Eat Fish to Reduce the risk of Multiple Sclerosis

  Researchers at USC in LA reviewed the diets of 1,153 people, and found that eating fish at least once weekly in addition to taking daily fish oil supplements may be associated with a reduced risk of MS.
  Those with high fish intake as described above was found to be associated with a 45% reduced risk of MS.
AAN Annual Meeting 2018

Want to Reduce Risk of MS...Move to Florida

  During childhood and the years before onset of multiple sclerosis, living in areas with high ambient levels of ultraviolet-B light is associated with a lower MS risk in women.
  Women who lived in sunnier climates had a 45% reduced risk of developing MS compared to those living in areas with lower UV-B exposure.
Neurology. 2018 Mar 7

Pregnant Moms Take Your Ditamin D to Protect Your Baby Against MS

  According to a Danish registry study higher levels of vitamin D in newborns was associated with less risk of developing multiple sclerosis decades later.
Neurology 2016 Nov 30;[e-pub]
  Comparable findings were reported in a Finnish registry measuring the mother's serum vitamin D level.
NEJM JW Neurol May 2016
JAMA Neurol 2016;73:515

Fatigue In MS

   Fatigue is an overwhelming sense of tiredness and is often considered the leading symptom in multiple sclerosis.     Significant fatigue in isolation may precede a diagnosis by several years (Mult Scler 2013;19(11):1526-1532)
  Fatigue at the time of a first attack of MS (CIS) independently predicts a diagnosis of MS (J Neurol Neurosurg Psychiaty 2015;86(5):543-546) 

Immunologic Profile in MS Patients Altered with High Dose Vitamin D

   Those with low Vitamin D levels have been shown to have have an increased risk of developing multiple sclerosis in previous studies as well as an increased number of brain lesions on MRI. NEJM JW Neurol Dec 2015, JAMA Neurol 2015;72:1458
  A newer study revealed reduced percentages of IL17+CD4+T cells and effects memory cells CD4+ in patients that received 10,400 IU of vitamin D3 daily.
Neurology 2015 Dec 30

Absence of Bug in the Gut a Risk Factor for MS in Women ?!

  Researchers tested 550 people with known multiple sclerosis were compared to 299 healthy people for antibodies to H.Pylori...a common gut microbe. The prevalence of infection exposure was markedly lower in those with MS...but true for women only.
  Historic infection of the gut with H.Pylori may decrease the risk of developing MS in women. 
Journal of Neurology, Neurosurgery & Psychiatry Jan 19, 2015

Increase In MS Exacerbations With Increased Dietary Sodium

  High intake of dietary sodium increases exacerbations of multiple sclerosis almost four-fold.
  These studies suggests that clinicians advise their patients with MS to follow a low-salt diet.
Nature 2013;496(7446):513-517
J Neurol Neurosurg Psychiatry 2014;Epub2014 Aug 28