Diet Tips from the Summer Sjogrens Foundation Newsletter to avoid inflammation and to avoid becoming drier.
- Avoid packaged foods with long list of ingredients.
- Avoid fried, barbequed and highly-processed foods
- Avoid trans or hydrogenated fats.
- Avoid refined oils such as safflower, corn and canola oils. These become inflammatory
- Avoid common food allergies such as milk products, eggs, gluten from wheat and peanuts.
- Avoid sweeteners and preservatives. These tend to promote inflammatory reactions.
- Avoid High Glycemic or Processed foods.
- Basically NO CARBS such as breads, pastas, cakes, candy, fruit juice or corn syrup. These quickly turn to sugar which causes an ?inflammation cascade? because of the insulin.
DO Select raw, fresh, steamed or broiled.
- Pick colorful whole fruits and vegetables
- Pick healthy fats such as fatty fish, avocados, extra-virgin olive oil
- Fiber. A few tablespoons of ground flax seeds daily
- Pick moderate amounts of organic meat.
- Pick garlic, ginger, and tumeric which are anti-inflammatory
Diet tips from the Sjogren?s Guide for the Patient (from the FMS Community Org.)
Avoid Chocolate, nuts, undissolved salt, vinegar and vinegar prepared foods, strong cheese (swiss, cheddar, bleu, Roquefort), high acid foods (tomatoes, citrus fruit and juices) and alcoholic beverages. Avoid wheat derived products because of the GLIADIN. This glaidian triggers an ?antiviral? response in the body. So again .. no breads, pastas, pastries,
Coffee, tea, and sodas have strong acid so they are to be avoided. Citrus fruits as well.
No oranges, tomatoes, etc. No orange juice, tomato juice, tomato sauce, etc..
Any big sugar items .. Ice cream, candy, chocolates, Ding-Dongs, Ho-Hos, etc .. are to be avoided. Same with snack items with carbs or wheat such as cookies and crackers, etc
Some sites say to stay away from processed meats because the additives and the sugars that are added also contribute to inflammation, which also contributes to more dryness.
So what does that leave us??
Fresh veggies such as carrots, green beans, broccoli, peas.
Some salad fixings like lettuce and black olives.
Chicken, turkey, fish, pheasant.
Plain burgers without any additives or fillers.
Steak on occasion is okay.
I think ham and bacon might be okay. They are processed but I?ve been okay with them.
I?m wondering about potatoes, or French fries. And I?m wondering about rice too.
Those are a starch, but they are carbs, right?
Carbs mean sugar which means insulin which is inflammatory which means pain and dryness.
If Rice is Okay does that mean Rice Krispies are okay? I really want some cereal.
Anyone know anything else we can add to our ?okay to eat? list.
After 4 months I?m freak?n tired of chicken and lettuce.
Geese Louise! I'm not a rabbit. Everything listed we're not supposed to eat are my favorites! No chocolate? Kill me now. Needless to say, I'm not gonna do well with that diet.
All jokes aside, Thanks for the list. I was completely unaware foods could cause inflammation. I will try to incorporate some of them into and out of my diet. I do use flaxseed, so my diet's not all bad.
Oh wow, I think I'll take my chances with the carbs.
I bake a lot, I love chocolate chip cookies, and I just can't bring myself to give `em up. I also make quick bread with fruit pulp from my fresh juicing, I can't give that up either. :D
I have found I have no choice. I HAVE to follow what they said.
If I try to eat spaghetti .. even plain without sauce ... or any kind of bread, then for the next 2 days my tongue is swollen and I'm extra, extra dried up. My submandibulars get inflammed and they shut down what little they are working.
Dagnabit .. I want some spaghetti with meat sauce and some garlic bread to go with it.
heck .. I'd settle for a coffee and a hersheys bar.
Liz,
Well thanks for posting this - have no doubt it is the right thing to do.
Everything I live on is in the "no" column. All dairy products, wheat, oats, eggs, hate salad anymore but eat green leafy veggies, fish, love dairy products, chocaholic, cookiecakeaholic, icecreamaholic, Italian food.
For a non-meateater, where is the necessary daily protein supposed to come from? Fish, chicken maybe and what else? Can anybody answer this.
Bummer,
Sheltiemom
ok Liz, gmrxae, now I'm hungry. I want spaghetti with meatballs with garlic bread and chocolate chip cookies for dessert.
Fruits and Vegetables? NO Way.
I follow this to a tee. Like LizPetillo I do it because I have to otherwise I get major flare-ups. Actually it's working quite well for me.
Dr. Andrew Weil has a anti-inflammatory diet that allows a little more variety. He is a Harvard trained MD who practices integrative medicine blending tradtional medicine with alternative medicine. Diet is a very important part of his treatment. Most doctors recommend the Mediteranean diet. His website is drweil.com.
Anna
Hi,
I definitely think about changing my diet. I need to lose weight and have PCOS , so I am pre-diabetic. Hypermobius I see in your sig that you are gluten free. How has changing your diet helped you? I am curious. Thanks.
Hi :)
I'm one of the lucky ones who simply does not feel ill enough to even try to abide by that diet. Food is one of life's pleasures and I'd rather die than restrict my diet like that!
Take care - Scottie :)
I used to think Gluten-free was insane. There's be nothing left to eat?!? I'd starve to death!
My reflux started getting worse,despite Zoton. I was getting stomach pains, indigestion, bloating (if one more person said "Are you expecting a 4th child?" !!). Had an endoscopy to rule out any nasties like celiacs (An autoimmune condition that is common with SJS). It all came back clean. So I bit the bullet and went Gluten-free as an experiment just to see if it was possible, to see what would happen to me.
Well, my bloating disappeared, I haven't had a stomach pain or any indigestion and I'm now considering cutting out my Zoton. Its been nearly 6 months and I haven't felt better. My gastro doctor said I was probably either gluten intolerant or wheat intolerant. It doesn't kill you but can make life distinctly uncomfortable!
Not to mention I've really enjoyed discovering gluten-free food. There's heaps of it around. I've discovered millions of healthy new recipes. The whole family is pretty much gluten-free (They haven't noticed yet!) as I'm the cook.
I've also since learnt that gluten intolerance is not uncommon if you have any celtic ancestory, which I have in spades!
I'd have to agree with everything chelle just mentioned. I had almost constant nausea, stomach/abdominal pains, and dizziness before I switched. Sometimes after a gluten heavy meal I would have what seemed like two huge knots in my abdomen. Now a month into it, I think I'm starting to see the benefits. The real kicker for me was the dietary supplements, especially the acetyl L-Carnitine and fish oil. My sister emailed me the other day saying how trendy gluten-free dieting is haha! I noticed that a few of the restaurants here are starting to incorporate a gluten-free selection in their menus now, which makes eating out a lot easier.
My only word of caution in going gluten-free is the nearly doubled cost of gluten-free foods sold at the supermarket. As I've learned through trial and error, double the price doesn't mean twice as good tasting..as some of the overpriced items I've tried were horrible. On the other hand, there are some really tasty things I never would have guessed were gluten-free.
I'm happy to say, I've been doing much better. The motion sickness I used to get while driving is finally starting to subside as well as a lot of my other symptoms. It's a tough change, but for me so far it's been worth it.
It sad because before I got sick I had all the will the power ito diet and eat right. I was phyically fit and lost 70 pounds and kept it off 1yr and a half before I got sick. But now that I am sick it is harder to keep to a diet. I think one reason is because I am tired and stick to things that are easy and don't get to the gocerery very often anymore.
Have you heard of a high Alkaline diet? I have a male cousin who suffered with Fibro for 15 years. He found out that he was had Lymes not Fibro. He had to be a IV treatments for several months. The Dr put him on this diet so his body would absorb the meds better. He also lost 50 pounds in a few months. He continues on this diet. I have considered trying this.
I followed a very similar eating program 7 years ago after getting Hashimoto's Throiditis. I had 40 pounds to lose and horrible gut symptoms.
I was really motivated to stick to it - the gas situation was beyond awful and after many nights spent in the garden in the cold so as not to inflict it on my famiy, I was ready to try anything.
It worked beautifully. I lost weight, gained energy and normalised my gastro-intestinal function.
After a year, I fell off the wagon. And the weight crept back on.
But if you have the will-power, I can attest to the health benefits of eating a Plant-Strong diet.
I'm going to start easing back into it. Thank you for flagging this up for me. I really need to do it.
Suzie
@Liz about your questions about the potatoes I would try to limit those because they turn into to sugar.
Healthy carb are good for you so try brown rice.
I have a book called a pain free diet. It suggested that all veggies need to be cooked. I am not sure what the benefits of that would be. I have just skimmed through some parts.
Quote from: Scottietottie on August 17, 2010, 06:01:15 PM
I'd rather die than restrict my diet like that!
I'm forced to restrict my diet AND I'd rather be dead.
But that's a discussion for another thread, I'm sure. :(
Thanks for telling me about the potatos. I was wondering.
Also .. brown rice and not white rice? Right?
Anyone know any high calorie foods I can eat that is NOT full of carbs or sugar, etc?
I really need the calories.
Quote from: ohiolady on August 17, 2010, 04:50:02 PM
Dr. Andrew Weil has a anti-inflammatory diet that allows a little more variety. His website is drweil.com.
THANK YOU. I'll look it up. I only eat a little food now in order to take the plaquinel.
Otherwise, I obviously don't want to be bothered eating.
In addition to anti-inflammatory, we have to be acid free. That cuts out the citrus fruits, coffee, soda, etc.
I've been on an (almost) gluten free diet and one low on processed carbs for about a year and I do think it has made a positive difference. Certainly not a cure but positive. And BLAND. I miss bread and sometimes cheat on that. That frozen brown-rice bread in health food stores is hideous. There's one brand that's not frozen called "Ener-G" that's OK. The issue for me is getting enough calories through protein. So I eat soy yogurt during day (made by Silk-its terrific) and have added more meat and fish. We are all different but this diet, even absent SJS, is healthy so I really think that those who haven't tried have nothing to lose.
Quote from: bob212 on August 18, 2010, 05:48:12 AM
The issue for me is getting enough calories through protein.
Me too. That's why I really need to know what high calorie foods are out there that we can eat.
God I miss spaghetti!
Found this site a while back when looking up Inflammatory foods. Thoght you might find it interesting. Of course I don't follow any of this. Bad me.
[urlhttp://nutrition.about.com/od/dietsformedicaldisorders/a/antiinflamfood.htm][/url]
There are a lot of gluten free "carb" type products out there, especially pasta, cookies, etc, and they can be quite tasty. The rice bread is awful but Earth Fare has a millet zucchini bread that is wonderful and I also eat a lot of gluten free cornbread and oatmeal. Amy's frozen meals are a staple for me too, they have so much flavor...with being allergic to wheat, yeast, barley, sesame seeds, avocado, apples and carrots, I'd probably kill myself if I had to restrict my diet more. Tomatoes are one thing I eat everyday (fresh out of my garden!) and I love coffee and potatoes. For me though, my food allergies were caused by my SJS and being allergic is what causes the inflammatory reaction in my body. Eating things I'm allergic to makes me flare big time, especially the joint pain! Other than avoiding what I'm allergic to though, I try to vary my diet as much as possible. The more often I eat the same thing, the bigger the likelihood I will suddenly become allergic to it. These past few years since I developed clear cut symptoms of SJS, my body has gone haywire. :o
Quote from: Kerrikins on August 18, 2010, 02:07:29 PM
There are a lot of gluten free "carb" type products out there, especially pasta, cookies, etc, and they can be quite tasty. The rice bread is awful but Earth Fare has a millet zucchini bread that is wonderful and I also eat a lot of gluten free cornbread and oatmeal. Amy's frozen meals are a staple for me too, they have so much flavor...with being allergic to wheat, yeast, barley, sesame seeds, avocado, apples and carrots, I'd probably kill myself if I had to restrict my diet more. Tomatoes are one thing I eat everyday (fresh out of my garden!) and I love coffee and potatoes. For me though, my food allergies were caused by my SJS and being allergic is what causes the inflammatory reaction in my body. Eating things I'm allergic to makes me flare big time, especially the joint pain! Other than avoiding what I'm allergic to though, I try to vary my diet as much as possible. The more often I eat the same thing, the bigger the likelihood I will suddenly become allergic to it. These past few years since I developed clear cut symptoms of SJS, my body has gone haywire. :o
Now that you mention it...I had the same thing happen to me. In my case it was peanut and tree nuts. Peanutbutter cups were my favorite candy for the longest time. As long as I can remember I didn't have any problem at all with any kind of nuts, but now after the SJS hit I suddenly am confirmed allergic to peanuts. I was really shocked when I saw the allergen test positive, although slightly, to peanuts. Now I totally avoid them since they seem to cause major flare ups. I'll have to try that bread you mentioned, too. The rice bread I had tried before that was just awful.
There is a very strong link between autoimmune disorders and food allergy/intolerance, from what I've been reading. Something about how these diseases make the digestive system more permeable and food protein gets into the blood. It stinks.so.bad. I never know when my body will decide a food I've been enjoying is the enemy :( ...I am 32 years old and was also just Dx in June, what a coincidence. I started getting the allergies when I was 29 though.
What about bananas? They have high natural sugar. So would they be a trigger? Anyone know?
Yep in the book I read foods that fight pain. It said to avoid banana they also cause inflammation.
I think there is some value in recognizing that there are many foods that can cause inflammation, but for most people, I think going to the extreme is probably not necessary. I've heard of doctors putting patients on elimination diets where they basically stop eating everything on that list and probably more - then introduce one thing at a time and monitor their symptoms to see what foods actually give them a reaction. As people have said, for some it may be gluten, for others, nuts, and for others, it may be fried food. If you believe food is probably a cause of some of your flare ups, it would be worth discussing the elimination diet with your doctor to develop a plan to track down just which ones bother you.
If you live in the Mountain West, USA, go get some UDI'S gluten-free bread. It's the best!
I have been doing really well with Quinoa. I cook up a big pot every week, so that I can have an easy breakfast---a bowl heated in the micro for 2 minutes with "butter" and tamari sauce. My belly is really sensitive, but this grain really seems to agree with me. Easy to cook, too, not gooey or sticky, has balanced protein, fiber, etc. It satisfies my craving for carbs.
Calli
Yeah, I can remember one time in particular when I was working in the lab and had taken a banana with me as a snack. Eating that banana gave me a wicked dizzy spell. It was confusing to me at the time because it was before I was diagnosed. It was like the room whipped around as I was about to sit down. Haven't touch a banana since.
I'm still on the quest for some good gluten-free bread. Unfortunately there are no Earth's Fare or UDI's here in town so I'm been trying to hunt down a millet zucchini bread. Closest thing I found was tapioca bread which will probably be the same tasting as the rice breads :'(
Bumping this because apparently some folks out there don't know about the anti-inflammatory diet that we should be on.
While I agree that this diet is a lifesaver for people who have a nutritional or reactionary component to their AI diseases, remember that this array of disease effects many people in many different ways, and not everyone will find a benefit. Over the 30 odd years I've had diagnosed (positive serum and tissue) autoimmune diseases, I've tried every exclusionary diet and every supplement made available (fair, medically guided trials, 4-12 months each)...bottom line is that no particular food seems to trigger my flares (for which I am exceedingly grateful) and the only hormone that has ever appeared to make a difference to me is Vitamin D.
Also , since I seem to be the one who defies all established norms, since I've started taking Prednisone, Plaquenil and Methotrexate, my life long intolerance of sun exposure seems to be gone...although I don't make a point of "sunbathing" I can comfortably walk from the house to the car, for example, without developing a rash and becoming nauseated, which is how I had reacted from childhood on.
Linda. becareful. MTX can make you more sunsensitive then you were before. Also be extra careful if you ever have to take any antibiotics. The two combined can make you blister in the sun.
Quote from: Linda196 on September 07, 2010, 12:23:41 PM
since I've started taking Prednisone, Plaquenil and Methotrexate, my life long intolerance of sun exposure seems to be gone...
That's funny since the plaquenil information says to stay out of the sun when you are on it.
It did just the opposite for you!
We really are all different.
I am sun sensitive now but never was before - on the other hand I can eat anything without it having an effect one way or the other. The only 'food' that has any effect on me is the drink 'barley water'. It makes my throat close. Otherwise I have no alllergies or sensitivities.
Take care - Scottie :)
I will say that when I eat too many tomatoes (especially in the summer) I have more flares, also the same goes for potatoes so I have stayed away from potatoes all together, but
tomatoes I have cut down drastically.
I read in my book on Rheumatoid Arthritis and it states that tomatoes and potates and anything with white flour and sugars all are major causes of inflammation.
So one time I tried staying away from all of this and it did work I was less flared up and then when I started incorporating these foods back into my diet I was a mess.
I feel there is truth to all of this, but like everyone else I too find it difficult to stick with, but I'm at the point again cause I feel I'm constantly battling flares all the time it's
time to change my diet around for good, I just need to jump start it and it's difficult.
Karen
Karen---tomatoes--Yes! I'm learning that they cause trouble. Been eating them fresh from the garden this summer, and just realized (by quitting) how they are affecting me.
C
I don't believe in the need or advantages to such radical dietary constraints in helping making Sjogren's any better. I think that one should eat a healthy diet and maintain a normal body weight. I think your list is for the birds and rabbits. Take all the fun out of eating and still you won't be any better off from following some list that some doctor made up without any science to back it up. All you crazy people can eat like this and be miserable and not live a day longer or feel any better for your giving up all of your favorite foods. Did you know that doctors don't even take one class on nutrition in medical school? Even a nurse has to take a college course in nutrition. It is our autoimmune conditions that is the major cause inflamation, not the food. Lesley
Quote from: Lesleybird on September 08, 2010, 10:05:56 PM
All you crazy people can eat like this and be miserable and not live a day longer or feel any better for your giving up all of your favorite foods.
1 - This information comes from the Sjogrens foundation AND the Arthritis Foundation. It's been well documented and well established as a FACT that foods have chemicals and those chemicals do indeed trigger flairs in the majority of people with autoimmune diseases.
2 - I am more miserable during a flair after having eatten spaghetti than I am missing that spaghetti. Pick your poison ... flair for 2-3 days and be in heck or skip the spaghetti dinner. I choose to skip the spaghetti dinner and be less miserable.
3 - We do indeed feel better for giving up inflammatory foods. We miss the foods like heck, but it's better to miss the foods then to be in flair-heck.
4 - It's not crazy to take care of yourself and to not want to be in flair-heck.
I agree with Liz.
People always say they could never "live without" such-and-such food, or convenience etc. Reminds me of an album title from an (in)famous punk band circa 1980:
"Give me convenience or give me death."
Do I want to enjoy 10 minutes of pizza flavor and then suffer 48 hours of gastric distress? Easy choice for me.
C
It makes sense not to eat something if you are aware it is making you flare.
It is also true that not everybody suffers reaction from different foods.
I have kept a food diary in the past and I keep a symptoms diary and there is no correlation between what I eat and how I feel. Maybe I am alone in this - but it is so.
I have two grown up children, however, that have to be careful not to eat too much dairy or they suffer consequences. When they were little I adjusted my diet for them because if I ate dairy and then fed them, they got eczema. They had to be brought up without milk, ice-cream, cheese etc and they couldn't handle eggs either. Now they can tolerate some - but know their limits.
My oldest son has Crohn's disease and is learning he needs to watch his diet.
So - keep a food diary - watch for triggers.
If you have a cast iron stomach like me - eat what you want. It is a FACT that not everyone with an AI disease needs to eat the same way.
Take care - Scottie :)
I wanted to mention a couple of things. As far as acidic foods go, have any of you tried prelief? It is a totally natural supplement made by the makers of beano I think that reduces the acid in food. I started using it about 6 months ago for my IC (which btw the plaquenil is really helping). You take it with acidic foods or drinks like coffee, tea, wine, tomatoes, peppers and anything else acidic and it reduces up to 90% or something like that of the acid in your food. It has been a huge help to me. You can find it at walgreens or on-line.
I think one of the key components in this diet is basically limiting sugar and carbs which are converted to glucose in your body which is basically sugar. They say the rise of insulin is what does alot of damage to your body which is puts out to store all that glucose. Over time people become insulin resistant etc. I follow a low sugar diet, less then 15grams and moderate carbs (less then 120g) a day since last january and I have to say I have felt much better. I tried going gluten free for a month but it didn't make too much of a difference for me. I think whole grains put me over the edge though, whole wheat etc. I simply cannot tolerate them.
There is tons of research out there now supporting similar "diets" or lifestyle changes. The AHA even endorsed the low sugar this year though theirs is more liberal I think they say 25 grams of sugar and don't limit fruit. Sugar is sugar t your body whether it comes from fruit or candy. I'm not saying fruit isn't healthy, full of fiber etc I'm just saying too much of it isn't good for you. I try and limit myself to one serving a day but thats just me. :)
Quote from: Lesleybird on September 08, 2010, 10:05:56 PM
I don't believe in the need or advantages to such radical dietary constraints in helping making Sjogren's any better. I think that one should eat a healthy diet and maintain a normal body weight. I think your list is for the birds and rabbits. Take all the fun out of eating and still you won't be any better off from following some list that some doctor made up without any science to back it up. All you crazy people can eat like this and be miserable and not live a day longer or feel any better for your giving up all of your favorite foods. Did you know that doctors don't even take one class on nutrition in medical school? Even a nurse has to take a college course in nutrition. It is our autoimmune conditions that is the major cause inflamation, not the food. Lesley
so your saying go ahead and eat whatever you want and be sick as a dog for it,, I;m learning what triggers my guts to act like a volcano,, and I take offense to being labeled crazy for not wanting to be sick as a dog from something I ate,, I dont care if a doctor ever took a class on nutrition in med school, seems like the ones a lot of us run into never took a class on anything except where to put there name tag at on there white coat,, excuse me while I go make a big bowl of popcorn slathered in butter,, I dont think our radical diets make SS any better,, its just the prudent thing to do,, if you burn your hand on the sotve,, next time your alittle carefull,, same with food,,, SIGH
Hi
I don't think Lesleybird meant you to eat what you want if you KNOW something triggers pain.
I think she meant that there is no need to go on any kind of diet if you have not noticed food making a difference.
I can happily eat all dairy, eggs etc but 2 of my kids can't - so obviously - they don't.
We're all different.
Navydad - if you know some foods trigger discomfort - obvioyusly -0 stay away from them - you're right.
If anyone finds they feel better when on a certain diet - stick with it and feel well.
One size doesn't fit all. If foods don't seem to trigger discomfort there is no need to avoid them.
Take care b- Scottie :)
Bumped for Ynever who asked about trigger foods.
Kill me now! I eat alot of foods that are soft or require less chewing than some foods. When I do sit down for a meal, I eat very little. I would guess to say I eat what is concidered a portion...1/3 to1/2 cup of whatever it is we are eating. I would not be honest if I didn't say I have a terrible sweet tooth. Again, I eat in small portions. I also "graze" never eating a heavy meal. I crave fresh fruits and vegetables which is a switch for me. Also what works for me is to drink water before and during my meals as that moistens my throat and makes digestion easier. Eating this way has kept me from being hospitalized with diverticulitis these past few years. I hope to never have another episode of that so that is my motivation. I have pernicious anemia and B12 injections every other week helps also. I have a small frame and welcomed the 25 pound weight loss with the change in my eating habits. It is difficult to exercise with faciitis in my feet and recurrent costalchondritis. Also, as much as exercise use to give me lots of energy, now it's exhausting and painful. I do use the exercise bands given to me by physical therapy but not on a regular basis. My son and husband put very little stress on me if something doesn't get done. I feel very fortunate that I can still do what I can do. It just takes me longer and I have become use to doing things in a non-conventional way. Once the swelling goes down in the mornings, I can begin to get things started for my day. I write everything down, week by week, as to what it is I need to accomplish as well as any appointments I have. It's the only way I can make sure I get things done and don't forget appts. I am very absent minded and forgetful. I hate it. I am learning what causes flare-ups and stress and over-doing it are two of the big ones. Sometimes I'll sleep for 24 to 30 hours straight. It's as if I just pass out. Does anyone else have sleeping episodes like this? Sissy
There was a question about foods and triggers in another thread so I'm bumping this one up.
There was a question about diet causing flairs .. so I'm bumping this thread up.
Bumped up because this subject came up in another thread today. ;D
Quote from: LizPetillo on August 18, 2010, 05:38:22 AM
Thanks for telling me about the potatos. I was wondering.
Also .. brown rice and not white rice? Right?
Anyone know any high calorie foods I can eat that is NOT full of carbs or sugar, etc?
I really need the calories.
Quote from: ohiolady on August 17, 2010, 04:50:02 PM
Dr. Andrew Weil has a anti-inflammatory diet that allows a little more variety. His website is drweil.com.
THANK YOU. I'll look it up. I only eat a little food now in order to take the plaquinel.
Otherwise, I obviously don't want to be bothered eating.
In addition to anti-inflammatory, we have to be acid free. That cuts out the citrus fruits, coffee, soda, etc.
I'm on the immune health ensure and love it because it's lite to drink (I got a really irritable belly in the mornings)and I drink it with my morning meds.It's got the omega's and is 250 calories in a real small can.some times I take an hour to drink one if I'm really NOT feeling hungry or am stressed,but figure it's all good !I FINALLY got medicaid to pay for it after 2 years of fighting to get it and now the mobil meals people bring it every month.I was getting pre made frozen meals from them but now funding has run out.They were a real godsend ....tasty well made balanced and 8 minutes in a microwave is all I can sdo sometimes.I'm hoping they will be able to restart them but the ensure is also a godsend.I'm really trying to eat a more balanced Sjogren's diet and see if it helps.
Someone posted a question about food triggers, so I dug this old thread up and am bumping it. I thought it would be helpful.