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What is the best food to eat when you have shingles? A guide to nutrition and diet

5 min read

According to the Centers for Disease Control and Prevention, about one in three adults in the U.S. will develop shingles in their lifetime. While antiviral medication is the standard treatment, paying close attention to what you eat can significantly support your immune system and recovery. Knowing what is the best food to eat when you have shingles? is a key step toward managing your symptoms and healing faster.

Quick Summary

A supportive diet for shingles focuses on immune-boosting vitamins, anti-inflammatory foods, adequate hydration, and probiotics. Some people also focus on increasing lysine while limiting high-arginine foods, which may inhibit viral replication. It is best to avoid sugary, processed foods, and alcohol during an outbreak.

Key Points

  • Boost Your Immune System: Prioritize a diet rich in vitamins A, B12, C, and E, plus zinc, to help your body fight the varicella-zoster virus.

  • Focus on Lysine-Rich Foods: Increase your intake of lysine from sources like dairy, fish, chicken, and eggs, while being mindful of arginine, which may aid viral replication.

  • Reduce Inflammation: Incorporate anti-inflammatory foods such as fatty fish, turmeric, ginger, and colorful berries to help manage nerve pain.

  • Stay Hydrated: Drink plenty of water and herbal teas to support skin healing and overall recovery, and avoid alcohol and sugary beverages.

  • Avoid Inflammatory Triggers: Steer clear of processed foods, refined sugars, saturated fats, and high-arginine items like chocolate and nuts to prevent further immune suppression.

  • Support Gut Health: Integrate probiotic-rich foods like yogurt or kefir to promote a healthy gut microbiome, which is essential for a strong immune response.

In This Article

The Role of Diet in Managing a Shingles Outbreak

Shingles, or herpes zoster, is a reactivation of the varicella-zoster virus, the same virus that causes chickenpox. The virus lies dormant in nerve tissue for years and can re-emerge, causing a painful, blistering rash. A weakened immune system is a primary factor in the virus's reactivation, which is why older adults are more susceptible. While antiviral medications are the main treatment, a proper diet plays a crucial supportive role by bolstering the immune response and managing inflammation and nerve pain.

The Lysine-to-Arginine Balance Theory

One popular dietary approach for managing herpes-family viruses like herpes zoster centers on the balance of two amino acids: L-lysine and L-arginine. The theory, although needing more definitive research, suggests that the virus uses arginine to replicate itself. Lysine, on the other hand, is believed to inhibit the virus by competing with arginine. By increasing your intake of lysine and minimizing arginine, some people aim to slow the virus's ability to multiply.

Foods to Prioritize (High in Lysine)

  • Dairy Products: Milk, yogurt, and cheese are excellent sources of lysine. Opt for plain Greek yogurt with probiotics to further support gut and immune health.
  • Meat and Poultry: Fish (like salmon and tuna), chicken, turkey, and beef are rich in this essential amino acid.
  • Eggs: A versatile protein source, eggs provide a healthy dose of lysine.
  • Legumes: Lentils, beans, and chickpeas are valuable plant-based sources of lysine.

Foods to Limit (High in Arginine)

  • Nuts and Seeds: Peanuts, almonds, walnuts, cashews, and pumpkin seeds have a high arginine content and are often recommended to be limited during an outbreak.
  • Chocolate: Chocolate is particularly high in arginine and is a common recommendation for avoidance.
  • Gelatin: A source of arginine, some people choose to reduce or avoid gelatin products.
  • Wheat Products: Some high-arginine grains, like wheat germ and oats, are also suggested for temporary reduction.

Essential Vitamins and Minerals for Immune Support

Beyond the amino acid balance, ensuring your body has a wide range of vitamins and minerals is vital for a robust immune system that can fight off the shingles virus.

  • Vitamin A: Critical for immune function and gut health, Vitamin A is found in colorful fruits and vegetables.
    • Food sources: Carrots, sweet potatoes, kale, spinach, red peppers, and apricots.
  • B-Vitamins (especially B12): B vitamins are important for nerve health, which can be affected by shingles. Vitamin B12, in particular, may help protect against postherpetic neuralgia, a potential long-term complication.
    • Food sources: Lean meats, eggs, cultured dairy, fortified cereals, and fortified non-dairy milks.
  • Vitamin C: This powerful antioxidant strengthens the immune system and helps the body produce antibodies to fight infection.
    • Food sources: Citrus fruits (oranges, lemons), bell peppers, berries, kiwi, and broccoli.
  • Vitamin E: Another antioxidant that supports immune function, Vitamin E can help reduce inflammation.
    • Food sources: Sunflower seeds, almonds, avocado, and spinach.
  • Zinc: A key mineral for immune health, zinc intake is important for speeding up healing and bolstering the body's defenses.
    • Food sources: Red meat, chickpeas, shellfish (oysters), eggs, and fortified cereals.

Anti-Inflammatory Foods for Pain Management

Inflammation contributes to the pain and nerve damage associated with shingles. Incorporating anti-inflammatory foods can help manage these symptoms naturally.

  • Fatty Fish: Rich in omega-3 fatty acids, fish like salmon, mackerel, and sardines have potent anti-inflammatory properties.
  • Turmeric and Ginger: These spices contain powerful anti-inflammatory compounds, with curcumin in turmeric being particularly well-known for its effects.
  • Berries and Green Leafy Vegetables: Loaded with antioxidants, these foods protect cells from damage and help reduce inflammation.

The Importance of Hydration and Gut Health

Staying well-hydrated is crucial for overall recovery and skin repair. Aim to drink plenty of water and herbal teas. Supporting your gut microbiome with probiotics can also aid your immune response.

  • Stay Hydrated: Water, herbal teas, and broths are excellent choices. Avoid sugary drinks and alcohol, which can dehydrate you.
  • Include Probiotics: Fermented foods like yogurt, kefir, sauerkraut, and kimchi introduce beneficial bacteria that support a healthy immune system.

Foods and Drinks to Strictly Avoid During a Shingles Outbreak

To avoid exacerbating symptoms and weakening your immune system, certain foods should be avoided or significantly limited.

  • Added Sugars and High-Glycemic Carbs: These cause blood sugar spikes that can trigger inflammation and suppress the immune system. This includes candies, pastries, soda, and sugary cereals.
  • Highly Processed Foods: Pre-packaged snacks, fast food, and deep-fried items are often high in salt and unhealthy fats that promote inflammation and hinder healing.
  • Refined Grains: White bread, white rice, and processed flour lack the fiber and nutrients of whole grains and can contribute to inflammation.
  • Excessive Alcohol and Caffeine: Both can weaken the immune system and contribute to dehydration. Excessive caffeine might also increase sensitivity to pain.
  • Acidic and Spicy Foods: For those with oral shingles or nerve sensitivity, these foods may aggravate the pain.

Lysine vs. Arginine: A Nutritional Comparison

Feature High-Lysine Foods (Beneficial) High-Arginine Foods (Limit Temporarily)
Primary Goal Inhibit viral replication, support immune function. Limit viral growth by reducing availability of its fuel.
Key Foods Fish, chicken, beef, dairy (yogurt, cheese), eggs, lentils, chickpeas, brewer's yeast. Nuts (almonds, peanuts, walnuts), seeds (pumpkin, sunflower), chocolate, gelatin, oats, soy.
Associated Benefits Supports healthy immune response, aids tissue repair. While important normally, may be best to reduce temporarily during outbreak.
Dietary Strategy Focus on a balanced diet rich in these foods. Temporarily reduce intake of very high-arginine items while boosting lysine intake.

Conclusion: A Holistic Approach to Recovery

While no diet can cure shingles, adopting a supportive nutritional plan can be a powerful tool for recovery. By focusing on immune-boosting vitamins and minerals, prioritizing anti-inflammatory and hydrating foods, and adhering to the lysine-to-arginine balance, you give your body the best chance to fight the virus and reduce discomfort. A balanced, nutrient-dense diet also helps combat fatigue and stress, which are both detrimental to immune health. Always consult your healthcare provider to discuss your overall treatment plan and any specific dietary recommendations or supplements. Complementing your medical treatment with smart nutritional choices can make a meaningful difference in your healing process.

Sources

Foods to Avoid During a Shingles Attack & What to Eat. Healthline. Foods to Avoid During a Shingles Attack & What to Eat. Healthline. Diet and Shingles: Foods That Can Help. Pearl Chemist Group. What should shingles patients eat? bahealthpoint.com. What should shingles patients eat? bahealthpoint.com. Shingles Diet: Foods to Avoid for Fast Recovery. GetLabTest.com. The Ultimate List Of Foods To Avoid During A Shingles Attack. HealthMatch. Foods to Eat and Avoid When You Have Shingles. Everyday Health. The Different Stages of Shingles and What Causes Them. Healthylife. Foods to Eat and Avoid When You Have Shingles. Everyday Health. Shingles Diet: Essential Foods To Eat And Avoid. Apollo 247. The Role of Diet in Shingles Prevention: Foods to Eat and Avoid. lloydsafrica.com. Shingles – Causes and Treatments. Patrick Holford.

Frequently Asked Questions

Yes, while diet cannot cure shingles, a nutritious diet rich in immune-boosting vitamins, anti-inflammatory agents, and specific amino acids can support your body's ability to fight the virus, manage inflammation, and aid recovery.

Several vitamins are important for immune health during a shingles outbreak. Vitamins A, C, E, and B12 are particularly beneficial. Vitamin C helps strengthen the immune system, and B12 can be important for nerve health.

Not necessarily, as many high-arginine foods are otherwise healthy. However, some people choose to temporarily limit items with a high arginine-to-lysine ratio, like nuts, seeds, and chocolate, based on the theory that arginine may promote viral replication.

Yes, probiotics are beneficial for shingles. Found in foods like yogurt and kefir, they support a healthy gut microbiome, which is closely linked to immune health and can help your body fight viral infections.

L-lysine is an amino acid believed to inhibit the replication of herpes-family viruses like herpes zoster by competing with arginine. While more research is needed, increasing your dietary intake of lysine is a common recommendation.

High sugar intake can cause rapid blood sugar spikes, which promotes inflammation and can weaken your immune system's ability to fight off the shingles virus. It's best to limit sweets and processed foods.

Anti-inflammatory foods can help reduce nerve pain. This includes fatty fish (rich in omega-3s), turmeric, and ginger. Additionally, ensuring good hydration can help manage overall discomfort.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.