Diet is the first area to pay attention to when ME is suspected. Cut out all simple sugars and refined foods, and concentrate on whole unprocessed foods. Coffee and tea should be replaced by herb and fruit teas and plenty of spring or filtered water. Dairy products are a common problem for those with ME, as is wheat.
Take vitamin and mineral supplementation free from gluten, sugar, yeast, grains and colourings. Two scientifically-validated treatments for ME are magnesium supplementation and the use of Essential Fatty Acids, (EFAS) in the form of Efamol Marine, which contains omega-6 fatty acids as well as omega-3 fatty acids from fish oils. The concentration of gamma linoleic acid from evening primrose oil is not as high as from other sources, so that patients may prefer to take GLA derived from such new sources as borage oil. This can be combined with flax seed oil, a more concentrated source of the benefits gained from fish oil.
Other deficiencies commonly found are zinc, chromium, vitamin B6, pancreatic enzymes, and low stomach acid.