Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Dietary Supplements in Combination with Conventional Medicine among People with Multiple Sclerosis

Version 1 : Received: 28 April 2021 / Approved: 11 May 2021 / Online: 11 May 2021 (14:11:39 CEST)

A peer-reviewed article of this Preprint also exists.

Ferorelli, P.; Antonelli, F.; Shevchenko, A.; Mischiati, C.; Doepp, M.; Lenzi, S.; Borromeo, I.; Feriotto, G.; Beninati, S. Reduction in Fatigue Symptoms Following the Administration of Nutritional Supplements in Patients with Multiple Sclerosis. Med. Sci. 2021, 9, 52. Ferorelli, P.; Antonelli, F.; Shevchenko, A.; Mischiati, C.; Doepp, M.; Lenzi, S.; Borromeo, I.; Feriotto, G.; Beninati, S. Reduction in Fatigue Symptoms Following the Administration of Nutritional Supplements in Patients with Multiple Sclerosis. Med. Sci. 2021, 9, 52.

Journal reference: Med. Sci. 2021, 9, 52
DOI: 10.3390/medsci9030052

Abstract

Despite recent advances in immune-modulatory drugs, pharmacological therapies have been proven ineffective in severe presentations of multiple sclerosis (MS), including secondary progressive MS. At present, therapeutic interventions' performance is primarily focused on ameliorating symptoms to improve the patient's quality of life. Among complementary treatments, nutrition has been considered a decisive factor to control symptoms and enhance the wellness of MS patients. Although no special diets are associated with MS, the impact of diet and dietary supplements on the course of progressive forms of the disease have been studied during the last years. Fatigue is among the most common and disabling symptoms reported by MS patients. Fatigue has been defined in the Multiple Sclerosis Council for Clinical Practice Guidelines (MSCCPG, 1998) as a "subjective lack of physical and/or mental energy that the individual perceives as an interference with habitual and desired activities". This study aimed to compare the psychometric functioning of the "Fatigue Severity Scale" (FSS) and the "Modified Fatigue Impact Scale" (MFIS) in our sample of people with MS. Specifically, during chronic treatment, the change in these two parameters with two vitamin-rich dietary supplements (Citozym® and Ergozym®) was evaluated. The impact of these nutritional supplements revealed differences in antioxidant and anti-inflammatory parameters between treatment groups with subsequent improvement in fatigue. In conclusion, the results obtained have confirmed the effectiveness of complementary nutritional therapies, evaluated essentially based on hematological biomarkers, through which it is possible to act on disability to improve the quality of life of MS patients.

Keywords

Multiple Sclerosis, fatigue, dietary supplements, vitamins, folic acids

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