whether you can hit those really high notes. From what I have read, HRT does help MS because it keeps all the hormone levels in balance and this reduces inflammation. Do you feel that taking HRT is risky? have you researched any more natural options?

      • posted by Ellen on July 30, 2015

        Thanks for your response. I would like to look into more natural options although I am unsure of how other sources, especially plant sources, for example, would make a difference vocally compared what I am taking. And I don’t know if other estrogens need to be complimented with projesterone since I do have a uterus, although now w/o a lining. I haven’t found a lot of reliable information on this. My GYN thinking it is kind of risky. He put me on a lower dose using estradiol and then progesteron 12 days every three months. The first 4 days into the (generic) progesterone I had a terrible reaction. I never had this kind of reaction on what I was using already. So in time I went back to my usual HRT. Now he wants me to try a new medication called DuaVee, but I am not convinced I should. My risk factors are very low, but I am over 65 and apparently that can be a risk factor. I read articles and different pieces of info and I am now under the assumptions that the scientific evidence is very unclear and there is a lot of differences as to what is and what is not good. Everyone is an individual and needs to be treated as such. As I said the only reasons to get off HRT is if I stop singing and if medically something changes that my risk factor gets higher, then I’ll have to quite HRT altogether, but If I otherwise feel good why quit (except for the equine factor that bothers me and the reason I’d look into other forms)

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