
The Swank diet is a low-fat diet created by American neurologist Dr. Roy Swank in the 1940s to help manage multiple sclerosis (MS). The diet restricts saturated fat to 15 grams per day and encourages the consumption of lean fish, non-fat dairy, fruits and vegetables, and whole grains. Dr. Swank's research in Norway led him to observe that MS was less prevalent in coastal fishing communities with higher fish intake compared to inland communities with a higher meat intake. While there is limited scientific evidence supporting the effectiveness of the Swank diet, some people with MS have reported positive outcomes, including reduced disease progression and improved quality of life.
| Characteristics | Values |
|---|---|
| Date of creation | 1940s/1950s |
| Creator | Roy Swank, MD, PhD, neurologist |
| Premise | Cutting out saturated fat and focusing on eating more fish might help prevent problems with blood flow that could play a role in MS symptoms |
| Effectiveness | Little scientific evidence to support its effectiveness, regarded as a form of complementary and alternative medicine |
| Results | A 1990 study found that 95% of those who stayed on a diet of 20 or fewer grams of saturated fat a day did not experience progression of their MS |
| Side effects | Drier skin and hair, lower energy levels, potential deficiencies in vitamins A, D, E, and K |
| Food recommendations | Lean fish, non-fat dairy products, fruits, vegetables, whole grains, plant oils, nuts, seeds, eggs, wine or liquor |
| Food restrictions | Red meat, pork, cakes, baked goods containing fat, caffeinated beverages |
| Positive outcomes | Reduced frequency of flares, improved quality of life, stronger remission |
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What You'll Learn

The Swank diet's impact on MS symptoms and disease progression
The Swank diet is a low-fat diet created by American neurologist Dr. Roy Swank in 1948. It is primarily intended to help manage multiple sclerosis (MS) symptoms and potentially slow the progression of the disease.
The diet is based on Dr. Swank's research in Canada and Norway, where he observed that MS was less prevalent in coastal fishing communities, where people consumed more fish, than in inland areas, where meat, milk, and eggs were the main dietary components. He also noted that after a high-fat meal, blood cells tend to clump together, potentially blocking the tiny blood vessels in the blood-brain barrier and leading to inflammation and lesions in the central nervous system, which are characteristic of MS.
Thus, the Swank diet recommends limiting saturated fat intake to no more than 15 grams per day and encourages the consumption of lean fish, non-fat or low-fat dairy products, fruits and vegetables, whole grains, and unsaturated fats like olive oil and nut oils. It also suggests limiting red meat and pork during the first year of the diet and avoiding processed foods.
The effectiveness of the Swank diet in managing MS symptoms and slowing disease progression has been a subject of debate. Dr. Swank's initial research in the 1950s showed promising results, with participants on a very low-fat diet experiencing no worsening of their MS. A subsequent 34-year study published in 1990 found that 95% of those who stayed on a low-saturated-fat diet did not experience progression of their MS and had a lower death rate compared to a group on a typical high-fat diet.
However, neurological experts have criticized Dr. Swank's research as flawed and limited. The National Multiple Sclerosis Society and the MS Society also state that there is insufficient evidence to recommend any specific diet for MS. Additionally, the Swank diet may lead to potential nutrient deficiencies and side effects such as dry skin and fatigue.
Despite the lack of conclusive scientific evidence, some people with MS who have tried the Swank diet report positive outcomes and continue to use it as a complementary treatment. It is recommended that individuals consult with their physicians before starting any new diet to ensure it meets their individual needs and health status.
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The diet's limitations and potential side effects
The Swank diet is a low-fat diet created by American neurologist Dr. Roy Swank in the 1940s to help manage multiple sclerosis (MS). It restricts saturated fat to 15 grams per day and recommends eating more fish, fruits, vegetables, and whole grains. While the diet has shown promising results in some studies, it also has limitations and potential side effects that should be considered.
One of the main limitations of the Swank diet is its restrictiveness. The diet recommends limiting saturated fats to a very low level, which can be challenging to achieve and maintain. This restriction may lead to potential nutritional deficiencies, especially in fat-soluble vitamins A, D, E, and K. The diet also advises against consuming red meat and pork during the first year, which may be difficult for some individuals.
Another limitation is the lack of solid scientific evidence supporting the effectiveness of the Swank diet specifically for MS. While Dr. Swank's research showed positive outcomes, it has been viewed by neurological experts as flawed and too limited to draw definitive conclusions. The National Multiple Sclerosis Society and the MS Society also state that there is insufficient evidence to recommend any specific diet for MS.
In terms of potential side effects, people on the Swank diet may experience drier skin and hair due to the reduced fat intake. Lower energy levels and fatigue may also occur, as reported by some individuals following very low-fat diets. Additionally, the Swank diet may not be suitable for everyone with MS, and individual symptoms and health issues should be considered before starting the diet.
While the Swank diet has its limitations and potential side effects, it is important to note that following this diet is generally not considered harmful to one's health. Some people with MS have reported positive outcomes, including reduced disease progression and improved management of symptoms. However, it is always recommended to consult with a healthcare professional before starting any new diet or treatment plan.
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The diet's popularity and history
The Swank diet is named after its creator, Dr. Roy Swank, who developed it in the 1940s and 50s. It is a low-fat diet designed to help manage the symptoms of multiple sclerosis (MS). The diet is based on the premise that cutting out saturated fat and focusing on eating more fish can help prevent problems with blood flow that could play a role in MS symptoms.
Dr. Swank's research in Canada and Norway led him to conclude that MS was less common in coastal fishing towns, where people ate more fish, than in the mountains, where there was a higher intake of meat, milk, and eggs. He also noticed that after a high-fat meal, blood cells tend to clump together, blocking circulation in capillaries. This led him to theorize that a low-fat diet could help prevent MS lesions and manage the disease.
The Swank diet recommends limiting saturated fat to no more than 15 grams per day and emphasizes lean fish, non-fat dairy products, fruits, vegetables, and whole grains. The diet also includes snacks of nuts and seeds, as well as plant oils such as olive oil, canola oil, and soybean oil. While there is limited scientific evidence to support the effectiveness of the Swank diet, it has been the subject of MS research for over 50 years, and some people with MS report positive outcomes from following it.
The popularity of the Swank diet can be attributed to its simplicity and healthy-eating message, making it an appealing option for people looking to control their MS symptoms. It is also one of the earliest diets specifically designed for MS patients and has been recommended by some experts. However, it is important to note that the Swank diet may not be suitable for everyone, and individuals should consult their doctors before starting any new diet or treatment plan.
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The scientific evidence for the diet's effectiveness
The Swank diet is a low-fat diet created by American neurologist Dr Roy Swank in the 1940s or 1950s to help manage multiple sclerosis (MS). It restricts saturated fat to 15 grams per day and recommends eating more fish, fruit, vegetables, whole grains, and lean protein.
However, neurological experts view Dr Swank's research as flawed and too limited to support the effectiveness of the diet. The National Multiple Sclerosis Society and the MS Society also state that there is not enough evidence to recommend the Swank diet or any specific diet for people with MS. A small survey completed in 2014 found that almost 30% of people with MS followed a special diet as part of their treatment.
Despite the lack of solid scientific evidence, some people with MS who have tried the Swank diet have found it helpful for managing their symptoms and reducing the frequency and severity of flares. A clinical trial lasting 36 weeks found that participants with relapsing-remitting MS who followed the Swank diet experienced significant reductions in fatigue and improvements in their quality of life. However, more research is needed to understand how the Swank diet may improve MS symptoms.
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The diet's food and drink recommendations
The Swank diet is a food plan created by Dr Roy Swank in the 1940s or 1950s to help manage the symptoms of multiple sclerosis (MS). The diet focuses on limiting saturated fats to no more than 15 grams per day and eating more fish, fruit, vegetables, and whole grains.
The diet recommends eating at least two servings of fruit and vegetables per day. While most fruits and vegetables are unrestricted, those that naturally contain fat, such as avocados and olives, must be counted towards the daily fat total.
The Swank diet recommends eating two servings of non-fat or low-fat dairy products per day. Non-fat milk, non-fat cottage cheese, and fat-free cheese can be eaten without restriction. Egg yolks contain saturated fat, so no more than one whole egg should be eaten per day, and no more than three times per week.
The diet recommends eating four servings of whole grains per day. Bread, low-fat cereals, rice, pasta, and certain crackers are suitable, but cakes and other baked goods that contain fats, such as butter or lard, should be avoided.
The Swank diet allows people to consume plant oils, such as olive oil, canola oil, soybean oil, peanut oil, and flax oil, as they contain mostly unsaturated fat. Nuts, nut butter, and seeds can be eaten as snacks, but they must be counted in the daily fat total.
The diet also recommends no more than three caffeinated beverages per day and no more than one serving of wine or liquor per day.
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Frequently asked questions
The Swank Diet is a low-fat diet created by neurologist Dr. Roy Swank in the 1940s to help manage multiple sclerosis (MS).
The Swank Diet recommends limiting saturated fat to 15 grams per day and eating more fish, fruits, vegetables, whole grains, and lean proteins.
The Swank Diet may help reduce the frequency and severity of MS symptoms, prevent disease progression, and improve quality of life. However, there is limited scientific evidence to support its effectiveness, and it may not be suitable for everyone.
The Swank Diet may lead to drier skin and hair, lower energy levels, and potential nutrient deficiencies. It is important to consult a doctor or dietitian before starting any new diet, especially for those with specific health concerns.
The Swank Diet involves restricting saturated fats and processed foods, avoiding red meat and pork in the first year, and focusing on lean proteins, fruits, vegetables, whole grains, and non-fat or low-fat dairy products.




























