We explored the therapeutic effects of eicosapentaenoic acid (EPA) in tackling multiple sclerosis through a study involving mice with experimental autoimmune encephalomyelitis (EAE). The mice were given diets enriched with or without EPA. Remarkably, the mice that received the EPA-infused diet displayed significantly lower clinical scores compared to those that did not.
Furthermore, we observed that the production of inflammatory markers like IFN-γ and IL-17 was notably reduced in the EPA-treated mice. This reduction is particularly important, as these markers are associated with the progression of multiple sclerosis. Additionally, there was an enhancement in the expression levels of peroxisome proliferator-activated receptors within the CD4T cells infiltrating the central nervous system.
These findings suggest that EPA could serve as a promising new approach to therapy for multiple sclerosis, showcasing its potential in reducing inflammation and improving clinical outcomes in those affected by this condition.
Read More
9
Cod liver oil may reduce MS risk
Timing of use of cod liver oil, a vitamin D source, and multiple sclerosis risk: The EnvIMS study.
We investigated the potential link between cod liver oil, a common source of vitamin D, and the risk of developing multiple sclerosis (MS). Our study involved a robust methodology, gathering data from 953 MS patients and 1717 control participants who reported their cod liver oil consumption from childhood through adulthood.
One of our key findings highlighted that individuals who took cod liver oil during their teenage years—specifically ages 13 to 18—had a noticeably reduced risk of MS. The odds ratio was 0.67, suggesting that this specific timeframe is crucial for vitamin D intake's protective effect against the disease. Interestingly, we didn’t observe any significant correlation between MS risk and the use of cod liver oil in early childhood, meaning that the timing of consumption seems important.
Moreover, we noticed an intriguing dose-response relationship: the more vitamin D3 one consumed during adolescence, the lower the risk of MS appeared to be. The sweetest spot seems to be a daily intake of 600-800 IU, which correlated to a significantly lower MS risk.
Overall, these findings strengthen the idea that low vitamin D levels might be a significant risk factor for MS, with particular emphasis on adolescence as a critical period for preventative measures.
Read More
9
Pistachio oil shows promise in MS
The therapeutic effect of PEGlated nanoliposome of pistachio unsaturated oils and its efficacy to attenuate inflammation in multiple sclerosis: A randomized, double-blind, placebo-controlled clinical trial phase I.
We aimed to evaluate how docosahexaenoic acid, particularly through the treatment of PEGlated nanoliposomes of pistachio unsaturated oils (PEGNLPUOs), affects inflammation in multiple sclerosis (MS).
This investigation was rigorously designed as a randomized, double-blind, placebo-controlled trial, ensuring the reliability of our findings. We observed significant changes in the levels of docosahexaenoic and eicosapentaenoic acid among MS patients treated with PEGNLPUOs.
Moreover, we found a notable decrease in matrix metallopeptidase-9 levels, which is important in regulating inflammation. The cytokine profile showed a tilt towards a Th2-biased response, indicating a reduction in inflammatory activity following treatment.
In summary, our findings indicated a reduction in the number of relapses, improved disability scores, and fewer T2 lesions in patients receiving PEGNLPUOs. Through this study, we demonstrated a promising therapeutic avenue for alleviating inflammation associated with multiple sclerosis using docosahexaenoic acid-based treatments.
Read More
Most Useful Reviews
9
Increased energy levels
2 people found this helpful
I’m very pleased! My doctor in Finland recommended this product a year ago for my multiple sclerosis. Since then, I've taken one capsule daily, and I feel full of energy, no longer tired as I used to be. Remarkably, my pain has eased and I haven’t had flu all year! My migraines have also vanished; previously, I consumed medication every week. I’m truly satisfied and grateful for this change!
Read More
7.5
Reduced pain medication
2 people found this helpful
The pains and vigour I experience with multiple sclerosis have improved significantly since I began taking Carlsons D3-vitamin. After a car accident a few years ago, I underwent back surgery, and the stiffness led to chronic pain. However, this vitamin has transformed my wellness, allowing me to rarely need pain pills now. I’m very grateful, feeling energised with only 7 hours of sleep, compared to the 10-12 hours I used to need. I highly recommend consulting a knowledgeable doctor who appreciates such remedies. Thank you!
Read More
7.5
Improved mood and focus
I've just started taking these Vitamin D3 + Omega-3 soft gels and they are a complete game-changer. Each capsule offers 2,000 IU of Vitamin D3, which I need since I spend most of my time indoors, along with 115 mg of Omega-3s for heart and brain health. The pleasant lemon flavour ensures no fishy aftertaste. I’ve noticed a significant boost in mood and energy, better concentration, and even my skin looks better. I highly recommend these if you want the benefits of both supplements without taking multiple pills.
We evaluated how vitamin D affects multiple sclerosis (MS) by exploring the properties of immune cells in treatment-naive MS patients compared to healthy donors. Our research revealed that patients’ immune cells had heightened proinflammatory features, particularly related to key pathways involving the aryl hydrocarbon receptor (AhR) and NF-κB. This imbalance may contribute to the difficulties in managing MS effectively.
We discovered that dendritic cells derived from MS patients showed reduced tolerogenic capabilities. However, when we applied vitamin D3 and directly activated the AhR, we were able to restore these properties. Furthermore, combining vitamin D3 with a drug known as dimethyl fumarate (DMF) not only enhanced the tolerogenic effects but also provided a more effective treatment option in experiments on mice.
Our findings suggest that a combined therapy utilizing DMF and vitamin D3-tolerogenic dendritic cells has great potential in improving treatment for MS. However, it is worth noting that the analysis focuses on the combination therapy rather than isolating the effects of vitamin D alone.
Read More
9
Cod liver oil may reduce MS risk
Timing of use of cod liver oil, a vitamin D source, and multiple sclerosis risk: The EnvIMS study.
We investigated the potential link between cod liver oil, a common source of vitamin D, and the risk of developing multiple sclerosis (MS). Our study involved a robust methodology, gathering data from 953 MS patients and 1717 control participants who reported their cod liver oil consumption from childhood through adulthood.
One of our key findings highlighted that individuals who took cod liver oil during their teenage years—specifically ages 13 to 18—had a noticeably reduced risk of MS. The odds ratio was 0.67, suggesting that this specific timeframe is crucial for vitamin D intake's protective effect against the disease. Interestingly, we didn’t observe any significant correlation between MS risk and the use of cod liver oil in early childhood, meaning that the timing of consumption seems important.
Moreover, we noticed an intriguing dose-response relationship: the more vitamin D3 one consumed during adolescence, the lower the risk of MS appeared to be. The sweetest spot seems to be a daily intake of 600-800 IU, which correlated to a significantly lower MS risk.
Overall, these findings strengthen the idea that low vitamin D levels might be a significant risk factor for MS, with particular emphasis on adolescence as a critical period for preventative measures.
Read More
9
Pistachio oil shows promise in MS
The therapeutic effect of PEGlated nanoliposome of pistachio unsaturated oils and its efficacy to attenuate inflammation in multiple sclerosis: A randomized, double-blind, placebo-controlled clinical trial phase I.
We aimed to evaluate how docosahexaenoic acid, particularly through the treatment of PEGlated nanoliposomes of pistachio unsaturated oils (PEGNLPUOs), affects inflammation in multiple sclerosis (MS).
This investigation was rigorously designed as a randomized, double-blind, placebo-controlled trial, ensuring the reliability of our findings. We observed significant changes in the levels of docosahexaenoic and eicosapentaenoic acid among MS patients treated with PEGNLPUOs.
Moreover, we found a notable decrease in matrix metallopeptidase-9 levels, which is important in regulating inflammation. The cytokine profile showed a tilt towards a Th2-biased response, indicating a reduction in inflammatory activity following treatment.
In summary, our findings indicated a reduction in the number of relapses, improved disability scores, and fewer T2 lesions in patients receiving PEGNLPUOs. Through this study, we demonstrated a promising therapeutic avenue for alleviating inflammation associated with multiple sclerosis using docosahexaenoic acid-based treatments.
Read More
9
DHA's impact on multiple sclerosis
A Novel Combination of Docosahexaenoic Acid, All-Trans Retinoic Acid, and 1, 25-Dihydroxyvitamin D Reduces T-Bet Gene Expression, Serum Interferon Gamma, and Clinical Scores but Promotes PPARγ Gene Expression in Experimental Autoimmune Encephalomyelitis.
We aimed to understand how docosahexaenoic acid (DHA) influences multiple sclerosis by exploring its effects in combination with other nutrients. Through a carefully designed study, we assessed the protective benefits of DHA, alongside all-trans retinoic acid (ATRA) and 1,25-dihydroxyvitamin D, on a model of multiple sclerosis known as experimental autoimmune encephalomyelitis (EAE).
The study involved female C57BL/6 mice divided into treated and untreated groups to observe the impact of these nutrients on the disease's progression. The results were striking. We found that when DHA was administered with ATRA and vitamin D, there was a significant reduction in clinical symptoms, and less interferon gamma and T-bet gene expression—key contributors to the inflammatory response observed in multiple sclerosis.
While the combination treatment showed clear benefits, it's important to note that the specific role of DHA on its own was difficult to isolate. The intervention collectively reduced the severity of the disease and inflammation, hinting at its potential for treating similar autoimmune conditions. Overall, our findings suggest that exploring DHA within combined therapies might be a promising pathway for managing multiple sclerosis.
Read More
9
DHA's role in MS treatment
n-3 PUFA supplementation benefits microglial responses to myelin pathology.
We explored the effects of docosahexaenoic acid (DHA), a vital Omega-3 polyunsaturated fatty acid, on multiple sclerosis (MS) and the way it influences microglial responses to myelin damage. By examining both primary cell cultures and using the cuprizone mouse model of MS, we aimed to understand how DHA behaves in conditions mimicking this debilitating disease.
Our findings revealed that DHA, alongside another Omega-3 fatty acid known as eicosapentaenoic acid (EPA), was successful in reducing harmful inflammatory responses in primary microglia when stimulated by interferon-gamma and myelin. These beneficial acids slowed down the release of substances like nitric oxide and tumor necrosis factor-alpha, which can contribute to tissue damage.
In addition, we noted an encouraging increase in myelin phagocytosis, which is a process where microglia clean up dead or damaged myelin. Our in vivo studies showed that supplementing with n-3 PUFAs like DHA could effectively diminish demyelination caused by cuprizone and lead to notable improvements in motor skills and cognitive function. Furthermore, we observed a transition in microglial behavior towards a 'friendly' M2 phenotype, suggesting that these fatty acids play a role in fostering a supportive environment in the brain.
Overall, this research indicates that DHA and other n-3 PUFAs hold promise as potential immunomodulatory agents for managing demyelinating diseases like multiple sclerosis.
I’m very pleased! My doctor in Finland recommended this product a year ago for my multiple sclerosis. Since then, I've taken one capsule daily, and I feel full of energy, no longer tired as I used to be. Remarkably, my pain has eased and I haven’t had flu all year! My migraines have also vanished; previously, I consumed medication every week. I’m truly satisfied and grateful for this change!
Read More
7.5
Reduced pain medication
2 people found this helpful
The pains and vigour I experience with multiple sclerosis have improved significantly since I began taking Carlsons D3-vitamin. After a car accident a few years ago, I underwent back surgery, and the stiffness led to chronic pain. However, this vitamin has transformed my wellness, allowing me to rarely need pain pills now. I’m very grateful, feeling energised with only 7 hours of sleep, compared to the 10-12 hours I used to need. I highly recommend consulting a knowledgeable doctor who appreciates such remedies. Thank you!
Read More
7.5
Improved mood and focus
I've just started taking these Vitamin D3 + Omega-3 soft gels and they are a complete game-changer. Each capsule offers 2,000 IU of Vitamin D3, which I need since I spend most of my time indoors, along with 115 mg of Omega-3s for heart and brain health. The pleasant lemon flavour ensures no fishy aftertaste. I’ve noticed a significant boost in mood and energy, better concentration, and even my skin looks better. I highly recommend these if you want the benefits of both supplements without taking multiple pills.
Read More
Frequently Asked Questions
Multiple Sclerosis (MS) is a chronic autoimmune disease that affects the central nervous system, specifically the brain and spinal cord. In MS, the immune system mistakenly attacks the protective covering of nerve fibers known as myelin, leading to inflammation and damage. This disruption in communication between the brain and different parts of the body can result in a wide range of symptoms, including fatigue, difficulty walking, numbness, and problems with vision. The severity and types of symptoms can vary significantly from person to person, as well as over the course of the disease, which may manifest in cycles of exacerbations and remissions.
There are several forms of MS, including relapsing-remitting MS (the most common type), primary progressive MS, and secondary progressive MS. While the exact cause of MS is still not fully understood, factors such as genetic predisposition and environmental triggers are believed to play a role. Currently, there is no cure for MS, but treatment options exist that can help manage symptoms, reduce the frequency of flare-ups, and slow the progress of the disease. If you or someone you know is experiencing symptoms suggestive of MS, it is essential to consult a healthcare professional for an accurate diagnosis and tailored management plan.
Vitamin D is a fat-soluble vitamin that's essential for maintaining healthy bones and teeth, supporting immune system function, and facilitating normal cell growth and development. It plays a crucial role in calcium absorption in the gut, which is vital for bone health. Unlike most vitamins, our bodies can produce Vitamin D when exposed to sunlight, specifically UVB rays, which is why it’s often referred to as the "sunshine vitamin." However, depending on your geographical location, lifestyle, and skin type, getting sufficient Vitamin D from the sun alone can be challenging, particularly during the winter months.
In addition to sunlight, Vitamin D can be obtained from certain foods such as fatty fish (like salmon and mackerel), fish liver oils, and fortified foods like milk and cereals. Some individuals may also consider supplements, especially if they're at risk for deficiency. Insufficient vitamin D levels are linked to various health issues, including rickets in children, osteomalacia in adults, and even an increased risk of chronic diseases. Regularly checking your vitamin D levels and consulting with a healthcare professional can help ensure you're meeting your needs for optimal health.
Current research suggests that Vitamin D may play a role in multiple sclerosis (MS), although more studies are needed to draw definitive conclusions. Multiple sclerosis is an autoimmune disease that affects the central nervous system, and some studies have indicated that individuals with MS often have lower levels of Vitamin D compared to those without the disease. This has led researchers to explore whether adequate Vitamin D levels could potentially have a protective effect or mitigate the severity of MS symptoms.
Some observational studies suggest a correlation between higher Vitamin D levels and a reduced risk of developing MS or a slower progression of the disease in diagnosed individuals. However, while Vitamin D supplementation may be beneficial for overall health and immune function, it's important to note that it should not be viewed as a standalone treatment for MS. If you or someone you know is considering Vitamin D supplementation as part of their MS management plan, it's crucial to consult a healthcare professional for personalized advice and to ensure it complements other established treatments.
Based on user reviews, the timeframe for witnessing results from this supplement while managing Multiple Sclerosis can vary. Some users have reported noticeable improvements in their energy levels, pain reduction, and overall wellness within a few weeks to a year of consistent use. For instance, one user mentioned feeling "full of energy" and experiencing pain relief after taking the supplement daily for about a year Read Review. Another user indicated enhanced energy and reduced pain in a similar time frame, attributing their wellness transformation to this vitamin product Read Review.
However, it’s crucial to note that individual experiences may differ significantly. Some users who have only recently started taking the supplement have already begun to notice improvements in their mood and concentration Read Review. Therefore, while some report immediate benefits, others may require longer periods to achieve optimal results. As always, consulting with a healthcare professional is recommended to tailor supplementation to your personal needs and health conditions.
Multiple studies suggest that vitamin D supplementation may have beneficial effects for individuals with Multiple Sclerosis (MS). For instance, a study focusing on newly diagnosed patients with MS found that vitamin D supplementation led to a significant decrease in pro-inflammatory cytokines and improved immune response, indicating that it might play a protective role in managing MS symptoms [1]. Additionally, research indicates that those with lower levels of vitamin D have a higher risk of developing MS, further implying the importance of maintaining adequate vitamin D levels [11].
However, while vitamin D shows promise in potentially aiding in the improvement of immune response and overall health in MS patients, its effectiveness in directly reducing relapse rates and disability levels remains inconclusive. A systematic review of 16 randomized controlled trials highlighted that although vitamin D administration raised serum levels, its role in significantly treating MS symptoms or reducing relapses was largely uncertain [8]. Therefore, while science supports the notion that sufficient vitamin D might be beneficial for MS patients, further research is necessary to fully establish its therapeutic efficacy.
Users have reported various improvements in symptoms after using this supplement. Many have experienced notable increases in energy levels, with one user expressing that they feel "full of energy" and no longer tired, crediting the product for easing their pain and eliminating migraines Read Review. Another user echoed these sentiments, highlighting a significant reduction in chronic pain and a decrease in the need for pain medication, leading to a newfound vibrancy with less required sleep Read Review.
Additionally, users have noted positive effects on mood and cognitive function after starting the supplement. One newer user reported a "significant boost in mood and energy" as well as improved concentration, underscoring the supplement's potential benefits beyond physical symptoms Read Review. While the feedback is overwhelmingly positive, it is important to recognize that individual results can vary. The effectiveness of these supplements may depend on various factors, and consulting with a healthcare professional is always advisable to customize health strategies.
Users have shared positive experiences regarding the combination of this supplement with other supplements to manage Multiple Sclerosis. Some individuals have specifically noted how combining Vitamin D3 with Omega-3s has been a "game-changer" for them. One user emphasized that with the inclusion of both in their regimen, they experienced a substantial boost in mood, energy, and cognitive function, without needing to take multiple pills, making it convenient and effective Read Review.
In addition, users have reported enhancements in overall wellness when incorporating this supplement into their daily routine alongside other treatments. One satisfied reviewer mentioned how their experiences of chronic pain subsided and they could significantly reduce their reliance on pain medications after taking the recommended Vitamin D3 Read Review. These testimonials suggest that combining this supplement with others may result in synergistic effects, ultimately contributing to improved energy levels, reduced pain, and an overall uplifting of mood.
Users report varying doses of Vitamin D for treating Multiple Sclerosis, with many expressing satisfaction and significant improvements in their condition. One user noted that they take one capsule daily and have felt a boost in energy and a decrease in pain since following their doctor's recommendation (Read Review). Another mentioned the effectiveness of a specific supplement containing 2,000 IU of Vitamin D3 along with Omega-3s, highlighting enhancements in mood and overall wellness as a result of this combination (Read Review).
Overall, it's clear from user experiences that consulting with a knowledgeable healthcare professional for personalized dosing is crucial, as individual needs may differ significantly. Some suggest that those struggling with fatigue or pain should definitely consider integrating Vitamin D into their regimen, potentially starting with established dosages like 2,000 IU daily, as reported by other users (Read Review).
9
Increased energy levels
2 people found this helpful
I’m very pleased! My doctor in Finland recommended this product a year ago for my multiple sclerosis. Since then, I've taken one capsule daily, and I feel full of energy, no longer tired as I used to be. Remarkably, my pain has eased and I haven’t had flu all year! My migraines have also vanished; previously, I consumed medication every week. I’m truly satisfied and grateful for this change!
7.5
Reduced pain medication
2 people found this helpful
The pains and vigour I experience with multiple sclerosis have improved significantly since I began taking Carlsons D3-vitamin. After a car accident a few years ago, I underwent back surgery, and the stiffness led to chronic pain. However, this vitamin has transformed my wellness, allowing me to rarely need pain pills now. I’m very grateful, feeling energised with only 7 hours of sleep, compared to the 10-12 hours I used to need. I highly recommend consulting a knowledgeable doctor who appreciates such remedies. Thank you!
7.5
Improved mood and focus
I've just started taking these Vitamin D3 + Omega-3 soft gels and they are a complete game-changer. Each capsule offers 2,000 IU of Vitamin D3, which I need since I spend most of my time indoors, along with 115 mg of Omega-3s for heart and brain health. The pleasant lemon flavour ensures no fishy aftertaste. I’ve noticed a significant boost in mood and energy, better concentration, and even my skin looks better. I highly recommend these if you want the benefits of both supplements without taking multiple pills.
8
Vitamin D influences MS cytokine balance
Vitamin D supplementation mediates a shift towards anti-inflammatory cytokine response in Multiple Sclerosis.
We explored the potential impact of Vitamin D supplementation on patients newly diagnosed with Multiple Sclerosis (MS). Our study involved 16 drug-naïve patients who were monitored over a year. We measured the levels of 25-hydroxy-vitamin D in their blood and evaluated how this vitamin affects the balance between pro-inflammatory and anti-inflammatory cytokines, which play significant roles in MS.
Our findings showed that these patients initially had low vitamin D levels and high levels of pro-inflammatory cytokines. Over the course of the study, participants who received vitamin D supplementation demonstrated a notable decrease in pro-inflammatory cytokine levels. Additionally, the ratio of pro-inflammatory to anti-inflammatory cytokines improved, suggesting that vitamin D may help shift the immune response towards a more protective profile.
Interestingly, while some patients also received immunotherapy, our data indicated that Vitamin D supplementation might independently contribute to better immune regulation. Patients with higher pro-inflammatory cytokine ratios appeared more susceptible to relapses, emphasizing the potential role of Vitamin D in managing MS symptoms.
This research supports the idea that having adequate levels of Vitamin D could be vital for those facing MS, as it may offer a protective mechanism through improving immune responses. Ultimately, vitamin D supplementation could be an essential component of a comprehensive treatment plan for MS patients.
7
Vitamin D deficiency linked to MS
The association between vitamin D deficiency and multiple sclerosis: an updated systematic review and meta-analysis.
We delved into the connection between vitamin D deficiency and the risk of multiple sclerosis (MS), utilizing data from 14 case-control studies published between 2007 and 2021. This analysis encompassed over 4,000 individuals with MS and another 4,600 without the condition.
Our findings reveal that individuals who are vitamin D deficient have a 54% higher chance of developing MS compared to those with sufficient vitamin D levels. Interestingly, when we looked closer, we found that this increased risk was particularly pronounced in studies that did not include participants taking vitamin D supplements.
Conversely, studies that included participants taking vitamin D supplements showed no significant increase in MS risk. This suggests that while vitamin D deficiency is associated with a higher likelihood of developing MS, the role of vitamin D supplementation may alter this relationship.
Overall, it seems that maintaining adequate vitamin D levels could be a significant, modifiable factor in reducing the risk of MS. However, more research is needed to fully understand the impact of vitamin D treatments on those already diagnosed with MS.
4
Vitamin D's inconclusive MS benefits
The Effectiveness of Vitamin D Intake in Improving Symptoms and Relapses of Multiple Sclerosis: A Systematic Review.
We explored the effectiveness of vitamin D supplements for improving symptoms and reducing relapses in patients with multiple sclerosis (MS). A systematic review was conducted using data from eight reputable databases, which culminated in the selection of 16 randomized controlled trials.
Each of these studies confirmed that vitamin D administration significantly boosted levels of serum 25(OH)D compared to placebos. Most of these studies also indicated improvements in magnetic resonance imaging (MRI) brain lesion markers, which suggests that vitamin D may have some positive effects related to brain health.
However, when it comes to other important aspects—such as relapse rates, fatigue, and disability levels—most studies did not find significant benefits from vitamin D treatment compared to placebo. While some indicators, like the quality of life reflected through transforming growth factor beta (TGF-β), showed improvements, overall, the findings regarding the effectiveness of vitamin D in treating MS symptoms and relapses remain inconclusive.
In summary, while vitamin D supplementation does seem to raise certain health markers, its role in effectively treating MS is still uncertain.
References
Al-Shammri S, Chattopadhyay A, Raghupathy R. Vitamin D supplementation mediates a shift towards anti-inflammatory cytokine response in Multiple Sclerosis. Med Princ Pract. 2025. doi:10.1159/000544106
Rasheed A, Khan G. Epstein-Barr virus, vitamin D and the immune response: connections with consequences for multiple sclerosis. Front Immunol. 2024;15:1503808. doi:10.3389/fimmu.2024.1503808
Lis M, Niedziela N, Adamczyk-Zostawa J, Zalejska-Fiolka J, Szczygieł J, et al. Comparative Effects of Vitamin D Supplementation on Oxidative Stress in Relapsing-Remitting Multiple Sclerosis. Curr Issues Mol Biol. 2024;46:14119. doi:10.3390/cimb46120845
Balshi A, Leuenberger G, Dempsey J, Baber U, Sloane JA. Glucagon-like peptide-1 agonist safety and efficacy in a multiple sclerosis cohort. Mult Scler Relat Disord. 2025;93:106229. doi:10.1016/j.msard.2024.106229
Yu XH, Lu HM, Li J, Su MZ, Li XM, et al. Association between 25(OH) vitamin D and multiple sclerosis: cohort, shared genetics, and Causality. Nutr J. 2024;23:151. doi:10.1186/s12937-024-01059-4
France-Ratcliffe M, Harrison SL, Verma LA, Abdul-Rahim AH, McCallum L, et al. Vitamin D and cardiovascular outcomes in multiple sclerosis. Mult Scler Relat Disord. 2024;92:106155. doi:10.1016/j.msard.2024.106155
Niedziela N, Nowak-Kiczmer M, Malciene L, Stasiołek M, Niedziela JT, et al. Serum Vitamin D3 as a Potential Biomarker for Neuronal Damage in Smoldering Multiple Sclerosis. Int J Mol Sci. 2024;25. doi:10.3390/ijms251910502
Gill A, Orji C, Reghefaoui M, Peresuodei TS, Thota P, et al. The Effectiveness of Vitamin D Intake in Improving Symptoms and Relapses of Multiple Sclerosis: A Systematic Review. Cureus. 2024;16:e68565. doi:10.7759/cureus.68565
Alelyani M, Gameraddin M, Alshahrani R, Alaslami W, Sarhan R, et al. Assessment of vitamin D status and associated risk factors in high-altitude populations affected by multiple sclerosis: A case-control study. Medicine (Baltimore). 2024;103:e38369. doi:10.1097/MD.0000000000038369
Balasooriya NN, Elliott TM, Neale RE, Vasquez P, Comans T, et al. The association between vitamin D deficiency and multiple sclerosis: an updated systematic review and meta-analysis. Mult Scler Relat Disord. 2024;90:105804. doi:10.1016/j.msard.2024.105804
Lis M, Niedziela N, Adamczyk-Zostawa J, Zalejska-Fiolka J, Błachut M, et al. Can Vitamin D Reduce Inflammation? The Influence of Supplementation on Selected Immunological Markers. Int J Mol Sci. 2024;25. doi:10.3390/ijms25147592
Lis M, Niedziela N, Adamczyk-Zostawa J, Wierzbicki K, Czuba Z, et al. Can Vitamin D Supplementation Improve Inflammation in Relapsing-Remitting Multiple Sclerosis Patients?. Biomedicines. 2024;12. doi:10.3390/biomedicines12071580
Giordano A, Clarelli F, Pignolet B, Mascia E, Sorosina M, et al. Vitamin D affects the risk of disease activity in multiple sclerosis. J Neurol Neurosurg Psychiatry. 2025;96:170. doi:10.1136/jnnp-2024-334062
Cortese M, Riise T, Bjørnevik K, Holmøy T, Kampman MT, et al. Timing of use of cod liver oil, a vitamin D source, and multiple sclerosis risk: The EnvIMS study. Mult Scler. 2015;21:1856. doi:10.1177/1352458515578770
McDowell TY, Amr S, Culpepper WJ, Langenberg P, Royal W, et al. Sun exposure, vitamin D intake and progression to disability among veterans with progressive multiple sclerosis. Neuroepidemiology. 2011;37:52. doi:10.1159/000329258
McDowell TY, Amr S, Culpepper WJ, Langenberg P, Royal W, et al. Sun exposure, vitamin D and age at disease onset in relapsing multiple sclerosis. Neuroepidemiology. 2011;36:39. doi:10.1159/000322512
Torkildsen Ø, Brunborg LA, Thorsen F, Mørk SJ, Stangel M, et al. Effects of dietary intervention on MRI activity, de- and remyelination in the cuprizone model for demyelination. Exp Neurol. 2009;215:160. doi:10.1016/j.expneurol.2008.09.026
Kampman MT, Wilsgaard T, Mellgren SI. Outdoor activities and diet in childhood and adolescence relate to MS risk above the Arctic Circle. J Neurol. 2007;254:471.
Saxby SM, Haas C, Shemirani F, Titcomb TJ, Eyck PT, et al. Association Between Improved Serum Fatty Acid Profiles and Cognitive Function During a Dietary Intervention Trial in Relapsing-Remitting Multiple Sclerosis. Int J MS Care. 2024;26:61. doi:10.7224/1537-2073.2023-037
Muñoz-Jurado A, Escribano BM, Galván A, Valdelvira ME, Caballero-Villarraso J, et al. Neuroprotective and antioxidant effects of docosahexaenoic acid (DHA) in an experimental model of multiple sclerosis. J Nutr Biochem. 2024;124:109497. doi:10.1016/j.jnutbio.2023.109497
Poggioli R, Hirani K, Jogani VG, Ricordi C. Modulation of inflammation and immunity by omega-3 fatty acids: a possible role for prevention and to halt disease progression in autoimmune, viral, and age-related disorders. Eur Rev Med Pharmacol Sci. 2023;27:7380. doi:10.26355/eurrev_202308_33310
Grajchen E, Loix M, Baeten P, Côrte-Real BF, Hamad I, et al. Fatty acid desaturation by stearoyl-CoA desaturase-1 controls regulatory T cell differentiation and autoimmunity. Cell Mol Immunol. 2023;20:666. doi:10.1038/s41423-023-01011-2
Kim JS, Soto-Diaz K, Bingham TW, Steelman AJ, Das A. Role of omega-3 endocannabinoids in the modulation of T-cell activity in a multiple sclerosis experimental autoimmune encephalomyelitis (EAE) model. J Biol Chem. 2023;299:102886. doi:10.1016/j.jbc.2023.102886
Nasl-Khameneh AM, Mirshafiey A, Moghadasi AN, Yekaninejad MS, Parastouei K, et al. The immunomodulatory effects of all-trans retinoic acid and docosahexaenoic acid combination treatment on the expression of IL-2, IL-4, T-bet, and GATA3 genes in PBMCs of multiple sclerosis patients. Neurol Res. 2023;45:510. doi:10.1080/01616412.2022.2162222
Ghasemi Darestani N, Bahrami A, Mozafarian MR, Esmalian Afyouni N, Akhavanfar R, et al. Association of Polyunsaturated Fatty Acid Intake on Inflammatory Gene Expression and Multiple Sclerosis: A Systematic Review and Meta-Analysis. Nutrients. 2022;14. doi:10.3390/nu14214627
Hassanshahi G, Noroozi Karimabad M, Jebali A. The therapeutic effect of PEGlated nanoliposome of pistachio unsaturated oils and its efficacy to attenuate inflammation in multiple sclerosis: A randomized, double-blind, placebo-controlled clinical trial phase I. J Neuroimmunol. 2022;362:577768. doi:10.1016/j.jneuroim.2021.577768
Feng C, Li L, Li Q, Switzer K, Liu M, et al. Docosahexaenoic acid ameliorates autoimmune inflammation by activating GPR120 signaling pathway in dendritic cells. Int Immunopharmacol. 2021;97:107698. doi:10.1016/j.intimp.2021.107698
Adkins Y, Soulika AM, Mackey B, Kelley DS. Docosahexaenoic acid (22:6n-3) Ameliorated the Onset and Severity of Experimental Autoimmune Encephalomyelitis in Mice. Lipids. 2019;54:13. doi:10.1002/lipd.12130
Mousavi Nasl-Khameneh A, Mirshafiey A, Naser Moghadasi A, Chahardoli R, Mahmoudi M, et al. Combination treatment of docosahexaenoic acid (DHA) and all-trans-retinoic acid (ATRA) inhibit IL-17 and RORγt gene expression in PBMCs of patients with relapsing-remitting multiple sclerosis. Neurol Res. 2018;40:11. doi:10.1080/01616412.2017.1382800
Bernardo A, Giammarco ML, De Nuccio C, Ajmone-Cat MA, Visentin S, et al. Docosahexaenoic acid promotes oligodendrocyte differentiation via PPAR-γ signalling and prevents tumor necrosis factor-α-dependent maturational arrest. Biochim Biophys Acta Mol Cell Biol Lipids. 2017;1862:1013. doi:10.1016/j.bbalip.2017.06.014
Shiri-Shahsavar MR, Mirshafiee A, Parastouei K, Ebrahimi-Kalan A, Yekaninejad S, et al. A Novel Combination of Docosahexaenoic Acid, All-Trans Retinoic Acid, and 1, 25-Dihydroxyvitamin D Reduces T-Bet Gene Expression, Serum Interferon Gamma, and Clinical Scores but Promotes PPARγ Gene Expression in Experimental Autoimmune Encephalomyelitis. J Mol Neurosci. 2016;60:498.
Chen S, Zhang H, Pu H, Wang G, Li W, et al. n-3 PUFA supplementation benefits microglial responses to myelin pathology. Sci Rep. 2014;4:7458. doi:10.1038/srep07458
Zanella SG, Roberti di Sarsina P. Personalization of multiple sclerosis treatments: using the chelation therapy approach. Explore (NY). 2013;9:244. doi:10.1016/j.explore.2013.04.003
Ramirez-Ramirez V, Macias-Islas MA, Ortiz GG, Pacheco-Moises F, Torres-Sanchez ED, et al. Efficacy of fish oil on serum of TNF α , IL-1 β , and IL-6 oxidative stress markers in multiple sclerosis treated with interferon beta-1b. Oxid Med Cell Longev. 2013;2013:709493. doi:10.1155/2013/709493
Siegert E, Paul F, Rothe M, Weylandt KH. The effect of omega-3 fatty acids on central nervous system remyelination in fat-1 mice. BMC Neurosci. 2017;18:19. doi:10.1186/s12868-016-0312-5
Di Biase A, Salvati S, Di Benedetto R, Attorri L, Martinelli A, et al. Eicosapentaenoic acid pre-treatment reduces biochemical changes induced in total brain and myelin of weanling Wistar rats by cuprizone feeding. Prostaglandins Leukot Essent Fatty Acids. 2014;90:99. doi:10.1016/j.plefa.2013.11.004
Salvati S, Di Biase A, Attorri L, Di Benedetto R, Sanchez M, et al. Ethyl-eicosapentaenoic acid ameliorates the clinical course of experimental allergic encephalomyelitis induced in dark agouti rats. J Nutr Biochem. 2013;24:1645. doi:10.1016/j.jnutbio.2013.02.005
Pantzaris MC, Loukaides GN, Ntzani EE, Patrikios IS. A novel oral nutraceutical formula of omega-3 and omega-6 fatty acids with vitamins (PLP10) in relapsing remitting multiple sclerosis: a randomised, double-blind, placebo-controlled proof-of-concept clinical trial. BMJ Open. 2013;3. doi:10.1136/bmjopen-2012-002170
Løken-Amsrud KI, Myhr KM, Bakke SJ, Beiske AG, Bjerve KS, et al. Alpha-tocopherol and MRI outcomes in multiple sclerosis--association and prediction. PLoS One. 2013;8:e54417. doi:10.1371/journal.pone.0054417
Unoda K, Doi Y, Nakajima H, Yamane K, Hosokawa T, et al. Eicosapentaenoic acid (EPA) induces peroxisome proliferator-activated receptors and ameliorates experimental autoimmune encephalomyelitis. J Neuroimmunol. 2013;256:7. doi:10.1016/j.jneuroim.2012.12.003
Torkildsen O, Wergeland S, Bakke S, Beiske AG, Bjerve KS, et al. ω-3 fatty acid treatment in multiple sclerosis (OFAMS Study): a randomized, double-blind, placebo-controlled trial. Arch Neurol. 2012;69:1044. doi:10.1001/archneurol.2012.283
Shinto L, Marracci G, Bumgarner L, Yadav V. The effects of omega-3 Fatty acids on matrix metalloproteinase-9 production and cell migration in human immune cells: implications for multiple sclerosis. Autoimmune Dis. 2011;2011:134592. doi:10.4061/2011/134592
Kong W, Yen JH, Ganea D. Docosahexaenoic acid prevents dendritic cell maturation, inhibits antigen-specific Th1/Th17 differentiation and suppresses experimental autoimmune encephalomyelitis. Brain Behav Immun. 2011;25:872. doi:10.1016/j.bbi.2010.09.012