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The Fibromyalgia Diet: HELP! I Don't Know What to Eat

  [ 73 votes ]   [ 7 Comments ]
By Sue Ingebretson • • August 28, 2013

The Fibromyalgia Diet: HELP! I Don't Know What to Eat

On the fibromyalgia group pages of various social media sites, I read this comment more than any other:  

HELP! I Don’t Know What to Eat!

Does that sound like you?

If so, you’re shouting in good company. The cacophony over what to eat (or more loudly, what not to eat) is practically deafening.

Any post, tweet, or article I write that mentions nutrition is likely to have multiple comments expressing frustration in this area … and for good reason. While the specifics of individual diets vary, it’s clear that what we eat has a great effect on how we feel. And, we are each different, with unique nutritional needs.

Whether chronic illness sneaks up slowly, or begins suddenly (such as after an accident, significant illness, or traumatic event) it’s common for symptoms to develop in a cascading fashion. It may start with stiff joints and then travel to that foggy, fatigued, and all-over bruised feeling. Most of us, at one time or another, have said that from head to toe, nothing feels right.

Poor digestive health is a widespread systemic concern, affecting the entire body. It contributes to cognitive impairments, skin conditions, and immune system dysfunction, as well as joint and muscle pain. And, of course, digestive symptoms are also present such as intestinal pain, bloating, gassiness, intermittent or chronic diarrhea and/or constipation.

Those of us with fibromyalgia (as well as various autoimmune challenges) are known as super-sensitive individuals, right? We’re super-sensitive to lights, sounds, touch, scents, and tastes. That heightened sensitivity also relates to the foods that we eat.

We may be overly-sensitive to foods that don’t seem to bother others. A comprehensive list of these potential problematic foods can be found below, but for now, we’ll discuss how to approach this knowledge.

Rather than focusing on what not to eat – place the focus of your attention on what to eat.

Look for foods that feed the body at a nutritionally fundamental level. Consume a healthy balance of quality macronutrients (protein, veggies, and healthy fats) and be sure to stay hydrated throughout the day by drinking clean, filtered water.

By providing the vital nutrients that are typically missing from the Standard American Diet (S.A.D), the body is then better able to create a healing environment which results in reduced overall inflammation.

You may wish to review this ProHealth basic nutrition article for more details.

Making healthier substitutions is a great way to make small changes that yield big results. For example, swap out processed grains (corn, rice, breads, pastas, cereals, etc.) for ancient grains such as quinoa, millet, and amaranth. They make a great addition to any meal and are naturally wheat and gluten-free. Replace processed peanut butter with whole, natural almond or cashew butter. And/or, use hummus as a spread or dip rather than highly processed mayonnaise.

Experiment and get creative in the kitchen. Make it a goal to try new and different foods, giving yourself permission to be patient and flexible. It takes time to adapt to new and different tastes and textures. Don’t worry if something isn’t an instant “like.” It may surprise you later on to develop a craving for healthier versions of foods you once liked.

Feeling empowered about your nutritional options leads to making healthier choices rather than leaving you to feel limited or deprived. The goal is to do your best to replace highly processed and empty-nutrient foods with whole food choices that are as close to nature as possible. There’s no hard and fast rule about this.

When it comes to feeding ourselves well, taking steps toward better health is the important part – not the “exactness” of it all.

Phrases such as “shouldn’t have” and “can’t have” are not typically helpful when making nutritional changes. They imply a sense of helplessness and submission to your health concerns. It’s far more empowering to intentionally make healthy food choices based on your knowledge and understanding of what foods feed your body the best.

When I first began my nutritional healing journey, I put dairy on the top of my no-no list since I knew it gave me intestinal trouble. Once I made it an official “can’t have” item, I began to notice intense cravings for ice cream, cottage cheese, and quesadillas. When I gave in to the cravings, I suffered terribly (there was no ambiguity about the physical side-effects). When I held firm to my belief that I “couldn’t” have it, dairy was all I thought about. It was only after doing more research and learning how the lactose intolerance issue was affecting my health that I made the educated choice to give it up.

I’ve learned that I have more success when I decide to remove something from my nutritional plan rather than feeling that I have to.

My experience with dairy just happens to be one example, but I’ve seen this same scenario play out with my clients. The ones who are very regimented with themselves about what they “can” and “can’t” have often experience significant cravings.

Remember that nothing makes us crave something more than the forbidden-ness of it.

Instead of thinking in terms of limitations, simply focus on doing the best that you can, most of the time.

The following chart shows a basic list of foods that may be problematic for you. Whether they trigger an intolerance or sensitivity response, it’s important to note their potential negative impact on your overall health.

After consuming any of the following foods, you may wish to track any subsequent symptoms that arise. Pay attention to how you feel immediately after your meal as well as any symptoms that occur even several hours later. Track a variety of symptoms such as overall pain, fatigue, cognitive function, itchiness, runny nose/eyes, joint stiffness, and digestive dysfunction. Also track any disturbances you may notice regarding your ability (or inability) to fall asleep and stay asleep.

Try – as best you can – to assess the foods individually.

For more information on how to go about this, you can simply Google “Elimination Diets” and see multiple ways and methods to approach this exercise. You’ll also see a wide variety of foods that are considered problematic. I’ve listed some fundamental foods here, but you may wish to add to this list as you feel necessary.

Or, you may choose to follow the elimination diet plan outlined in books such as Dr. Mark Hyman’s UltraSimple Diet, or J.J. Virgin’s book, The Virgin Diet.


Immediate  2 – 4 Hours  Sleep







 Corn (and likely other grains)


 Nuts (peanuts and tree nuts















(includes aspartame-
containing sweeteners as well as Splenda)









(tomatoes, white potatoes, eggplant, peppers)


*A note about wheat/gluten: This is probably the most talked about problem food related to fibromyalgia and autoimmune conditions. The connections to inflammation and cognitive impairment alone make it a top suspect for triggering symptoms. There are multiple ways of “going gluten-free” and while selecting foods from the gluten-free grocery store aisles may seem a quick solution, you may not find the symptom relief you desire. It’s unfortunate, but many packaged gluten-free foods simply substitute a host of other artificial ingredients for the gluten.

As always, read labels and select the highest quality foods with as few ingredients as possible. Even better? Select foods that have always been gluten-free (i.e. visit your store’s produce department). Of course, always make the best choices that you can while working within your personal budget. (See “
How to Eat Healthy on a Limited Budget”)


Sue Ingebretson ( is an author, speaker, certified holistic health care practitioner and the director of program development for the Fibromyalgia and Chronic Pain Center at California State University, Fullerton. She is also a Patient Advocate/Fibromyalgia Expert for the Alliance Health website and a Fibromyalgia editor for the ProHealth website community.

Her #1 Amazon best-selling chronic illness book, FibroWHYalgia, details her own journey from chronic illness to chronic wellness. She is also the creator of the FibroFrog™- a therapeutic stress-relieving tool which provides powerful healing benefits with fun and whimsy.

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Article Comments Post a Comment

Posted by: husseyd1
Aug 27, 2013
Great post. Useful tips which I will pass on to my fibromyalgia clients.
Reply Reply

Not just for Fibro
Posted by: Diegolady
Aug 28, 2013
Good information for anyone with food problems, not just fibro. Since I switched to whole food, and as organic as I can find, I am much better. Hey, I even had a 'whole' GF tortilla!!!
Reply Reply

avoid processed food
Posted by: meisterang
Aug 28, 2013
The article mentions hummus. I cannot eat any supermarket hummus because of the added citric acid. I can eat oranges, tomatoes etc - but any artificial citric acid upsets me.
Reply Reply

fibro diet
Posted by: ginia672
Aug 29, 2013
Since having my gallbladder removed 15 yrs ago..I have had diarrhea so terribly that ANYTHING I eat causes theddiarrhea...I don't even have to eat or drink the morning around 7:30 each morning I'mheading to the bathroom...
But fiber actually constipates me...
I DO realize that fibromyalgia isn't am actually's a result of something being wrong in your body for a really long time...the problem is that once you have it, you have permanent damage that can't be reversed.
Over the yrs I had my vitamins, nutrients,electrolyte checked and levels were all fine...but what nobody realized is that my blood levels could be normal but I had an inability to absorb and/out use them properly.
I think it's interesting that everyone that I've had contact with this illness has some sorry of stomach problems as well.
I have found that potassium and magnesium were my LIFELINE!! Even after being put on meds to help with the symptoms, the feeling of bruising is mostly gone but I couldn't move my shoulders without SEVERE pain and they just wouldn't rotate..they were SO STUFF..but after taking just these Two vitamins twice a day, I can move them..I can put on a bra again, etc..I still have some pain in them but I can do most things again.
I had a stomach virus and my vitamins made me so nausea that I quit taking them for three days..I had nearly a total relapse!..I took them three times a day to get them back into my still took several days but eventually I could move my shoulders again.
My POINT is...that nutrition plays a Very important role in out health!
But for me, with the diarrhea, I just simply DON'T absorb things properly.
But I have been eating only wheat bread and taking Two anti diarrhea pills every Two days so it's helping.
Now I'm checking out the flora in my stomach..I'm going to experiment with getting it corrected because I KNOW that something went wrong with my surgery..
I'm not blaming the surgeon because I don't think it hadanything to do with body just either couldn't adjust our my flora got messed up.I honestly don't know..but I'm trying out everything to try and help myself.
The problem is that ALL my tests for EVERYTHING come back fine!
So whatever is Really wrong is not showing up.
I was treated for gluten allergy and test results said that I didn't have celiac.
And fiber can constipate me so I try to eat all the fiber that I can.
But now in reading this article you are encouraging us to NOT eat fiber and so now I don't know what to do anymore, again !
And therein lies the problem with fibro..there just doesn't seem to be any"RIGHT"answers"
Reply Reply

Fibro Diet
Posted by: zaragirl
May 31, 2017
I've had the same problems since my gal bladder was removed and was finally found to be having issues with my liver actually over producing bile and dumping it into my digestive system so that my body couldn't handle it all and it's causing severe diahrea. My GO doctor has put me on a medication that I take twice a day that helps bind up the stool without causing constipation. After only a week on the medication I've noticed a drastic change in that area.


Posted by: elvira007
Sep 13, 2014
If you can't eat store bought hummus, I'm sure there are many recipes on the internet to make your own at home. It's easy to do and only requires a few ingredients. Do a search for Hummus recipes and see how many you find!
Reply Reply

Citric acid
Posted by: meisterang
Jan 11, 2017
Citric acid - sounds natural. Derived from lemons, maybe? Not. The cheap citric acid that is added to breads, ice cream, canned tomatoes, most things that have a label and some that don't like some fresh meats and fish - that citric acid is made by bacteria and black fungus treated with sulphuric acid. I'm sensitive to it and it took some research to figure that out. Before I eliminated it I had been diagnosed with IBS, acid reflux and Barretts esophagus. Now most of these symptoms are gone. The article suggests substituting hummus for mayonnaise. Most supermarket hummus has citric acid in. Many mayos do not. Do an elimination diet and as you add foods back in look at labels carefully.
Reply Reply

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