
There is no one-size-fits-all diet for people with ME/CFS, but there are some common food groups that can be effective in managing symptoms. A balanced diet is recommended, including plenty of fruit and vegetables, dairy products, meat, fish, eggs, nuts, beans and pulses. Starchy, slow-releasing foods with a low GI (glycaemic index) are also recommended to keep energy levels stable. Many people with ME/CFS find it helpful to eat little and often, aiming to eat every three to four hours.
Characteristics | Values |
---|---|
Starchy food | Slow-releasing types with a low GI (glycaemic index) |
Examples of starchy food | Porridge, potato, rice, wholegrain pasta and bread |
Balanced diet | Plenty of fruit and vegetables (at least five portions a day), dairy products, meat, fish, eggs, nuts, beans and pulses |
Eating pattern | Eat little and often, aiming to eat every three to four hours |
Exclusion diet | If you have irritable bowel type symptoms, cut down on quick-fix carbohydrates, drink plenty of fluids, avoid alcohol, cut out junk food |
Gluten-free diet | Do not remove wheat, oats and barley products until the possibility of coeliac disease has been excluded |
General rule | Listen to your body. If a particular food item makes you feel worse, don't eat it |
What You'll Learn
Starchy foods with a low GI (glycaemic index)
When following a low-GI diet, it is important to limit your intake of high-GI foods such as white bread, bagels, naan, French baguettes, instant oats, and some varieties of potatoes. Instead, opt for low-GI alternatives like wholegrain bread and pasta, raw carrots, and al dente pasta.
The ripeness of a food can also affect its GI; for example, a soft, ripe banana has a higher GI than a firmer, less ripe one. Additionally, the GI tends to be lower in less processed foods. Whole grains, whole fruits, and raw carrots tend to have a lower GI than their refined, cooked, or processed counterparts.
It is important to note that while a low-GI diet can be beneficial for managing ME/CFS symptoms, it is not a one-size-fits-all solution. Everyone is different, and it is important to listen to your body and note which foods make you feel better or worse. Some people with ME/CFS may also benefit from an exclusion diet or a gluten-free diet, especially if they experience irritable bowel-type symptoms.
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Slow-release carbohydrates
Starchy foods, particularly those with a low glycaemic index (GI), are recommended as slow-release carbohydrates. This includes porridge, potatoes, rice, and wholegrain pasta and bread. These foods provide a steady release of energy, which can help to manage the fatigue associated with ME/CFS.
It is also important to note that everyone's experience with ME/CFS is unique, and there is no one-size-fits-all diet for the condition. While slow-release carbohydrates can be beneficial, it is essential to listen to your body and tailor your diet to your specific needs. If a particular food item makes you feel worse, it is best to avoid it, even if it is typically considered healthy.
A balanced diet is crucial for managing ME/CFS symptoms and maintaining overall health. This includes eating a variety of whole foods, such as fruits, vegetables, dairy products, meat, fish, eggs, nuts, beans, and pulses. Eating little and often, approximately every three to four hours, can also help manage ME/CFS symptoms.
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Alcohol and junk food
While there is no one-size-fits-all diet for people with ME/CFS, there are some general guidelines that can help. Firstly, it is important to listen to your body and avoid any foods that make you feel worse, even if they are typically considered healthy. For example, while fruit and vegetables are recommended, some people with ME/CFS may find that they cannot digest them well.
A balanced diet with a variety of whole foods is generally recommended. This includes plenty of fruits and vegetables, with berries, cherries, apples, carrots, sweet peppers, tomatoes, and sweet potatoes being particularly good sources of antioxidants and polyphenols. Starchy, slow-releasing carbohydrates with a low glycaemic index, such as porridge, potatoes, rice, and wholegrain pasta and bread, are also beneficial for keeping energy levels stable.
In terms of alcohol and junk food, it is generally advised to avoid or limit these. Alcohol can disrupt blood sugar levels and negatively impact overall health, so it is best to minimise or avoid it if possible. Similarly, junk food tends to be high in quick-fix carbohydrates, which can cause insulin peaks and crashes, further disrupting blood sugar levels. Instead, focus on whole, unprocessed foods and aim to eat little and often, approximately every three to four hours.
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Gluten-free diets
While there is no one-size-fits-all diet for ME/CFS, there are some general guidelines that can help manage symptoms and improve overall health. One of these is a gluten-free diet, which involves removing wheat, oats, and barley products from the diet.
Gluten is a protein found in certain grains, including wheat, rye, and barley. For people with coeliac disease, consuming gluten can trigger an immune response that damages the small intestine and interferes with the absorption of nutrients. While ME/CFS itself is not a reason to go gluten-free, some people with ME/CFS may also have coeliac disease, which can cause similar symptoms such as fatigue and irritable bowel-type symptoms. Therefore, it is important to get screened for coeliac disease before starting a gluten-free diet.
A gluten-free diet for ME/CFS involves eliminating gluten-containing grains and products from the diet. This includes avoiding wheat-based products such as bread, pasta, cookies, and cakes, as well as oats and barley, which are often used in breakfast cereals and beer. It is important to read labels carefully, as gluten can be hidden in many processed foods, such as sauces, soups, and condiments.
When following a gluten-free diet, it is important to focus on whole, unprocessed foods that are naturally gluten-free. This includes fruits and vegetables, lean proteins, and gluten-free grains such as rice, quinoa, and buckwheat. Eating a variety of these foods can help ensure a balanced diet and maintain overall health. Additionally, gluten-free alternatives to traditional baked goods and pastas are widely available in most supermarkets and health food stores.
While a gluten-free diet may be beneficial for some people with ME/CFS, it is important to note that it is not a cure-all. Everyone is different, and it is important to listen to your body and pay attention to how different foods make you feel. Working with a nutritionist or healthcare professional can help you create a personalised diet plan that takes into account your individual needs and symptoms.
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Eating little and often
A balanced diet is recommended, with a focus on starchy foods, particularly slow-releasing types with a low GI (glycaemic index). This includes porridge, potatoes, rice, and wholegrain pasta and bread. These foods provide a steady release of energy, helping to avoid spikes and crashes in blood sugar levels.
In addition to starchy foods, it is important to include a variety of other food groups. Aim for at least five portions of fruit and vegetables per day. Brightly coloured leafy greens, red or orange vegetables (such as carrots, sweet peppers, tomatoes, and sweet potatoes) are particularly rich in antioxidants. Berries, cherries, and apples are also recommended, as they are high in polyphenols.
Other food groups to include are dairy products such as cheese and yoghurt, as well as meat, fish, eggs, nuts, beans, and pulses. It is important to listen to your body and note any foods that make you feel worse, even if they are typically considered healthy. For example, some people with ME CFS may struggle to digest "good" foods like salad, broccoli, nuts, fruit, or spinach.
It is also worth noting that people with ME CFS should not start a gluten-free diet (removing wheat, oats, and barley products) until the possibility of coeliac disease has been excluded through a simple blood test.
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Frequently asked questions
There is no one-size-fits-all ME CFS diet, but a balanced diet that includes a wide variety of whole foods with each meal and snack is recommended. This includes starchy foods, particularly slow-releasing types with a low GI (glycaemic index) like porridge, potatoes, rice and wholegrain pasta and bread. You should also eat plenty of fruit and vegetables, dairy products, meat, fish, eggs, nuts, beans and pulses.
People with ME CFS should not go on a gluten-free diet (removing wheat, oats and barley products) until the possibility of coeliac disease has been excluded. You should also avoid quick-fix carbohydrates, alcohol and junk food.
Many people with ME CFS find eating little and often helpful, aiming to eat every three to four hours.