hi again

I'm generally interested in nutrition. it started out as an ms-related interest, then i realized how many nutrition problems were cross cutting across many different chronic disease categories. so, now i just focus on trying to define optimally healthy nutritional status.
so, when i look at your diet I'm looking for intake of good to excellent sources of specific nutrients, and minimal sources of trouble absorbing said nutrients.
so, there are a bunch of nutrients that are of concern in ms. specific to pain and fatigue, I'd look hard at magnesium and vitamin D3. your ability to absorb and utilize either may be hampered by low zinc.
when nutrients are chronically depleted, it can take a while to fix the problem with diet. but, you can try reallocating some of your food budget and see if it makes a difference.
here are some lists of healthy food choices for nutrients of concern for ms patients:
magnesium:
http://www.whfoods.com/genpage.php?tnam ... #foodchart
for magnesium, when you feel bad aim for 600mg daily intake. if you feel ok, 400 will do
absorption/retention is hampered by coffee alcohol, physical activity (sweating) and stress in general
note that the spinach servings are in cooked servings, and that it takes 4c cooked spinach daily to achieve 600mg. so that's where the variety (and hopefully a passionate love for spanakopita and saag) come in ;)
vitamin d:
http://www.whfoods.com/genpage.php?tnam ... #foodchart
a serving of salmon will keep you ticking over, but do ensure some sun time as often as possible during suitable weather. ie no sunscreen for the first 15 mins or so.
zinc:
http://www.whfoods.com/genpage.php?tnam ... #foodchart
with zinc, aim for 40mg daily from food. gluten, phytates (eg from legumes), sugar, dairy, and alcohol all interfere with absorption/retention. that's by way of saying you're likely better off with non dairy animal sources. if you need to get some red meat, don't choose mainstream industrial feedlot beef. try to access some wild game if possible, or grass fed beef, goat, lamb, that kind of thing.
oysters are not on whfoods' zinc list, but are basically tops for zinc mgs per serving:
http://nutritiondata.self.com/foods-015 ... axCount=31
daily wheat bread and coffee might be an issue in your case. sprouted bread is much better than non, for sure! but if your diet is low in essential nutrients and then you throw in bread on a daily basis as well, your system might not be up to the challenge.
certain things that limit absorption/retention of essential nutrients may have important benefits in their own right, so you don't necessarily want to cut them altogether. but mixing it up, adding more variety to the diet can certainly be beneficial.
the above is incomplete regarding nutrients of concern for ms, but it's about all i have time for this morning
one follow up question - are you in the habit of eating any nuts and/or seeds? (other than in the pb?)