Dietary Approaches to Treat Multiple Sclerosis-Related Fatigue Study

Inclusion Criteria

• •Willing to allow your neurologist to sign a letter confirming multiple sclerosis diagnosis and criteria used in diagnosis
• •Relapsing-Remitting Multiple Sclerosis as documented by the McDonald Criteria confirmed by their treating neurologist
• •Fatigue as documented by a Fatigue Severity Scale score of greater than or equal to 4
• •Between the ages of 18 and 70
• •Body Mass Index greater than or equal to 19
• •Ability to shop for and prepare or have someone in the family shop for and prepare home cooked meals according to study diet guidelines
• •Willingness to keep detailed food records
• •Willing to eat a diet that includes more vegetables and excludes many comfort foods such as those made with white flour,
• •Willing to eat a diet that eliminates red meat (beef, pork, lamb, veal) and saturated fats (butter, coconut oil, margarine, hydrogenated oils found in processed foods) to 1 tablespoon per day
• •Must not be pregnant or planning to become pregnant in the next year
• •Willing to eat meat (eg, chicken, turkey, fish)
• •Willingness to follow either the Wahls Elimination diet or the Swank diet
• •Individuals who have had gastric bypass surgery have obtained a signed statement from their physician indicating they are weight stable and a suitable candidate for this study
• •Normal or mild cognitive impairment as measured by the Short Portable Mental Status Questionnaire
• •Willing to have blood drawn
• •Be able to walk 25 feet without support, or with only unilateral support (i.e. cane in one hand)