Focussing Your MS Diet On Anti-inflammatory Foods
Do you really know what makes your food help your MS? Is it only about nutrients and avoiding foods that make you fat? What is it about certain foods that Multiple Sclerosis feeds on? In this post, I would like to explore the concept of inflammation, specifically related to MS. We will discuss how it arises and the role that a MS diet plays in calming inflamed nerves and ultimately reducing symptoms.
My experience with anti-inflammatory foods has been nothing short of incredible. I have discovered foods that make me feel energetic, nourished and improve my MS symptoms almost immediately! For example, I simply cannot have my raw juice in the morning without juicing an inch of ginger. Ginger is a potent anti-inflammatory food. It has a certain ‘zing’ to it that gets me going for the day. I can seriously compare it to drinking coffee, only instead of the caffeine high I am on a nutrient high! I can just hear my cells sing my praises for giving them exactly what they need to function effectively.
Defining Inflammation
The word inflammation means to ‘ignite‘ or ‘set alight‘. According to Wikipedia, inflammation is part of the complex biological response of our cells to harmful stimuli. In MS, these aggravating stimuli would be the T-cells of the immune system. Inflammation is generally good in that it is a protective attempt by the organism to remove the stimuli and to start the healing process. However, if it carries on for too long it can compromise the health and functioning of the person. For this reason, it is closely regulated by the body. In MS, however, it seems that this process of regulation is a bit slow to catch on.
A Disease of Inflammation
MS is an autoimmune disease but it is also a disease of inflammation. As we all know, MS causes the immune cells to attack the nervous system, which causes an inflammatory response (also called pro-inflammatory, which I like to use as this term is clearer). This is when we start to feel the variety of symptoms that MS can give rise to. Depending on a number of factors, the immune cells will attack for a certain amount of time during which the nerve cells become highly inflamed. Inflammation causes the myelin to disappear and as a result, the electrical impulses that travel along the nerves become slower. If inflammation continues for long enough, the nerves themselves are damaged. In MS terms, this is a relapse (or exacerbation), and symptoms will be experienced until the inflammation starts to decrease and heal. This can have permanent consequences.
I find it amazing how the human body works – the nerve tissue tries to fend off those evil T-cells by becoming inflamed. It is ironic, however, that the very process meant to help us is the mechanism through which we experience our debilitating symptoms. It is therefore necessary to help the body reduce the inflammation at a faster rate in order to reduce the damage it can do.
An Anti-inflammatory MS Diet
Many people have been witness to the significant impact that an anti-inflammatory diet can have on the prevention and treatment of MS. I get emails every day from women who can’t believe the change they feel after just a few weeks of eating this way. Their once inflamed nerves have calmed and are now healing. They are experiencing an increase in energy, clearer thinking, improved sleep and a decrease in their symptoms. It’s all about helping the body decrease inflammation.
At a cellular level, our bodies create both pro-inflammatory and anti-inflammatory chemicals, called “prostaglandins” from nutrients in the food that we eat. Too many pro-inflammatory foods can lead to the production of excessive amounts of pro-inflammatory prostaglandins. Obviously, this fuels your body’s pro-inflammatory response and leads to more MS symptoms. On a more positive note, when we eat certain nutrients, like omega-3 fatty acids, our bodies produce more anti-inflammatory prostaglandins, which causes a reduction in inflammation – another reason why an anti-inflammatory diet like the MS diet is needed by all MS’ers.
Essentially, there are two main objectives we are trying to achieve with our MS Diet:
Avoid foods that are going to trigger an activation in the immune system and cause it to attack our nerves – these foods also cause inflammation which is another reason to steer clear of them.
Include foods that are going to have an anti-inflammatory effect on our bodies. This will help any areas of inflammation to decrease and heal quicker. These foods also help our bodies to function ‘oh so beautifully’ because of the nutrient and fibre content. This prevents conditions such as leaky gut syndrome and blood- brain barrier permeability which are both factors in MS progression. It also prevents the development of other serious diseases such as cancer and heart disease which are the result of chronic inflammation.
But how do we know which foods are anti-inflammatory and which are pro-inflammatory? Some are easy to work out. For instance, we know we should be avoiding gluten, dairy, refined sugar, legumes (and soy), heated and saturated fats, and caffeine as part of a healthy MS diet. Others are not so obvious.
The IF (Inflammation Factor) Rating System
MS’ers can really thank Monica Reinegal, a nutritional researcher, who introduced the IF Rating System in 2006 to help us work out which foods are pro-inflammatory, and which are anti-inflammatory. She first introduced the concept of the “IF Rating” in her book, ‘The Inflammation Free Diet Plan‘. She explains the “IF Rating” for each food can be worked out using a number of factors, the primary ones being:
- The amount and type of fat content
- Omega-3 to Omega-6 ratio
- Composition of vitamins, minerals and antioxidants
- Glycemic load
- Presence of other anti-inflammatory compounds

The discovery of the IF rating has allowed to us, not only, to see which food are anti-inflammatory but just how anti-inflammatory they actually are! It is a major breakthrough when looking at how dietary changes can heal the body, combined with a healthy MS diet.
Foods with a positive rating value are considered anti-inflammatory. Foods with a negative rating value are considered pro-inflammatory. If a food scores zero, it means that it’s neutral, neither pro-inflammatory nor anti-inflammatory.
The IF Rating is, however, not an exact science, so view it as a tool to point you in the right direction instead of a gospel to follow religiously. It does have its critics, some who do not agree with its view of saturated fats, which it weighs very negatively. This specific issue is evident on all the recipes on the MS Diet For Women site that include coconut milk (contains a lot of saturated fats, but is a great dairy substitute) – all my recipes have been analysed using data provided by nutritiondata.self.com.
IF Ratings are also dependent on serving size, so please take this into account when working this out for recipes (my recipes also take this into account already).
Let’s explore how the rating system works in a bit more detail and then take a look at the IF factor of many commonly consumed foods.
Anti-inflammatory Foods
Here’s how we rate anti-flammatory foods, once an IF rating value has been produced after food analysis has occurred:
- Foods with IF Ratings between 1 and 100 are considered mildly anti-inflammatory
- Ratings between 101 and 500 indicate increasingly anti-inflammatory properties
- Foods that have ratings over 500 are strongly anti-inflammatory
Here are a few examples to give you a feel for anti-inflammatory IF ratings:
Olive oil (1 tbsp (14g)): +71
Carrot, boiled (1 carrot (46g)): +77
Broccoli, boiled (1 stalk (180g)): +143
Onion, raw (1 small (70g)): +164
Sweet potato, boiled without skin (1 medium (151g)): +232
Mollusks oyster, canned (1 cup (162g)): +377
Spinach, boiled (1 cup (180g)): +466
Atlantic salmon (wild), cooked (1/2 fillet (154g)): +895
Ginger, ground (1 tbsp (5g)): +1447
Turmeric, ground (1 tbsp (7g)): +1523
You can also see a list of foods with the highest IF Rating (per 200-calorie [kcal] serving).
Pro-inflammatory Foods
Here’s how we rate pro-inflammatory foods, once an IF rating value has been produced after food analysis has occurred:
- Foods that have ratings between -1 and -100 are mildly pro-inflammatory
- Foods with ratings between -101 and -500 are increasingly pro-inflammatory
- Foods with ratings of -500 and lower are considered highly pro-inflammatory
Here are a few examples to give you a feel for pro-inflammatory IF ratings:
Mango (1 fruit (207g)): -19
Miso (1 ounce (28g)): -21
Whole-wheat bread (1 slice (28g)): -28
Walnuts (1 oz (28g)): -38
Corn, boiled (1 ear (77g)): -50
Whole egg, hard-boiled (1 large (50g)): -51
Banana (1 medium (118g)): -60
Toasted sunflower seeds (1 ounce (28g)): -72
Roasted pumpkin & squash seed 1 ounce (28g): -79
Long-grain brown rice, cooked (1 cup (195g)): -143
Raisins, seedless (1 small box (43g)): -145
Yogurt, non-fat (1 cup (245g)): -156
You can also see a list of foods with the lowest IF Rating (per 200-calorie [kcal] serving).
Surprizes
What were you surprized about in this list? Mango as a pro-inflammatory food was definitely a shock, given its only slighty and probably due to its fat content (saturated fats mentioned above) – I love mangoes and eat them every day in summer! Corn is another food I didn’t expect to be on the list, again, only slightly pro-inflammatory. As these foods are only slightly pro-inflammatory compared to foods such as refined sugar and so it is not necessary to avoid them entirely, especially if you are eating highly anti-inflammatory foods with them. Your body still needs vital nutrients found in many of these fruits and vegetables, so don’t just write them out of your MS diet because they are slightly pro-inflammatory. I think I may cut down on my mango consumption a bit though!
As mentioned above, all of my recipes have an IF rating – I have found that you can calculate the IF rating of an entire meal which is quite handy to understand the overall impact of the meal you are about to eat. I have spent a lot of time researching recipes down to the nutrient level, and the IF Rating is another measurement I report on for my recipes.
Top Foods To Consider
Here is a quick list of the top anti-inflammatory foods you should embrace, and pro-inflammatory foods that you should avoid:
|
Top Anti-inflammatory Foods |
Top Pro-inflammatory Foods |
|
Ginger |
Sugar |
|
Turmeric |
Sunflower oil |
|
Sweet Potato |
Margarine |
|
Wild Caught Salmon |
Deep Fried Foods |
|
Papaya |
Dairy Products |
|
Shiitake Mushroom |
Red Meat |
|
Brocolli |
Artificial food additives |
|
Extra-Virgin Olive Oil |
Wheat and Gluten |
|
Blueberries |
Alcohol |
|
Peppers and chillies |
Refined grains |
Try and cram your diet full of these anti-inflammatory foods to your MS diet and stop eating food from the pro-inflammatory list.
Summing It All Up
When inflammation is on the outside of our bodies, in the form of a skin rash or a wound, it’s easy to be motivated to look after it and reduce the inflammation. Inflammation inside our bodies, is pretty much the same thing: an inflamed patch of tissue that is causing us pain and discomfort. If only we could see how the food we eat affects inflammation, we would probably be motivated enough to go straight to the kitchen and dispose of anything that would make it worse. However, many of us live blind to the harm that certain foods are doing and we wonder why our symptoms are getting worse when we don’t follow a healthy MS diet.
Let’s open our eyes and be aware of what we are putting in our mouths every time we eat. Following the MS Diet will help you with this process of reducing the inflammation.
Please leave a comment below – I would love to hear from you about foods you have found to either reduce or incease inflammation, or if you have any comments about the IF Rating system. Or simply let us know how this post has affected your understanding of your MS diet!
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posted by Katherine on January 26, 2013
Kim,
Thank you so very much I have been living with MS for quite a while but in the last 5 years it has really been exasperated. I have seen many MS diets before and have been very discouraged. I really like some of the foods that are on the pro inflammatory list. Other diets have been very no no no! never again! While looking at what you presented says off set and balance. Know what is high and what is low in inflammatory foods – much more encouraging. now I know what foods I need to limit and what foods I need to increase.
Thank you!
posted by Kim on January 26, 2013
Thats wonderful Katherine, very glad to hear you are encouraged! Yes, inflammatory data is another tool we can use to work out whats best for our bodies. Try take this new info and make a few changes to your diet today, so you make sure you see the benefits soon! Thank you for the comment!
posted by Amy on January 26, 2013
Thank you so much for this post. Since my diagnosis in April 2012, I essentially eliminated dairy, red meat, pork, and most saturated fats from my diet. Last night I noticed the neuropathy in my hands had severely flared up. I had slipped on my eating while celebrating my partner’s birthday yesterday. We had cheese, pasta, beer, cake….all inflammatory foods. While reviewing your list, I feel certain my diet is directly linked to the increase of nerve pain. I know some people like to say eating sugars and fatty foods is a splurge, but eating for my health and well being is much more of a splurge for me. I have this page in with my favorites!
posted by Kim on January 26, 2013
Hi Amy, I know its sometimes difficult to stick to the diet when celebrations are happening, but the good news is – tomorrow is another day! It sounds like you have make a clear link between eating inflammatory foods and your specific symptoms, so its up to you now to reset and move another step closer to changing your eating habits for good, as part of a new lifestyle. Keep us updated! Very happy to hear you have the site bookmarked! <3 Kim
posted by Joel Brind on January 28, 2013
I have discovered the most anti-inflammatory food of all: The amino acid glycine. It turns out that this amino acid is the body’s main inhibitor of inflammation. It’s also the most abundant amino acid in the body, but it’s mostly in the collagen–the part we usually throw away! (In food, collagen is known as gelatin). It’s amazing what supplying the 8 grams per day the body needs to avoid chronic inflammation, and diseases like MS. Proglyta is a great drink that supplies the whole 8 grams in one small serving (equal to about 16 servings of jello per day!)
posted by Kim on January 30, 2013
Hi Joel, thanks for the sales pitch
. I understand the link between glycine and diet, but are there any side-effects from over-dosage? I can see you believe in your product, but do you have any research studies to back the scientific principles? I am specifically interested in the use of glycine in MS patients at these kinds of dosages. My quick research seems to suggest that there is still insufficient evidence on the claims for glycine – seems to be some connection to brain nerve transmission, which is what MS patients are interested in. But, concerned that it is a inhibitory neurotransmitter.
Comments?
(PS – I have removed your other comment, so please just respond here on this post, as its more appropriate).
posted by Tammy Bain on January 29, 2013
Kim, thanks so much for the list of foods I will be happy to start including them in my diet, I wrote them down and am going shopping to get them. I was wondering what in cooking do you use tumeric with? Also what type of bread is healthy for us to eat as i love a good sandwhich ex rye, white whole wheat, bagels or wraps or pitas – please let me know. Also, how is chicken and tuna for the ratings? Thanks again for your articles for us here in ontario, canada.
posted by Kim on January 30, 2013
Great comment Tammy! A big hello to Ontario! Very happy to hear you are going to start including some of the foods to embrace in your diet. I see you have signed up for the newsletter, did you get the grocery list? That can help with your shopping!
Tumeric is great for vegetable dishes, curries, soups, rice dishes, etc. Unfortunately, you should only be eating gluten free bread – no rye, wheat, bagels, or wraps if they contain gluten. Chicken is not a good idea either I’m afraid. Tuna is ok, but because of potential contamination, I prefer salmon. You can find all the details on the MS diet page.
posted by gayle on February 3, 2013
My grandchild has recently been diagnosed with ms, after about 3-4 years of problems. The whole process has been overpowering and now as we start to get over the shock, I am trying to learn about a healthy diet for her and what it will cost to help her afford it on a low income. I will continue to study it as she has not totally come to grasp all the info and maybe there is a way to feel better. Thanks for getting me started.
posted by Kim on February 3, 2013
I’m sorry to hear its been a long drawn-out process for your grandchild Gayle. Its my pleasure to help you where I can, please let me know if you have any questions. Kim
posted by Amber Kirk on February 4, 2013
I became vegan two months ago. I am feeling a lot better. I eat very little refined sugar. Most of your diet plan I am following. I like this page for even more information and ideas. It does work to eat more anti-inflammatory foods.
posted by Kim on February 4, 2013
Thats wonderful news Amber! Transitioning to the MS diet is a process – as long as you are making small changes regularly, you will be moving forward towards a healthy MS diet lifestyle! Thank you for your kind words about the site! <3 Kim
posted by Alex on February 13, 2013
I’m a little confused re green tea, it still has caffeine in it so is it ok? Also any thoughts re high cocoa content chocolate as an anti inflammatory? Finding your site so so helpful! Thank you x
posted by Kim on February 14, 2013
Hi Alex
Thanks for your lovely feedback! There are so many opinions on green tea. There have been reports that green tea’s powerful antioxidant EGCG has been known to combat inflammation and boost immunity. In this way it really is beneficial to those with MS.
On the other hand, it does have a high caffeine content which is not great for us. It is better for our bodies to stay at an even level of stimulation. There seems to be some evidence that stimulation from caffeine could trigger relapses. However, the caffeine in green tea is natural so this may make a difference. I think it also affects people differently so give it a try and see how it makes you feel.
Cocoa is another controversial food. It is full of antioxidants but also has caffeine in it.
Again, try it in small amounts and see how you feel on it. Definitely avoid products with sugar in them though.
All the best to you!
Kim
posted by Kim on February 21, 2013
Just to follow up on this further Alex, I have done more research into green tea, and despite some of the varieties having lower caffeine levels, I have decided to move it to the “Avoid” corner. Overall, I think its not worth having it – on the bright side, there are lots of other types of teas that are perfectly acceptable, generally herbal teas, or teas infused with fruit or peppermint should be fine [always look out for other ingredients and additives though].
I have also updated the MS diet to reflect. Thank you for stimulating me to do additional research! <3 Kim
posted by Beth on February 28, 2013
According to the latest issue of Momentum, green tea extract, along with drugs used to treat other diseases are topping the list of things being studied for their aqbility to stop multiple sclerosis by preventing damage to the nervous sustem. Interstingly, before moving 2000 miles away from a large city and a cheap source of supplements, I took green tea tablets daily along with many other things that I have since learned are helpful with MS. It wasn’t until months after moving and using up my suplies that I had my first flare up and subsequent diagnosis.
posted by Kim on March 4, 2013
Hi Beth
This really is a controversial issue isn’t it! I’m really glad that green tea worked for you and that there is now more research to support it’s healing properties. It is a difficult one isn’t it because we have all been heavily warned against caffeine. I’m almost too scared to try it out because of what I know caffeine can do to me. I would say that if it is working for you, keep drinking it. We all need to discover what works for our bodies. What works for some, doesn’t work for others sometimes. Strange isn’t it?
This is an ongoing topic of research. I feel a GREEN TEA blog post coming on!
posted by Mary on May 6, 2013
Hi Kim– while I do not have multiple sclerosis, I have a potential diagnosis of myasthenia gravis (pending more tests). It’s also an autoimmune disorder and it’s pretty rare. I don’t know too much about it yet, I am overwhelmed with al the new information considering I had never heard about it til last week. Has anyone else ever come to the site with this condition? I am thinking a low-processed and anti-inflammatory diet could also help me.
posted by Kim on May 9, 2013
Hi Mary! I haven’t heard of this illness before but because it is autoimmune, you will definitely respond well to an anti-inflammatory diet. I would highly recommend it! Give it a try and see how you feel? What are your symptoms?
posted by Mary on May 9, 2013
My symptoms are very mild. I just have slight ptosis (droopy eyelid) in my left eye. But, as some MG patients progress from this to worse symptoms (some stay the same) I feel like I should do what I can to minimize damage to my body, try to minimize stress & sleep enough, etc. Not too long ago I was following what was close to a vegan diet, that didn’t last for very long but for a long time I have tried to minimize meat and dairy in my diet. Now I’m adding fish back on, and trying to minimize grains. We’ll see how it works for me.
posted by Kim on May 11, 2013
Sounds like you are on the right track Mary! Keep doing all you can, everyday to give your body the best chance it can to recover.