ok i'm up! can you give me a little more detail re what you do eat? we should be able to do something to maximize the nutrient density coming from the food you do manage to eat each day.
as for supplemental nutrients, just for a foundation i'd suggest a high quality multivitamin - no one-a-day stuff. i've used some very expensive products before, but they can include a lot of non essential ingredients, and with one i tried, the recommended dose was 6 capsules per day! no thanks.
at 3 caps per day, this one is an example of a decent compromise: http://www.aor.ca/products-page/advance ... -basics-3/
multivitamins are for healthy folks - as a patient, you're likely to have specific additional nutrient problems consistent with those seen in other ms patients. where patients have low to mid normal levels, healthy controls have mid to high normal levels. once we have a closer look at practical steps where food is concerned, then we can start on a plan for additional supplements
possibly why some docs scoff at nutrition (virutally all of these studies were conducted within the last decade or so)
Status of nutrition education in medical schools. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2430660/
On average, students received 23.9 contact hours of nutrition instruction during medical school (range: 2–70 h). Only 40 schools required the minimum 25 h recommended by the National Academy of Sciences. Most instructors (88%) expressed the need for additional nutrition instruction at their institutions.
Nutrition education in U.S. medical schools: latest update of a national survey.http://www.ncbi.nlm.nih.gov/pubmed/20736683
The amount of nutrition education that medical students receive continues to be inadequate.
Nutritional advice in Canadian family practice.http://ajcn.nutrition.org/content/77/4/1011S.full
During their undergraduate medical education, medical students in Canada’s 16 medical schools receive relatively little instruction about nutrition and how to provide dietary advice to patients.
Nutrition in primary care Current practices, attitudes, and barriers.http://www.ncbi.nlm.nih.gov/pubmed/20228290
82.3% of family physicians reported their formal nutrition training in medical school to be inadequate, and only 30% of family physicians reported currently using any nutrition-related resources.
Barriers to providing nutrition counseling by physicians: a survey of primary care practitionershttp://www.ncbi.nlm.nih.gov/pubmed/8610076
...nearly three-quarters of respondents feel that dietary counseling is important and is the responsibility of the physician. Ranking of perceived barriers to delivery of dietary counseling were lack of time, patient noncompliance, inadequate teaching materials, lack of counseling, training, lack of knowledge, inadequate reimbursement, and low physician confidence.
This survey suggests that multiple barriers exist that prevent the primary care practitioner from providing dietary counseling. A multifaceted approach will be needed to change physician counseling behavior.
also, here are two short previous TiMS chats you might like to read:general-discussion-f1/topic19575.htmlunder-25-with-ms-f23/topic21952.html