Diets for CFS/IBS/FM Microbiome

I have covered some diets in some prior post. Diets, like antibiotics and even supplements, are often toss at a patient without researching the potential side-effects. Having a disease model (microbiome shift) gives a measuring stick to evaluate suggestions against.

PubMed in 2017

Explicit Studies

So – existing literature has found little solution apart from some supplements which I have posted on earlier.

Looking at microbiome shifts

I was surprised not to find more on the various diets cited above, especially shifts in Firmicutes and Bacteroidetes. There was only a few high quality reports.

Ketogenic Diet

Mediterranean Diet (MDS)

  • Mediterranean diet and faecal microbiota: a transversal study.[2016]
    • Mediterranean Diet Score (MDS) was associated with a higher abundance of Bacteroidetes (p = 0.001), Prevotellacea (p = 0.002) and Prevotella (p = 0.003) and a lower concentration of Firmicutes (p = 0.003) and Lachnospiraceae (p = 0.045).  Also,  in subjects with MDS ≥ 4, higher concentrations of faecal propionate (p = 0.034) and butyrate (p = 0.018) were detected. ” 🙂 Perfect!

Mediterranean Diet Score

There is an interesting study looking at typical diet in 7 countries at this web site. From this 2012 study, you can evaluate where you are, and provide clues as to how to alter your general diet. My own score with below is a low 8, and I can see some changes that I can make to increase it.


Bottom Line

No diet has been shown to have health benefits for CFS/FM/IBS apart from certain specific supplements.  On the other hand, if the microbiome shift model is correct, the Mediterranean Diet is likely to result in improve symptoms that will increase the higher you get your score. How? it will counter the shift of bacteria seen in CFS.