Meniere's Disease Triggers & Causes Meniere's Disease and Nutrition

Magnesium Links to Meniere’s Disease

Why Magnesium is important when you suffer with the symptoms of Meniere’s disease

Magnesium links to Meniere’s Disease whether it be deficiency or the benefits of supplementation are pretty well documented. It appears to be an important mineral for sufferers to consider

Magnesium links to Meniere's Disease - food sources of magnesium

Below we look at just how important magnesium is for cellular and internal balance and most importantly how important a factor it is for those suffering with Meniere’s.

In 2015 a paper titled ‘Optimal Management of Meniere’s Disease’ was published in PubMed by ‘Therapeutics and clinical risk management’ in Auckland NZ.

It was stated:

“At our institution, Ménière’s disease is treated as a cerebrovascular [meaning of or relating to the brain and its blood vessels] disorder. Migraine prophylactic medications, magnesium supplementation, sodium restriction, migraine trigger elimination, diuretics, anticoagulants, and antihypertensives are among the treatments used”

The ENT department University of Milan stated in a 2004 paper that they included sulfate magnesium i.v to treat vertigo and dizziness for people with Meniere’s Disease and PPV.

A 2009 article in ‘Integrative Medicine Journal’ reported on a trial in which:

“a series of intravenous magnesium sulfate infusions appeared to be beneficial in 14 of 18 patients with Ménière’s disease.”

Magnesium and Nystagmus

Nystagmus, the flickering of the eyes or eyesight is a common symptom of ‘late stage’ Meniere’s. There are several studies linking magnesium deficiency to this.

In a study in the Netherlands in 1993, nystagmus was linked to hypomagnesemia (a deficiency of magnesium in the blood). In a paper published in 1981, ‘The manifestations of magnesium deficiency’ nystagmus was quoted as one symptom. Researchers in Switzerland in a paper for the journal ‘Neurology’ concluded that the nystagmus in a patient “may have resulted from severe hypomagnesemia, possibly associated with thiamine deficiency.

Several other studies can be found on cited on NIH ( as can the above)  all suggesting the same thing.
Not everyone with Meniere’s suffers from Nystagmus and not everyone with Nystagmus suffers from Meniere’s disease. Given that one cause of magnesium deficiency is diuretics, especially the long term use of diuretics, it wouldn’t be unreasonable to hypothesize that Nystagmus, in at least some Meniere’s sufferers, is a direct result of magnesium depletion caused by the very medication used to combat Meniere’s symptoms.
Between January 2004 and October 2012, there was only one case reported to the FDA of diuretics directly causing nystagmus, out 3146 cases caused by other drugs.  So ‘officially’ this is an unlikely scenario. The focus on studies or papers discussing this subject is on ‘ototoxicity‘, meaning something toxic to the ear.
The dots are not being joined to the extent where magnesium depletion as a result of diuretic use is considered. I think that says it all when the medical community deals with Meniere’s. It seems the bigger picture is rarely taken into account.
If you are a long term Meniere’s sufferer, a long term user of diuretics and a sufferer of Nystagmus, some light bulbs must surely be flashing in your head with this information. Even more so if you have reduced or eliminated your symptoms through diet and supplementation.
Magnesium has been used for tinnitus treatment. In a 2011 study published in the International Tinnitus Journal, ‘Study examining magnesium-dependent tinnitus.’ It concluded that magnesium could lessen the severity of tinnitus. suggesting deficiency may be a contributing cause.
The many functions of magnesium include: important in neuromuscular contractions/relaxations, regulates acid/alkaline balance, helps regulate body temperature, activates enzymes needed for metabolism of carbohydrates and amino acids, needed for lipid and protein metabolism, cofactor for many enzymes in energy metabolism. ( Read Metabolism and Meniere’s Disease here and Gluten links to Meniere’s here.
Over 300 enzymatic reactions rely on magnesium to happen.

A study published in BMC Bioinformatics found that your body has 3,751 magnesium binding sites. This indicates that magnesium benefits are far greater than previously imagined. Because your body requires and uses magnesium for so many different functions, you can quickly become low in magnesium especially if you are not consuming enough high magnesium content foods.

Magnesium also plays a role in your body’s detoxification processes and therefore is important for helping to prevent damage from environmental chemicals, heavy metals and other toxins.

Given how common mercury from amalgam fillings is the probable root cause of Meniere’s, this makes magnesium even more valuable. One of the body’s most powerful antioxidants, glutathione, sometimes referred to as  “the master antioxidant,” needs magnesium for its synthesis.

Clearly Magnesium is not a mineral that should be ignored or taken too lightly. It is vitally important for human health.

Magnesium and Vestibular Migraine

Many, though not all Meniere’s patients suffer from migraine. There seems much grey area between Meniere’s and vestibular migraine as they may be variants of the same thing. Both involve vertigo and other shared symptoms. Clinically, it may be that VM is considered a central problem, while MD a peripheral problem yet it is accepted that there is at least an association between the two.

In migraines themselves, Magnesium supplementation has been found to help relieve symptoms.

The American Migraine Foundation suggest taking a 400–500 milligram (mg) supplement of magnesium oxide daily to prevent migraines.

An Adelaide university study states that. “Research on magnesium has found it to be a potentially well-tolerated, safe and inexpensive option for migraine prevention, while it may also be effective as an acute treatment option for headaches including migraines, tension- type headaches and cluster headaches, particularly in certain patient subsets. Magnesium may be used for the treatment of acute migraines”


Meniere’s Help readers experiences with magnesium and Meniere’s disease?

 What are our readers experiences with magnesium and Meniere’s?  Below are some extracts from Meniere’s sufferers’ emails to Meniere’s Help (used with permission ) :
“Dear Mike,
Thank you for your very informative book. I am a Meniere’s sufferer. My symptoms began in 2010.  A biochemist friend suggested I take a magnesium supplement and the attacks of vertigo stopped altogether for about a month.  But after a month, dizzy spells minus the vertigo started and continue.  Though disturbing,  these incidents are far less violent and are shorter in duration than before taking the magnesium.
After reading your book, I made an appointment to see a chiropractor in our area who specializes in chiropractic neurology because I know I have neck issues and perhaps spine issues (I broke my femur 4 months ago and a patched together with a rod, bolt and screw. The bone has healed.).
The chiropractor I will see is the President of the American Chiropractic Neurology Board. He and his team utilize chiropractic neurology, nutrition, Erchonia low level light laser therapy, and detoxification programs.  They are familiar with the supplements to help improve immune response.
Thank you for your encouraging book. Regards
“Hello Mike,
The Dr went over every page with her. She was so deficient in magnesium she should have had a heart attack. She was deficient in almost every vitamin and mineral, her mitochondria were very damaged and the life (energy) within them was fading. Her omega 3’s and 6’s were all messed up. Trans fats were extremely high and the toxins (mercury, arsenic, lead, cadmium, aluminum) were off the chart.
She told her to get off of ALL processed food and trans fats. After a week of the supplements all the symptoms disappeared. She did have one little issue when she took some antibiotics.[antibiotics deplete magnesium – see below]
She started having attacks every other day again. She threw away the antibiotics, the attacks stopped and the next day her ears were completely clear again. No ringing, fullness or anything.  Interesting!
So there it is,, we have our lives back. Thank you for contacting me (2014)

Update 2016:

Hello Mike,
Yes, Crystal is doing great. She hasn’t had an attack in about 1 1/2 years. Her progress was slow as far as the fullness and ringing goes but the attacks stopped completely in about 3 months. I think she had a total of 3 more attacks over a 3 month period after starting the supplements.
She also had chronic fatigue and didn’t even realize it since she was so sick with menieres.
She is still taking the supplements but is taking many of them every other day and still does fine. The only problem she seems to have is trouble absorbing magnesium. She can tell when her magnesium gets low because her hands start hurting and in a day or two her ears will start ringing and she will go mostly deaf for about a day. She is fine after that as long as she gets her magnesium up. We really don’t understand that part.
Another fun part of this is after a year she went back to the dr who had told her she would be disabled the rest of her life. Crystal walked in her office mostly well. The dr was so surprised she listened to Crystal’s story and couldn’t deny the results. She said she didn’t understand but that Crystal was obviously helped by the supplements.
Thank you for asking about her. I’m sure she would be very happy to share her story with others on your blog.
Thank you,
One of the most powerful components of the supplement regimen that has been so successful in keeping sufferers symptom free over the past 12 year is a grape seed extract with flavonoids, vitamin C, potassium, magnesium and zinc.

“Hi Mike,

Thanks for your email.  At the moment the symptoms have all but gone away (just a bit of ‘brain fog’ from time to time, no dizziness).

I have been taking a Ginkgo supplement twice daily, plus an array of vitamins and minerals, based on the hair analysis results and the recommendations from the lab.

I have also been to yoga once a week, and seeing an osteopath, as it was found I had a lot of tension, and not much mobility in the neck.

I have attached the hair analysis results, feel free to share this information with anyone who may be able to use it.    The lab recommended I take B6 , Chromium and Manganese, and zinc, iron,magnesium, Vit C, Vit E.

Hopefully the dizzies will stay away!

Be well,


Magnesium deficiency

Why would someone be deficient in Magnesium and what should you do and not do to make sure you are getting adequate amounts?

According to the WHO (World Health Organization) in 2009, an estimated 75% of Americans have daily magnesium intakes less than the RDA, with similar figures estimated for most industrialized nations. ( It is important to note that RDAs are a ‘MINIMUM’ recommendation)

You can raise your Magnesium levels by eating more magnesium rich foods ( see below ), using magnesium salt baths, magnesium oils and magnesium supplements.

The story doesn’t end there though. Understanding how magnesium is absorbed and excreted is important. Magnesium can be eliminated as waste through the gastrointestinal “GI” tract (the stomach, intestines and colon) and is excreted through the kidneys.

To maintain homeostasis (balance), several systems of the body work together like an internal thermostat. In healthy individuals, two kidneys filter all of the blood in the human body. All of the contents of the blood, including nutrients, ultimately pass through the kidneys’ filters and can be excreted out of the body at any time.

If we don’t take magnesium “in” we obviously can’t use it, but in a similar way, if we send it “out” after we take it in, we still can’t use it! Problems arise when not enough magnesium is absorbed by the GI Tract, or too much of a nutrient is filtered out of the blood.

Certain disorders and medications such as diuretics and antibiotics can disrupt the healthy functioning of the kidneys. Under such influences, a nutrient such as magnesium is excreted rather than reabsorbed.

Digestive factors unique to the individual can also influence the amount of magnesium absorbed in the GI tract. These include the ability to breakdown magnesium containing foods in the stomach, and the ability to absorb magnesium in the small intestine. Aging, disease, stress, and illness can also reduce magnesium absorption.

Some conditions known to impact magnesium availability include:

  • Individual variations in amount of stomach acid, commonly reduced in older adults
  • Excessive use of alcohol
  • Crohn’s disease, celiac sprue, and any disorder of the digestive or intestinal function
  • Kidney disorders
  • Genetic magnesium absorption disorders
  • Stress, surgery, and chronic disorders such as diabetes
  • Diarrhea and vomiting

Vomiting with constant vertigo is a regular fact of life with the worst symptoms of Meniere’s. Stress and alcohol are known Meniere’s triggers. Food allergies and in particular gluten intolerance affect the digestive and intestinal functions and are linked to Meniere’s Disease in some people.

*Medications that deplete magnesium:

  1. Antacids
  2. Anti-inflammatories (including Prednisone, commonly used for Meniere’s)
  3. Antibiotics (including gentamicin, commonly used for Meniere’s)
  4. Birth control medications ( see endocrine disorders and Meniere’s)
  5. Cardiovascular medications
  6. Diuretics (including Hydrochlorothiazide, commonly used for Meniere’s)

*Source: University of Maryland Medical Center

One of the biggest culprits in the depletion of magnesium is phosphates found in sodas. Researchers in the The Journal of Nutrition have noted that high intake of sodas have placed many members of the population at risk for magnesium deficiencies. Consuming these beverages with food, as well as common drinks such as coffee and tea, ultimately reduces the amount of magnesium available to the body.

Add the sugars or worse, the toxic artificial sugars in diet sodas to the above information, consider the amount of sodas consumed all over the world and you get a good example of the bigger picture of what the modern diet is doing to human health.

As seen above magnesium plays a vitally important role in so many of the body’s processes, it is important that you know where you stand when it comes to getting enough of this mineral on a daily basis.

If you are not getting enough, finding a high-quality supplement, particularly one that is combined with calcium may be a wise move. These two nutrients work together synergistically to benefit the entire body. It has to be the correct type of calcium and the balance needs to be correct as calcium can also compete with magnesium.

If you suspect you are low in magnesium one of the best ways to consume this mineral is through organically bound magnesium, found in whole foods.  Green leafy vegetables and especially chlorella are rich in chlorophyll.

Chlorophyll, which enables plants to capture solar energy and convert it into metabolic energy, has a magnesium atom at its center. Without magnesium, in fact, plants could not utilize the sun’s light energy.

Chlorophyll is like a plant’s version of human hemoglobin as it shares a similar structure but has magnesium plugged in the middle rather than iron ( as in hemoglobin ).

Green leafy vegetables like spinach and Swiss chard are excellent sources of magnesium, as are some beans, nuts and seeds, like almonds, pumpkin seeds, sunflower seeds and sesame seeds.

Avocados are also a good source. Juicing your vegetables is an excellent option to ensure you’re getting enough in your diet. (see superfoods for more on chlorophyll, chlorella benefits for Meniere’s and green juicing)

Other foods that are also high in magnesium include: salmon, coriander, cashews, goat cheese and artichokes.

Drinking water can be an important source of magnesium, especially ‘hard water’.

The ‘superfood’ Moringa is packed with Magnesium. According to Dr Oz, adding 3 tablespoons of Moringa Powder to your daily diet will provide 37% of your daily Magnesium needs. Moringa is also rich in B vitamins that help magnesium absorption.

We constantly state throughout the Meniere’s Help website that avoiding heavily refined, processed foods and junk foods is essential. This is confirmed in terms of magnesium deficiency in the 2003 Clinical Biochemist Review article ‘Magnesium Metabolism and its Disorders’ that states:

Refining or processing of food may deplete magnesium content by nearly 85%“. Importantly, it goes on to state thatcooking, especially boiling of magnesium-rich foods, will result in significant loss of magnesium.

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Related articles:

By Mike Spencer
Founder of Menieres-Help.Com – Supporting sufferers since 2004
Researcher & Author of Managing Meniere’s Disease and The Need for Balance – Dealing with the Causes of Meniere’s

Help other Meniere’s sufferers. What are your experiences with Meniere’s and magnesium? Tell us all about it in the comments box below or email Mike at

References/Further reading:

Meniere's Disease Triggers & Causes Meniere's Disease and Nutrition

Food Allergies and Meniere’s Disease

How food allergies and intolerances may affect the symptoms of Meniere’s Disease

Do a simple search for studies on food allergies & intolerances related to Meniere’s Disease and a relatively long list will be pulled up.

One important thing to note perhaps is that most reference studies from the same source: American Academy of Otolaryngology-Head and Neck Surgery – (Derebury), in which it is suggested that as many as 30% of Meniere’s sufferers may have food allergies that at least contribute to their condition.

It is hypothesized that allergies may contribute in 3 possible ways:

  1. The endolymphatic sac may be the “target organ” of mediator released from systemic inhalant or food reactions.
  2. Deposition of circulating immune complex may produce inflammation and interfere with the sac’s filtering capability.
  3. A predisposing viral infection may interact with allergies in adulthood and cause the endolymphatic sac to decompensate, resulting in endolymphatic hydrops (Derebery, 1996).

Dr Timothy Haines, a long time writer on Meniere’s doesn’t have much confidence in these theories, stating that a. Hydrops may not necessarily be the key factor in the condition’s pathology and b. In his experience immunotherapy for allergy, is almost never a curative treatment for Meniere’s disease.

So lets look at some facts and experiences of sufferers who have contacted us over the years.

In 2000 the study “Allergic management of Meniere’s disease: an outcome study”, published in the official journal of the American Academy of Otolaryngology-Head and Neck Surgery, stated the following (excerpt summary):

“The effect of allergy immunotherapy and elimination of suspected food allergens was evaluated in patients with Meniere’s disease.  113 patients treated with desensitization and diet showed a significant improvement from pretreatment to posttreatment in both allergy and Meniere’s symptoms.  Hearing was stable or improved in 61.4%. Patients with Meniere’s disease can show improvement in their symptoms of tinnitus and vertigo when receiving specific allergy therapy. The inner ear may be the target, directly or indirectly, of an allergic reaction.”

In the 1996 Derebery paper in the same journal, it states interestingly that:

” Meniere’s disease, although idiopathic by definition, has been ascribed to a variety of causes, which more recently include autoimmune factors. Interest in the role of allergy in Meniere’s disease has also increased. Studies from this institution and elsewhere provide evidence that allergy and immunologic factors play a role in Meniere’s disease in at least some patients

The aim of Meniere’s Help has always been two fold. Firstly, giving you the information you need to take appropriate action therefore enabling your immune system to deal with the inflammation, balance your various body systems and allow you to live symptom free, regardless of your root cause. And secondly identifying your particular root cause or causes and eliminating them from your life, and therefore free yourself from Meniere’s completely.

In our formative years we had multiple thousands contact us who were ultimately able to live symptom free. In latter years with our focus very much on root causes and contributing triggers we have had many more who were able to rid themselves of Meniere’s completely. It all comes down to knowledge and using that knowledge for your particular case.

It has to be said that it seems at first glance that food allergies and intolerances have not been the most common cause with the many people who contact us, but there have been plenty of notable exceptions. I would say it is something very worthwhile getting checked for and crossing off your list of possibilities and perhaps is an often ignored aspect.

Sizable enough numbers of people who have Meniere’s have found they have allergies to wheat, gluten, soy and/or some dairy foods.

Gluten intolerance 

The “increased interest” in allergies and Menieres Derebery speaks of may coincide with the huge increase in gluten intolerance, allergies or celiac disease in recent years. The extent of the relevance of that is debatable but the facts can not be ignored.

Interesting‘ because gluten intolerance is not a true allergy but rather a problem with gut flora.  With diagnosis not easy and often expensive, many people may never be diagnosed. Data varies, but just taking one quoted statistic that a decade ago, gluten-intolerance levels were at 1 in 2500 worldwide and today, it’s at 1 in 133 shows a shocking increase.

Why would such a huge number of the population suddenly start developing an intolerance to what has been part of the staple diet of a sizable portion of the world for generations?

Answers will vary depending on who you ask but I think it is obvious that forced food practices, food preparation, the introduction of GMO and the proliferation of pesticides, herbicides, fungicides, chemical fertilizers, additives and other environmental pollutants is killing or at least affecting adversely the the tiny organisms that we need inside our gut.

The bacteria contains billions of neurons which is why the gut is often called the second brain and it is vital to the immune system, so we can easily join the dots and equate the explosion in degenerative diseases in the past half century at the very least with the modern culture of eating highly processed foods rather than fresh organic foods.

Is it any wonder that the supplement industry and in particular the drug industry is so huge these days, as is perversely, the agricultural chemical industry. When you take into account that organic farming (which should simply be termed “farming” as apposed to the ‘chemical farming’ that produces most of our food) is not much more than a cottage industry, there is definitely something wrong.

Modern “food convenience” it could be argued is resulting in mass poor health where the only winners are the CEO’s and share holders of huge multi national drug and chemical corporations. But at what cost to their own families and the general population?

Gluten in the form we know today is a neurotoxin and of course the central nervous system has been linked to Meniere’s. Over the past 50 years, hybridization wheat grains has taken place to supposedly increase crop yield ( the results of that are highly debatable)  and lengthen ‘shelf life’. A protein called gliadin was added to grain. It is thought that higher concentrations of this protein has made wheat less digestible, which causes an allergy or reaction. Increased antibodies to gliadin, may have a negative impact on the neural system.

Gluten intolerance is much more prevalent in the USA than Europe. Gluten intolerant Americans who have eaten wheat in Europe have asked the reason why they don’t have any problems there but do at home. There are two very relevant yet contentious answers to that. Europe does not as a rule allow GMO crops therefore there is less gliadin and it also does not allow (as of the time of writing) the use of glyphosate herbicide.

A study published in the journal, Laryngoscope stated the following:
Wheat is one of the most common food allergens found in patients with Meniere’s disease (MD). Gluten from wheat has been identified to have a etiopathogenetic role in celiac disease, IgE hypersensitivity to wheat disease, and recently to gluten sensitivity. The aim of this study was to verify the incidence of gliadin prick test response in patients affected by MD.

Meniere’s Help reader’s experiences with food intolerances and the symptoms of Meniere’s

There were 58 adult patients with definite MD, 25 healthy volunteers, and 25 patients with grass pollen rhinoconjunctivitis tested with skin prick test to gliadin.

A total of 33 MD patients (56.9%) proved to be sensitive to gliadin, eight of whom were positive to prick test after 20 minutes, 13 after 6 hours, 11 after 12 hours, and one after 24 hours.”

We have long preached at Meniere’s Help the importance of what you eat and do not eat often being vital to help reduce or stop your symptoms (and often in the early days to the derision and skepticism of some in online forums, some doctors and some of our early readers – those people are very few and far between these days).

What do our readers have to say on the subject? Below are some extracts from mails to Meniere’s Help from sufferers,  that paint an interesting picture regarding what we eat, food and in particular gluten allergies and intolerances (used with permission):

I have been suffering with Meniere’s for over 12 years. I’m otherwise very healthy. I have given up gluten, lactose, caffeine and cut way back on refined sugar. But these 6 weeks were tough. I was so exhausted I could barely get out of bed. I found your site about 2 weeks ago and read about the supplements. I ordered all of the maximum recommendation.

I started taking them a week ago and have been dizzy free for 4 days. My head is clear, I have energy, and my vision has returned to normal. I got up on Saturday and walked over to the window. I was in awe that there was so much color outside. It was like I was seeing beautiful color for the first time. And the brain fog had lifted. I still have the tinnitus and if I move my head too suddenly I can feel the dizziness during my movement so I know it’s still there. But this is honestly better than I imagined I would feel so soon after starting.

I don’t know if it’s the supplements or the recent episode (which I suspect was brought on by allergies) had run its course but I feel fantastic. I have boundless energy and found myself actually laughing and feeling playful like my old self. If progress continues I plan to do the full vitamin routine for 90 days and then transition to a maintenance program of the 4 supplements that the vast majority take to live symptom free.

It’s been a long, rough road but I am truly hopeful of living with fewer and/or less intense episodes for the first time since my initial diagnosis.

I’ll let you know if the progress continues.
Thanks for giving me hope

Thanks for such an informative website.  I have, for a few months now, been reading through all the information on the site.  Your approach and philosophy to meniere’s really strikes a chord with me.I currently follow a strict low sodium diet, have recently given up both caffeine and alcohol (well, I have a decaf coffee once a day – not chemically decaffeinated) and have reduced my wheat/gluten intake severely…..(recent poor health has prompted me to become very interested in cellular nutrition!). 

I suffer what could be Meniere’s disease, however I don’t yet experience vertigo. I have a roaring hissing tinnitus in my left ear and facial pain on left side and fullness in my ear.

Another point is I have suffered from food allergies such as gluten, sugar, and processed foods as they have created a numbing sensation for years prior to my condition now.

Hey Mike,

Thank you for following up, again…  I do appreciate it. After reading your book I have taken the following action for myself.

    1. I’ve stopped all Dr. Meds with the exception of a diuretic.  (I had stopped but felt that my hearing worsened a little so I went back on it and it has seemed to help)
    2. I have great pharmaceutical grade supplements.
    3. I have dramatically altered my diet, cut my sodium way back to no more than 1500 MG on a typical day.
    4. I have met with Dr Derebery of the House Ear Institute in LA and have gone through extensive allergy testing.

I have discovered that drinking alcohol and beer have a definite negative effect on my hearing so I’ve cut them out as well, (for the most part).  I’ve also mostly cut out all processed wheat, am attempting to cut out gluten, and have gone to a mainly whole foods diet which included plenty of organic fruits, veggies, and non GMO meats, ( among other foods as well).

So far I have seen improvement.  My hearing has cleared up some in both ears.  The “fog” I was living with has subsided and my tinnitus has decreased as well.  Earlier this year my hearing was so bad that I was unable to hear the fan that is placed right next to my head at night.  For years I have not been able to speak on the phone with my right ear and now I am able to.

Finally, THANK YOU, THANK YOU, THANK YOU, for having and maintaining your web site and your book.  I have already referred it to a couple of people who I have met that are going through the same problems.  You definitely opened my eyes to alternative options for dealing with these issues, other than the Dr’s telling me to “learn to live with it”, or having to take the potentially toxic medications they were prescribing me.

Thanks again for your help.  I can’t express my appreciation enough!


Hello Mike,
Thank you so much for writing back and yes you are right. I was actually on TCM for 3 months and I thought I had my condition under control.  But soon I noticed that every month the week after my menses, my ear pressure will act up and my left neck will feel so sore and tensed.  I tried watching my diet ala keeping it low salt but soon got complacent.  I am really not very good at dietary control and I really needed to get my hands on your book to be disciplined about it.

I have started to do my regular brisk walking again, seen a chiropractor for some spinal adjustment.. Also plan to see a dentist to enquire about my alignment or even do a prick allergy test because my chiro told me I am allergic to gluten.”

“Hello Mike!

 I just wanted to congratulate you on the completion of your book.  As a fellow Meniere’s sufferer, I sincerely appreciate people like you doing extensive research and publishing what works and what doesn’t work.  More of us need to be solution minded, instead of having a victim mentality. Two years ago, I was literally a mess.  I thought my career was over, I thought my life was over.
    At this time, I have the (vertigo and brain fog) symptoms about 98% under control.  Diet– limited (but not super low) sodium and generally gluten-free.  No diet sugars, no MSG, no caffeine.  I do allow myself some alcohol, but in limited quantities. The supplements.

In any case, just wanted to say kudos for sharing your information.  I watched some of your videos earlier in my struggles, when things were bleak; it’s great for an MM sufferer to have hope that they can conquer this awful disease.

Best regards,

Thanks for all the info, Mike. I would say that a lot of the triggers do apply to Harry, significant factor  is low adrenal function, often referred to as adrenal fatigue ( see endocrine disorder connections to Meniere’s and metabolism and Meniere’s)  it’s a real vicious circle, with stress being the biggest trigger.

He also has atrophic gastritis (caused by an h.pylori infection) and was 65 (he’s now 71) before we realised he was gluten sensitive.

yes we e-mailed u back already.
symptom free for 2 yrs. doing a completely paleo diet.
low carb/ no flour/no gluten/ no sugar or any processed foods.
change was immediate within a few days

I’m blessed by having tons more good days than bad. My diet is gluten-free, and pretty much salt and sugar-free.”

Hi Mike, I just thought that I’d get back to you. Last week my Dr did a Blood test for Celiac Disease. It came out abnormal which means that I might have Celiac. For now it shows that I can’t do Gluten, Wheat, Barley, Rye and in some cases Oats. People with Celiac can’t absorb their Minerals correctly. So it would make sense that the supplements would help.

Hi Mike

Thanks for getting back to me.

I’ve had food intolerance tests, I’ve even had my amalgam fillings removed in a bid to feel better.  The food intolerance tests have made a big difference in that I have given up gluten and dairy and this has helped with my energy levels enormously although it took a while.
Thanks again, I do appreciate it.

Of course not everyone with Meniere’s Disease has food allergies or intolerances, but I hope I have demonstrated the possibility and getting at least tested is a must for you to either cross it off your list of possible causes/triggers or if needed to take appropriate action.

In other articles on the blog I have demonstrated the domino effect where seemingly unrelated issues can be vitally important to getting to the root cause of your Meniere’s for example: endocrine – thyroid- metabolism-T cells – Meniere’s.
If your gut is not healthy this can lead to many serious conditions, including the symptoms of Meniere’s. Research shows that gut flora supports your immune system, and protects your liver.
Ruling out vitamin and mineral deficiencies is something also to consider.  Often times, nutritional deficits can lead to nerve damage.  Most prominent is the loss of myelin (the insulation surrounding the nerves).

Vitamin B-12 deficiency is a common cause of myelin loss, as are copper and vitamin C deficiency.

Often times the deficiencies are caused by gluten induced gastrointestinal damage. B12 has a key role in the normal functioning of the brain and nervous system, the formation of red blood cells, helps in the production of DNA and RNA, is important for metabolism and helps your body produce energy.

No plant or animal can actually make vitamin B12 (only microorganisms as in good gut bacteria can do that), it is typically only animal foods (B12 is stored in the liver) that contain B12 since plants cannot make or store this vitamin. This makes deficiency in vegetarians and vegans who do not compensate a possibility.

Bottom line on Vitamin B12 is that if through gluten or other food allergies and intolerances or toxins the gut flora is depleted then this vital nutrient may be deficient and we can talk about the domino effects and poor health from that forever.

Keeping your gut flora healthy is again about what you eat and do not eat.

Antibiotics also seriously affect intestinal flora and it is advised these days that after a course it should always be followed by a good probiotic. Sugar and artificial sweeteners, alcohol, sometimes coffee, pesticides, emulsifiers in processed and fast foods can all have adverse effects on your gut flora destroying the balance of the approximate one trillion bacteria there.

If the balance in your gut is out the knock effect throughout your body may ultimately throw your inner ear function into dysfunction and contribute to you to suffering with Meniere’s symptoms.

If you are a meat eater you may believe you are getting adequate levels of B12. However, the amount of antibiotics pumped unnecessarily into animals in forced farming may be affecting your gut flora and therefore depleting your supply of B12.
If you think this a not a problem then consider that just this week (April 2016) powerful financial investors from the city of London warned high street food chains about the serious health risks of using meat and poultry from factory farms. Their concern was that consumer awareness may lead to loss in profits.

The financiers, including Aviva Investors, Strathclyde Pension Fund and Coller Capital, are particularly concerned about the use of antibiotics classified as “critically important” to human health and the “routine, preventative” use of drugs on factory farms.

This surprising and unprecedented move follows warnings from the World Health Organization (WHO) that antibiotic use in livestock production is contributing to the global threat of a “post-antibiotic era”.
Checking and dealing with it is one thing, avoiding it is another. Using a quality probiotic would seem wise and supplementing with Vitamin B 12 equally as wise given what we now know.
Fermented foods that have probiotic value are good for your gut flora health such as: natural probiotic yogurt, natto, kefir, sauerkraut, kimchi, tempeh, pickles and lassi.
Dr Laurant Bannock DrHS MS LN is a world renowned Nutritionist. In his acclaimed book ‘The Clinical Nutrition Desk Reference’ he recommends using Thymus extract as part of a regimen for Meniere’s.
Thymus extract supports the immune system and helps decrease foods allergies.
You can see doctor Bannock’s recommendations here: Treatments for Meniere’s disease.
To re-emphasize how what you eat can make such a difference, one final email sent to Meniere’s Help:

Thanks for the email, Mike.   My husband Eric is still living symptom free…as long as we are eating whole, unprocessed foods and staying healthy by exercising.  As soon as we fall off the healthy food wagon, he begins to feel dizzy again.  Soooo, as long as we’re not slacking off, he does well.

I appreciate the personal touch on your email.  You’re a great guy to help so many people.

Have a great day!


Amy’s message that a change of diet can make a big difference is not untypical.

Are Food allergies and relevant in Meniere’s disease?

The hypothesis of Derebury as to how allergies might contribute to Meniere’s may or may not be correct but whether right or not it seems clear that allergies, intolerances, gut flora and metabolism are important issues to consider for people who have Meniere’s and what you eat makes a significant difference.


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Related articles:

Written by Mike Spencer

Founder of Menieres-Help.Com – Supporting sufferers since 2004

Researcher and Author of Managing Meniere’s Disease and The Need for Balance – Dealing with the Causes of Meniere’s

Help other Meniere’s sufferers. What are your experiences with Meniere’s and food allergies or intolerances? Tell us all about them in the comment box below or email Mike at:

References/Further reading:

Meniere's Disease and Nutrition General Information on Meniere's Disease / Syndrome Meniere's Disease Triggers & Causes

Vitamin C and Meniere’s Disease

Why Vitamin C is so important when managing Meniere’s disease

Vitamin C is a vital nutrient that is not stored in your body and therefore needs to be consumed regularly.

Vitamin C  is an integral element not only in the regimen discussed on Meniere’ Help but in other recommendations for Meniere’s from different doctors and nutritionists. It  is a potent antioxidant that fights inflammation.

Inflammation is an important aspect involved in causing the symptoms of Meniere’s disease. A closer look at its significance to overall health reveals its value is even greater than initially thought for Meniere’s, especially given what we know about the links of the thyroid to Meniere’s in at least one third of sufferers.

Vitamin C is a water-soluble vitamin, meaning that your body doesn’t store it. You have to get what you need from food, such as citrus fruits, broccoli, berries and tomatoes. You need vitamin C for the growth and repair of tissues in all parts of your body.

Leftover amounts of the vitamin leave the body through urine. That means you need an ongoing supply of this nutrient in your diet. It also means it makes it very unlikely you can get too much. The body uses what it needs then secretes the rest. When there is inflammation or a cold virus present for example it may use every amount consumed while when your body is otherwise healthy it will use less and expel the rest.

With the constant inflammation related to Meniere’s and the fact it helps the immune system deal with that suggests more is needed and used than in a normal healthy body.

Once Vitamin C is consumed it is dispersed throughout the body. Among the highest levels of vitamin C accumulation are in the adrenal gland and pituitary gland in the endocrine system and therefore related to thyroid function.  Both the endocrine system and as stated above the thyroid are connected to Meniere’s in a sizable amount of sufferers. You can read about the connection of endocrine disorders and Meniere’s here.

It is such a powerful nutrient that a recent study presented at the American Physiological Society Conference suggested that vitamin C could promote similar positive effects on the heart to exercise.

Vitamin C is also a cofactor in at least eight enzymatic reactions, including several collagen synthesis reactions that, when dysfunctional, cause the most severe symptoms of scurvy.

The old American nickname of “Limey” for British people comes from the days when sailors sailed across the Atlantic or on other long voyages many would die from lack of nutrition and in particular scurvy.

Ships were eventually loaded with limes (high in vitamin C) to keep the sailors alive. Hence the nickname.

If you think scurvy is only a thing of the past, an 18th century sailor’s disease or something from the history books about Victorian England, you would be wrong.

A multitude of reports over the past few years have revealed the return of this most avoidable condition. 2009 Daily Mail: Scurvy is making a comeback among England’s children2013 The Telegraph: Cases of scurvy and rickets have been on the rise in parts of the UK“, 2015 CNN: “Scurvy. TB. Scarlet fever: They’re all back”, 2015 The Express: “Gout, scurvy, rickets and more: Victorian diseases are coming back”, 2015 The Independent:Cases of diseases rife in the Victorian era including scurvy, scarlet fever, cholera and whooping cough have also increased since 2010″, 2016 BBC: “scurvy is on the rise in England”.

The return of such easily avoidable diseases almost forgotten in the western world in our generation can be put down to many things such as increased poverty through overly harsh austerity measures from governments, malnutrition as a result of modern eating habits, the saturation of junk foods devoid of substantial nutrition and what I would call the criminal demonizing of Vitamin C (and other important nutrients) in certain elements of the media. Media that are funded through constant advertising of drugs.

The result being,  as with other vital nutrients RDA’s are lowered, supplementation is scoffed at and the unsuspecting public is horribly deceived and often it would seem undernourished as a result.

Evident from the studies cited below, many people are not getting enough Vitamin C.

A 2004 government study published in the American Journal of Public Health reported that “vitamin C deficiency and depletion were common” and concluded  that, “Health professionals should recommend consumption of vegetables and fruits rich in vitamin C and should recommend supplementation for individuals at risk of vitamin C deficiency”.

The Journal of General Internal Medicine published a 2008 study titled ‘Scurvy Is Still Present in Developed Countries’ and pointed out that both Vitamin C and Zinc deficiency are a problem.

Both nutrients are very relevant to Meniere’s Disease, especially when related to thyroid dysfunction.

The point of this article is not so much to point out deficiencies as to bring attention to the importance of Vitamin C to Meniere’s sufferers on several different levels.

One of the most famous proponents of high dose vitamin C treatment for colds and other disease was Linus Pauling, a physical chemist and peace activist who won two Nobel Prizes, one for chemistry in 1954.

The New Scientist magazine ranked him as one of the 20 greatest scientists to ever live.

While the recommended daily allowance (RDA) for vitamin C had been established at 40 to 60 mg per day — an amount more than sufficient to prevent scurvy — Pauling advocated amounts of 1,000 mg or even higher. Much of the scientific literature published on vitamin C in the two decades since Pauling’s death has supported his claims.

One point to remember is that RDAs are MINIMUM recommendations, NOT MAXIMUM LIMITS. This is an important misperception.

Dr. Frei, a researcher at Harvard University’s Department of Nutrition said in an interview with Dr Mercola (one doctor who specializes in nutritional health) that interest in vitamin C was renewed when it became known that many degenerative diseases involve oxidation, “and it is clear that vitamin C can very effectively prevent many of these oxidation processes, because it is a very strong antioxidant,” he said.

Preventing oxidation and inflammation is what is believed to be the key element in the concept of how nutrition keeps sufferers symptom free using the supplement regimen discussed on Meniere’s Help.

A large, decade-long research study led by Dr. James Engstrom at the UCLA also found that men who took 800 mg of vitamin C per day — which is more than 10 times the RDA — had less heart disease and lived up to six years longer than those following the conventional guideline of 60 mg/day.

Another study published in Life Extension Magazine in 1996, found that seniors who took high-potency vitamin C and E had an overall reduced mortality rate of 42 percent.

Low potency “one-a-day” multiple vitamins had no beneficial effect on mortality.  40 studies have also shown that people who eat vitamin C-rich diets have a lower incidence of cancer.

We can establish its importance as an antioxidant and its power to help reduce inflammation therefore helping keep Meniere’s sufferers symptom free simply from the results sufferers have reported to Meniere’s Help over the past 12 years. But is it even more vital than originally thought given its importance to thyroid function and the endocrine system and their connections to both overall immune health and Meniere’s Disease?

There is a relation between oxidation and thyroid dysfunction. Numerous studies have confirmed the presence of excess oxidative stress and a deteriorated antioxidant defense system in thyroid conditions. In fact, a large experimental study published in the BMC Endocrine Disorders journal reported that all subjects with benign or malignant thyroid disease had low levels of antioxidants, particularly with selenium, zinc, and vitamin C.

While low levels of selenium and zinc were not found in all subjects, low levels of vitamin C were.

This confirms an association with vitamin C deficiency and thyroid function. One reason why vitamin C may be deficient in all people with thyroid conditions could be a result of adrenal fatigue. This brings us to yet another link to Meniere’s Disease, stress.

As mentioned above, the adrenal gland contains the highest concentration of vitamin C in the body. In fact, the vitamin plays a crucial role in both the adrenal cortex and adrenal medulla which are responsible for responding to stress.

According to the American Journal of Clinical Nutrition, vitamin C secretion is part of the body’s stress response. Excessive stress, along with insufficient intake of vitamin C, can create a deficiency that leads to adrenal stress.

Countless studies show chronic adrenal stress disrupts the hypothalamic-pituitary-adrenal (HPA) axis. Because thyroid hormone is directed by the hypothalamus and the pituitary glands, anything that disrupts the HPA axis will affect thyroid function.

Are you starting to see the cycle of possibilities here? Stress (known trigger or cause), adrenal-pituitary-endocrine-thyroid (all linked to Meniere’s in some people), oxidation and inflammation (linked to degenerative diseases including Meniere’s), Vitamin C (the common nutrient that makes the difference either way.)

If you do not see it yet then read the links between thyroid and Meniere’s  plus endocrine system and Meniere’s linked at the bottom of the page.

Continuing along this theme, in addition to the above, Vitamin C actually helps thyroid medication.

For those who opt for thyroid medication rather than nutrition many still experience symptoms which indicate medication may not fully work towards thyroid homeostasis (balance).

The Journal of Clinical Endocrinology & Metabolism studied the effects of vitamin C on the absorption of a synthetic T4 hormone with 31 patients who either had autoimmune thyroiditis or idiopathic hypothyroidism. Prior to the study, all patients were not in good control when taking the synthetic T4. Serum concentrations of T3, T4, and TSH were measured at particular intervals after vitamin C therapy.

All three concentrations were improved while taking vitamin C. TSH decreased in all patients and normalized in nearly 55 percent of them. T4 was higher with 30 of the 31 patients, and T3 was increased with all patients tested. These findings are very significant regarding the role of vitamin C and thyroid function.

Vitamin C has been shown to help thyroid function. One of the leading experts on treating thyroid disease, the late Dr. John C. Lowe, recommended the highest doses of vitamin C to bowel tolerance for four weeks as therapy.

We already know through the experience of multiple thousands over 12 years that using the supplement regimen can lead to a life with little to no symptoms. We have long known that the grapeseed extract, a vitamin C /flavonoid combination is one of the most important elements and can make all the difference.

Given the right nutrients in the right amounts the body has amazing self healing powers. This is the natural role of the immune system.

In the book Managing Meniere’s DiseaseI focus very much on triggers and getting to the root cause of your Meniere’s symptoms then eliminating it.

Supplements are also discussed however. Supplements used are not seen as a treatment nor a cure. The concept is that by feeding your body the correct nutrients in sufficient amount to keep your immune system strong and healthy it will deal with the inflammation causing your symptoms naturally.

It has proven very successful.

Looking at the role of Vitamin C and other nutrients in a healthy thyroid gland and endocrine system, it may be that in some cases nutrition could indeed be classed as a cure.

There are reasons why even eating what you may think is a healthy diet might not be enough but below are some of the best foods naturally rich in vitamin C.

Good sources of Vitamin C:

Mulberries, Strawberries, Acerola cherries, Citrus Fruits (oranges, grapefruits, lemon and limes), Papayas, Black currants, Kiwis, Bell peppers, Guava, Brussels sprouts, Melons, Dark leafy greens, Amalaki Fruit, Broccoli, Cauliflower, Tomatoes, Some herbs ( cilantro, chives, thyme, basil and parsley)

Important factors that affect absorption of Vitamin C


As Vitamin C is water soluble anything that has diuretic effects can possibly cause depletion. Caffeine is also a stimulant and can too much can quickly increase Meniere’s symptoms such as tinnitus and pressure in the ear.


Studies show that people who smoke 20 cigarettes a day have 40% less Vitamin C in their blood than non-smokers. At the same time your body needs even more Vitamin C to counteract the damage that smoking causes to your cells.


Prolonged stress also depletes Vitamin C and this is why you should take extra Vitamin C during periods of stress. A study at the University of Trier in Germany, showed that the stress indicators (both physical and mental) as well as the recovery from stress, were consistently lower in people with high levels of Vitamin C.


Drugs including aspirin, birth control medications, anti-inflammatory drugs such as PREDNISONE and DIURETICS (source: university of Maryland-Medical Center)

Thiazide Diuretics are one of the most commonly prescribed medicines for Meniere’s treatment. When prescribing diuretics the treating doctor will often advise you to eat plenty of potassium rich foods or even prescribe potassium supplements to offset the side effect of depletion. However what is rarely if ever discussed or considered is that these diuretics also deplete several other minerals AND ascorbic acid  –  VITAMIN C.

So above we see two known triggers, caffeine and stress and two commonly prescribed types of drugs for Meniere’s, Thiazides and prednisone possibly depleting Vitamin C.

Bottom line: Vitamin C is important for everyone, not least for Meniere’s sufferers and the information above should make it obvious that eating foods rich in vitamin C and/or supplementing is essential to help reduce, eliminate or avoid increases in Meniere’s symptoms.

High Dose Vitamin C for Disease States: Video

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Related articles:

By Mike Spencer
Founder of Menieres-Help.Com – Supporting sufferers since 2004
Researcher & Author of Managing Meniere’s Disease and The Need for Balance – Dealing with the Causes of Meniere’s

Help Other Meniere’s Sufferers. What are your experiences with or thoughts on what you have read here? Tell us all about it in the comments box below or email Mike at

References/Further reading:

Meniere's Disease Triggers & Causes Meniere's Disease and Nutrition

Metabolism and Meniere’s Disease

This is the third article in a series related to the endocrine system and Meniere’s Disease.

The hormones responsible for regulating metabolism are mainly produced by the pancreas and thyroid gland. These glands are part of the endocrine system.

Both thyroid dysfunction and endocrine disorders have been linked to Meniere’s disease, so too has metabolic disorder. Metabolic disorders can stem from the endocrine system and the thyroid being out of sync.

Metabolism is the process your body uses to get or make energy from the food you eat. Food is made up of proteins, carbohydrates, and fats. Natural chemicals in your digestive system break the food down into sugars and acids, your body’s fuel. Your body either uses this fuel straight away, or it stores the energy in your body tissues, such as your liver, muscles, and body fat.

A metabolic disorder occurs when abnormal chemical reactions in your body disrupt this process. When this happens, you might have too much of some substances or too little of others that you need to stay healthy. This can happen when the thyroid, adrenal glands or other organs and glands in the endocrine system are out of sync and sending out the wrong hormonal signals. Estrogen mimickers that make their way into our bodies mainly through toxins in foods and water are prime examples of endocrine disruptors  that create abnormal chemical reactions.

There are numerous studies and medical papers suggesting that metabolic abnormalities may be a contributing causative factor in Meniere’s.

Metabolism and Meniere’s: Studies

In a study of Meniere’s patients at the Department of Otolaryngology and Communicative Disorders of the Cleveland Clinic Foundation in 1976,

it was found that there were Carbohydrate abnormalities in some and a significant number of patients were found to have lipid abnormalities. It was suggested that dietary management in these cases was believed to be helpful in the medical management of the patients .

Cambridge University Press published a paper in ‘The Journal of Laryngology & Otology’ in 1979 titled ‘Metabolic Investigations in Meniere’s Disease’.

It stated that both hyper and hypoglycaemia have been said to result in inner ear dysfunction. It was pointed out that diabetes can result in both progressive sensorineural  hearing loss and Meniere’s Syndrome.

The authors referenced studies that found 42% of a series of 19 Meniere’s patients were suffering with reactive hypoglycaemia when tested. In this particular test it was suggested that insulin sensitivity, possibly a result of adrenal insufficiency could account for the hypoglycaemia.

It stated that hearing loss can be related to hypothyroidism, Finally it was noted that hearing loss and vertigo may be among the first signs of myxoedema (typical of patients with under active thyroid glands) and are “reversible with treatment.”

Tell that to the doctor ‘treating’ your Meniere’s, the next time you are told there is nothing more to be done and learn to live with it. Although we do not see dietary changes and supplementation as either a treatment nor a cure, the testimonials of multiple thousands who have greatly reduced or eliminated their symptoms this way suggests the body can balance itself out when given the correct fuel.

It is all about bringing balance to your body systems from micro DNA level to macro muscular skeletal level, through cellular nutrition to cervical spine realignments for example. When everything is in sync, disease states are starved and the immune system is functioning enough to deal with any inflammation, preventing dysfunctions, disorders and disease. Some might call this ‘preventative medicine’, I call it good old fashioned common sense.

A study presentation at a Symposium at the 75th Annual Meeting of the American Laryngological, Rhlnological and Otological Society in 1972 stated the following:

Metabolic dysfunction is one of many factors mentioned as a primary or contributing cause of Ménière’s disease.

The symptoms of Ménière’s disease often become manifest during periods of stress. The adrenal pituitary axis plays a vital role in man’s reaction to stress. For this reason, hypoadrenal function was suggested as an etiology in some patients with Ménière’s disease.

In this study two tests were used to measure adreno-cortical reserve: ACTH plasma cortisol stimulation test and insulin stimulation test.

After evaluation of 98 patients with Ménière’s disease, we concluded the following:

1. The five-hour glucose tolerance test is helpful in identifying hypoglycemia, which may be a contributing factor in Ménière’s disease.

2. Non-myxedematous hypothyroidism may play an important role in some patients with Ménière’s disease.

3. Further endocrine studies will be necessary to determine the significance of the lowered adrenocortical reserve as shown by the ACTH plasma cortisol stimulation test.

We have long preached the importance of blood flow at Meniere’s Help and know how managing this through either diet and supplementation and/or spinal manipulation (where necessary) can make a huge difference. The study below backs up the importance of blood flow:

Published in Sage Journals the study ‘Metabolic Management in Menière’s Disease’ stated the following:

Extract: Pollution in the bloodstream by abnormal amounts of metabolites (sugar, insulin, triglycerides and cholesterol) over an extended period of time will have an adverse effect upon the small blood vessels.

If the microcirculation of the inner ear becomes afflicted, it may produce endolymphatic hydrops. Control of blood pollution can usually be achieved by intelligent dietary management.

Fifty consecutive cases of Menière’s disease were studied for abnormal levels of metabolites. Thirty-eight (76 %) of these cases had either an abnormal glucose tolerance test or at least borderline insulin levels: a) abnormal insulin levels, 35 cases; b) borderline insulin values, 3 cases; c) abnormal glucose tolerance with normal insulin values, no cases; d) both normal glucose tolerance and normal insulin production, 12 cases.

The number of studies and papers on this subject are numerous but how do you get metabolic disorders? As discussed in the articles on Thyroid dysfunctions and endocrine disorders at length, there are many toxic chemicals and pollutants found in the environment, water supplies and in foods that can accumulate in the body over a long period of time that can cause these problems.

For a healthy metabolism consider the following:

  • Use chili peppers in cooking, eat berries, eat more protein and less carbohydrates.
  • Keep active, build muscle
  • Drink teas and cold water
  • Keep your thyroid healthy
  • Restful sleep is important
  • Consider a body cleanse
  • Get enough Vitamin D
  • Take omega-3 fatty acid supplements
  • Take anthocyanin supplements

 Is Metabolism relevant in Meniere’s disease?

Judging from the evidence above, it would seem so. This article should be read in addition to articles on this blog Meniere’s disease and Thyroid dysfunction and Endocrine disorders and Meniere’s disease

Metabolism, the thyroid and endocrine systems are related to each other, and all three can be relevant in at least some Meniere’s sufferers.

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Related articles:

By Mike Spencer
Founder of Menieres-Help.Com – Supporting sufferers since 2004
Researcher and Author of Managing Meniere’s Disease and The Need for Balance – Dealing with the Causes of Meniere’s

Help other Meniere’s Sufferers. Tell us all about your experiences with Meniere’s and Metabolism. Use the comments box below or email Mike at

References/Further reading:

Autoimmunity as a candidate for the etiopathogenesis of Meniere’s disease: detection of autoimmune reactions and diagnostic biomarker candidate

Menière’s Disease and Disorders of the Carbohydrate Metabolism Involving the Inner Ear

General Information on Meniere's Disease / Syndrome Meniere's Disease Triggers & Causes

Gluten and Meniere’s Disease

Can gluten cause the symptoms of Meniere’s Disease?

Updated September 2020

Could Gluten be a cause Meniere’s symptoms? Tests in the past have shown links to Meniere’s and problems with the digestive system . The health of the gut is essential for overall health, Gut issues such as IBS have been linked to neurological diseases, autoimmune diseases and Meniere’s disease. 

In this article it suggests a connection between gluten and Meniere’s symptoms.


Gluten and Balance

Meniere’s disease is a condition that manifests symptomatically as severe dizziness, ear pressure, ringing, and often times is associated with concomitant migraine headache. The symptoms can be debilitating and often lead to nausea, vomiting, and inability to stand or walk due to imbalance. Recent research has identified a connection between grain (specifically wheat) and Meniere’s disease. The study was published in the journal, Laryngoscope. The abstract is below:

Wheat is one of the most common food allergens found in patients with Meniere’s disease (MD). Gluten from wheat has been identified to have a etiopathogenetic role in celiac disease, IgE hypersensitivity to wheat disease, and recently to gluten sensitivity. The aim of this study was to verify the incidence of gliadin prick test response in patients affected by MD.

There were 58 adult patients with definite MD, 25 healthy volunteers, and 25 patients with grass pollen rhinoconjunctivitis tested with skin prick test to gliadin.

A total of 33 MD patients (56.9%) proved to be sensitive to gliadin, eight of whom were positive to prick test after 20 minutes, 13 after 6 hours, 11 after 12 hours, and one after 24 hours.

Gluten and Meniere’s disease – studies

Gluten sensitivity in Meniere’s disease. A cited clinical study paper on NIH


Wheat is one of the most common food allergens found in patients with Meniere’s disease (MD). Gluten from wheat has been identified to have a etiopathogenetic role in celiac disease, IgE hypersensitivity to wheat disease, and recently to gluten sensitivity.

A total of 33 MD patients (56.9%) proved to be sensitive to gliadin, eight of whom were positive to prick test after 20 minutes.

Also on the NIH:

Meniere’s disease and gluten sensitivity: recovery after a gluten-free diet


We report the case of a 63-year-old female with definite unilateral Meniere’s disease, osteoarthritis of the distal finger joints with mucous cysts and Heberden’s nodes, and constipation with recurrent abdominal pain whose symptoms remitted after 6months of a restrictive gluten-free diet.

The question is, is it the gluten itself; the modification of gluten or the chemicals used in modern farming processes that find their way into the wheat or grains?

We do know that we have received messages from sufferers who have symptom free after changing their diet and in some cases that meant going gluten free.

Gluten in the form we know today is a neurotoxin and of course the central nervous system has been linked to Meniere’s. Over the past 50 years, hybridization wheat grains has taken place to supposedly increase crop yield ( the results of that are highly debatable)  and lengthen ‘shelf life’.

A protein called gliadin was added to grain. It is thought that higher concentrations of this protein has made wheat less digestible, which causes an allergy or reaction. Increased antibodies to gliadin, may have a negative impact on the neural system.

Almost 50% say gluten is an issue with Meniere’s

In September 2020, the question was asked in a Meniere’s social media group, “Has anyone linked their triggers to dairy or gluten instead of the sodium?”

Of the 37 respondents, 17 suggested gluten may be an issue:


  1. Yes all three and stress
  2. And processed foods with MSG
  3. Yes! Dairy is a HUGE trigger for me. Moderate gluten is okay but I get super fatigued and just off with lots of it. Sodium is no issue unless in ridiculous high amounts. As long as I salt to taste and cook mostly from scratch I stay in the moderate sodium range (2500mg give or take) and that works well for me
  4. I went gluten and dairy free around March this year and noticed a massive improvement, more so than just watching my salt. But like everything with this disease it’s not the final answer as I’m currently in a three week spiral having changed nothing about my routine.
  5. Gluten yes! Add sugar, salt, caffeine to that and its disaster. And dehydration
  6. I removed gluten and dairy and I have done better! They are definitely triggers for me
  7. Yes 100%
  8. Yeah I got diagnosed with celiac disease
  9. Yes.
  10. Carbs/starches/natural sugars/regular sugar. Anything that breaks down as sugar. Although, I can’t tolerate much dairy, but that’s been for the last 23 years since I had my first pregnancy.
  11. Gluten and diary set me off. I’m on a high sodium diet and it doesn’t bother me
  12. Gluten, diary, sodium all r triggers
  13. Same, I don’t eat any of those, haven’t for years
  14. I tried to stay gluten and dairy free as much as possible only because I believe Menerie’s is a autoimmune disorder and with any autoimmune you need to stay away from that stuff
  15. Sure. You can also get allergy tested through a blood test and do allergy drops which help with food related symptoms like mucus, fluid retention, and dizziness which has helped my daughter. She also eats a low sodium and low sugar diet to help reduce dizziness.
  16. Gluten is my number 1 trigger, and what I am figuring out is that it takes a LONG time to get back to normal after I’ve had an interaction, so sodium becomes a constant trigger until everything really settles down again. Once I get everything balanced out again I can eat and drink as I please, just no gluten
  17. Yea gluten really bugs me. I have tried my best to eat a gluten free diet and it helps but not enough to cure md.

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Related articles:

Help other Meniere’s sufferers. Do you have experience of Meniere’s and gluten? Tell us all about it in the comments box below or email Mike at

References/Further reading:

Gluten Sensitivity and Vertigo/Meniere’s Disease

Gluten sensitivity in Meniere’s disease

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