What are the dietary recommendations for patients with hidradenitis suppurativa (HS)?

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Last updated: May 5, 2025View editorial policy

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From the Research

Dietary modifications, such as an anti-inflammatory diet that reduces dairy, refined carbohydrates, and processed foods, may help manage symptoms in patients with hidradenitis suppurativa (HS).

Key Recommendations

  • An anti-inflammatory diet that emphasizes fruits, vegetables, whole grains, and lean proteins is often recommended for patients with HS 1.
  • Weight loss through healthy eating may benefit overweight patients with HS, as obesity is a known trigger for inflammation and can worsen symptoms.
  • Some patients report improvement when avoiding specific trigger foods, particularly dairy products, brewer's yeast, and foods with high glycemic index.
  • A Mediterranean diet pattern rich in olive oil, fish, nuts, and plant foods may be beneficial due to its anti-inflammatory properties.
  • Maintaining adequate hydration and consuming foods rich in zinc (like oysters, beef, and pumpkin seeds) and vitamin D may support immune function.

Foods to Avoid

  • Sweets (67.9%)
  • Breads and pasta (51.1%)
  • Dairy (50.6%)
  • High-fat foods (44.2%)

Foods to Emphasize

  • Vegetables (78.7%)
  • Fruits (56.2%)
  • Chicken (51.7%)
  • Fish (42.7%) These dietary approaches work by potentially reducing systemic inflammation, regulating hormones, and supporting immune function, which may help control the underlying inflammatory processes in HS. Patients should consider keeping a food diary to identify personal trigger foods and work with healthcare providers to develop an individualized nutrition plan 1.

References

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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