MS and Nutrition – Expert Talk on Multiple Sclerosis

Patricia Fleischman: Dear chatters, welcome to the multiple sclerosis-Chat the BLACKBIRD. Today is about nutrition and MS . From 7:00 p.m. (and until 8:00 p.m.) Professor Olaf Adam will respond here, to whom I also give a warm welcome.

Baroni089: Good evening Professor Adam, should cheese and yogurt be removed from the menu, in other words: animal protein? Is there no evidence that this is harmful to the myelin sheath? – Question still to be answered.

Patricia Fleischman: Thanks @Baroni089, we reported this on amsel.de: https://www.amsel.de/multiple-sklerose-news/medizin/foerdert-milch-multiple-sklerose/

Baroni089: Thank you Mrs. Fleischmann, that’s what I meant, but I would like an evaluation of Prof. Adam. Would it be possible?
Patricia Fleischman: @Baroni089: Of course Prof. Adam is still replying. He just wanted to give everyone context so that the study on dairy and MS.

Patricia Fleischman: @all: Please bear with me for a moment: Prof. Adam will respond immediately, questions asked first first. By the way, it’s a great way to check if your own question has already been answered: just look under “Open Questions”.

Baroni089: Oh sorry and thanks 🙃
Patricia Fleischman: No problem.

Sanja: Good evening Prof. Adam, Coconut oil and coconut fat are pretty much discredited. Does that also apply to an inflammation? illness like em? Can this increase inflammation?
Professor Olaf Adam: Coconut fat is saturated vegetable fat. They were debunked because ANIMAL saturated fat was associated with atherosclerosis and heart attacks (but that’s not true). Therefore, coconut oil and coconut fat are not “vital” like the other vegetable polyunsaturated fatty acids. They are just “energizers”. But coconut palms don’t grow here, they grow in warm regions. The sun shines brightly there. Therefore, coconut palms have to be protected from the sun’s UV rays even more than our plants. This is why the (native) coconut has more antioxidants than our plants, so they can break down the many oxygen radicals caused by UV radiation.

Patricia Fleischman: @all: while waiting for an answer: on amsel.de there is a great platform called MS and nutrition with basic information, tips for nutrition and also for other diseases besides MS: https://www.amsel.de/ multiple – sclerosis/ms-topics/ms-and-nutrition/

Sanja: Thank you for your response Professor Adam! 👏🥥
Professor Olaf Adam: No problem.

Azure: Recent studies say that short-chain fatty acids (eg propionic acid) have positive effects on MS and long-chain fatty acids have negative ones. Shouldn’t one differentiate which long chain fatty acids (eg saturated and unsaturated) are involved?
Professor Olaf Adam: I can only agree with you. Short-chain fatty acids are found in small amounts in milk and butter, and have been marketed by farmers as a benefit of these products. Short-chain fatty acids are also formed in the human intestine from soluble fiber. This type of short chain fatty acid is certainly beneficial. What cannot be said about the short-chain fatty acids in butter. The protective effect of short-chain fatty acids against cancer and inflammation it is probably mediated by the gut microbiota. It is always advisable to take care of the intestinal microbiota, especially for people with MS.

Patricia Fleischman: @all: You are welcome to switch to the chat corner to exchange ideas with other chat participants, for example about your experiences with nutrition and MS. If you change to “Prof. Olaf Adam”, you can search for current answers from our expert. Of course, this is also possible in “expert and chat room”, but there are more posts there.

Azure: Meat consumption does not appear to be beneficial in MS. Does this also apply to white meat?
Professor Olaf Adam: Do not be fooled! Water is also unfavorable in excess. Your assumption is correct: animal protein helps the body maintain its structures. But only in combination with vegetable protein. The ratio of animal protein to plant protein is supposed to be 50:50. We have realized this in the car diet (for weight loss (www.kfz-diaet.de). The decisive factor is the building block (amino acid), which is “limiting” in animal and vegetable proteins. building block is a different animal protein than plant protein, so it is important to get the right combination of animal and plant protein: that all tissues (eg. myelin) can be formed without the kidneys being loaded with too much protein (which is possible on a vegan diet)

Professor Olaf Adam: White meat (turkey/chicken) is leaner than red meat (when properly preserved). This means it has less arachidonic acid than “red” meat when kept in a species-appropriate manner. But these are only more or less quantitative differences. It depends on the total supply of arachidonic acid, which is also found in all other animal products such as eggs, cream, milk or cheese. You can use the nutritional calculator ( www.ernaehrungsrechner.de ) to check how much pro-inflammatory arachidonic acid you are taking.

Azur: High salt intake is said to be negative in MS, but fermented foods are recommended for intestinal flora, but are high in salt. – Question still to be answered.

Kati_81: Dear Professor Adam, are there dietary supplements (vitamins, minerals, etc.) that you can recommend in ms? which is for example B. with propionic acid?
Professor Olaf Adam: The recommended daily intake for adults (25 to <51 years) based on the DA-CH reference values ​​is 3.0 µg of vitamin B12. An intake of 3.5 µg per day is recommended for pregnant women and 4.0 µg per day for lactating women. With a vegan diet, the contribution is not guaranteed, as is the contribution of calcium, proteins and iodine. The form in which B12 is taken is not of great importance since storage is very efficient and the half-life is very long.

Patricia Fleischman: Dear chatterbox, the lesson is over and there are still some questions left: Prof. Adam will answer all the open questions one by one. You can no longer ask new questions, but you can stay in the chat, read and also talk to each other in the chat corner. –
For all those who are already opting out: I wish you a good night and as much time off of Uhthoff as possible. By the way, at the end of June (6/28/22) there will be an AMSEL webinar on the topic of Anti-Inflammatory Nutrition in MS with Dr. Leussink. If you have more questions, please register for this seminar in the coming weeks: https://www.amsel.de/service/amsel-web-seminare/

Azure: How many micrograms of vitamin B12 should you take per day on a vegan diet?
Which form of B12 makes the most sense? (for example, methylcobalamin and adenosylcobalamin)
Professor Olaf Adam: Answer: see above.

Kati_81: Dear Professor Adam, are there dietary supplements (vitamins, minerals, etc.) that you can recommend for MS? which is for example B. with propionic acid?
Professor Olaf Adam: Hi Kati, that’s always the big question: what else can I do for myself? But there are limits. Nature has optimized life and your health for millions of years. If you want to improve something there, you should think twice. In plain language: “Healthy nutrition”, as recommended by the German Nutrition Society, should always be the basis. But you are asking a specific question: do people with MS need more of a particular nutrient? I have to say yes. Chronic inflammation in MS requires more antioxidants and more anti-inflammatory omega-3 fatty acids. This is exactly what I described in The New Dietary Guidelines for Multiple Sclerosis. These are particularly vitamin E and the trace element selenium. Unfortunately, all meta-analyses have shown that excessive intake of vitamins (vitamins E, C, A) shortens life. Selenium can also be harmful when taken in excess. Dear Kati, I can’t stay here anymore. But maybe we’ll have another chance.

men: What about chocolate and chocolate chip cookies or peanuts with chocolate around: the cocoa fat must be good and so is the peanut fat? – I stand out here as a fan of chocolate 🍫
Professor Olaf Adam: Good evening friend, how right you are. Life is not all diet and frustration. In addition, chocolate has a large amount of antioxidant and anti-inflammatory substances. But they are not contained in milk, milk chocolate. So better “dark” chocolate or cocoa (with skim milk).

Barbara: Good evening! I have a few questions right away: What are your experiences with ketosis? Can a ketogenic diet cause deficiency symptoms or other negative effects? What experiences with intermittent fasting? Where can I find support for this?
Professor Olaf Adam: Good evening Barbara,
You only get ketosis if your body relies almost exclusively on burning fat. So with fasting or the strict Atkins Diet. Neither fasting nor the Atkins diet (low-carb diet) is healthy. There are now various theories as to what ketosis might be good for. Cramp prevention, less appetite and much more. But what do you “buy” the “good” effects of ketosis with? You have very few water-soluble vitamins, very little dietary fiber, the intestinal flora suffers, that Brain no longer works properly, just to name a few.
Your second question is less easy to answer because I don’t understand the meaning of it. Does intermittent fasting have to be healthy or do you want to lose weight with it? So I can only give a general answer. In principle, fasting is something normal. There have always been times of famine, and our bodies are prepared for it.

Patricia Fleischman: Dear chat, that’s all for today in the AMSEL expert chat. Two pending questions will be answered and then entered into the chat log. Thank you for your patience! An especially big thank you to Prof. Olaf Adam for his commitment to the AMSEL MS chat! I wish you all a good rest of the evening!

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