The Connection Between Diet and HS
Hidradenitis suppurativa (HS) is a chronic inflammatory skin condition, and growing evidence suggests a strong link between diet and its severity. The inflammation underlying HS can be influenced by what we eat. Dietary habits that lead to weight gain can also worsen HS symptoms. HS is also often associated with metabolic syndrome and insulin resistance, which can be affected by diet. A balanced, nutrient-dense diet is crucial for supporting overall health and can play a supportive role alongside medical treatment.
Identifying Common HS Trigger Foods
Many patients with HS have found relief by identifying and eliminating specific foods that cause flare-ups through a process called an elimination diet. While triggers are highly individual, several food groups have been consistently reported as problematic:
Dairy Products
Dairy is one of the most frequently reported triggers for HS flares. Dairy products contain hormones and proteins like casein and whey that may increase inflammation and worsen HS symptoms in some individuals. In one small study, 83% of participants reported an improvement in symptoms after eliminating dairy. Alternative sources for calcium and vitamin D are important if you eliminate dairy.
High-Glycemic Index Foods and Added Sugars
High-glycemic foods and added sugars cause rapid spikes in blood sugar and insulin levels, which promotes inflammation and can worsen HS symptoms. Many processed foods and refined carbohydrates fall into this category. Common high-glycemic offenders include:
- White bread, pasta, and rice
- Sugary drinks, sodas, and juices
- Cakes, cookies, and pastries
- Candy and chocolate
Limiting or eliminating these items can help stabilize blood sugar and reduce systemic inflammation.
Brewer's Yeast
Brewer's yeast (Saccharomyces cerevisiae) has been linked to HS flares, potentially due to an immune system reaction. It is commonly found in many products, and studies suggest removing it may improve symptoms in some individuals. Products to avoid include:
- Beer and wine
- Bread and other baked goods made with yeast
- Fermented cheeses and some soy sauces
Nightshade Vegetables
While scientific evidence is limited, some patients report nightshades as a trigger. The nightshade family includes tomatoes, potatoes, eggplant, and peppers. An elimination diet can help determine if these are a personal trigger.
The Anti-Inflammatory Approach: The Mediterranean Diet
The Mediterranean diet is an anti-inflammatory eating pattern that focuses on whole, unprocessed foods and has shown promise in managing HS. Key components include:
- Plenty of vegetables and fruits: Provides antioxidants and vitamins.
- Whole grains: Offers fiber to help regulate blood sugar.
- Lean protein: Focuses on fish and poultry over red meat.
- Healthy fats: Extra virgin olive oil, nuts, and seeds provide anti-inflammatory omega-3s.
Helpful Supplements and Nutrients to Consider
Several micronutrients are being investigated for their potential role in managing HS symptoms:
- Zinc: HS patients often have lower serum zinc levels. Supplementation has shown promise in some studies for reducing disease severity. Consult a doctor before starting a supplement.
- Vitamin D: Deficiency is highly prevalent in HS patients. Supplementation can reduce the number of nodules in deficient patients. A doctor can test your levels to determine if supplementation is needed.
- Turmeric (Curcumin): Curcumin is a powerful anti-inflammatory and antioxidant. While not specifically studied for HS in large trials, its properties may be beneficial.
- Omega-3 Fatty Acids: These healthy fats are known for their anti-inflammatory effects and are found in oily fish.
HS Diet: Foods to Include vs. Foods to Avoid
A detailed comparison of foods to include and avoid in an HS diet can be found on {Link: HidraWear https://hidrawear.com/hidradenitis-suppurativa-diet/}.
Conclusion: Finding the Right Approach for You
While there is no universally defined best diet for HS patients, the goal is to reduce inflammation and identify personal triggers. The Mediterranean diet offers a solid foundation for a nutritious, anti-inflammatory eating plan. By systematically eliminating common trigger foods like dairy, sugar, and brewer's yeast, you can better understand your own body's sensitivities. Work with a dermatologist and a registered dietitian to ensure any dietary changes are safe and nutritionally sound. Diet is a powerful complementary tool, but it should be used in conjunction with medical therapy to manage HS symptoms effectively.
Authoritative Resource
For more information on hidradenitis suppurativa and diet, please consult resources like the American Academy of Dermatology's guide: Is there a diet for hidradenitis suppurativa?.
