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Dietary Guidance

Anti-Inflammatory Diet Guide for HS

Diet in HS is not about deprivation — it is about precision. The goal is to reduce the inflammatory load that the gut and immune system are managing daily.

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The HS Plate Formula

Most HS flares have a dietary component — not because food causes the disease, but because certain foods consistently add to the inflammatory burden the body is already managing. When that burden is reduced, the threshold for flaring rises.

The plate below is a practical daily template, not a rigid rule. Warm, freshly cooked, easy-to-digest foods lower the internal load; processed, cold, fermented, or inflammatory foods raise it.

Daily Plate Composition

Vegetables
50%
Protein
25%
Grains
25%

Steamed or sautéed vegetables · Dal, legumes, or light fish · Millets or red rice · Small amount of ghee

Daily Meal Schedule

Morning · 7–9 AM

Morning Routine

  • Warm water (first thing)
  • Steamed fruit — apple or pear
  • Light herbal tea: coriander or fennel
Breakfast · 8–9 AM

Choose One

  • Moong dal cheela
  • Vegetable upma
  • Warm millet porridge
  • Red rice kanji
Lunch · 12–2 PM

Main Meal

  • 50% steamed/sautéed vegetables
  • 25% grain — millet or red rice
  • 25% protein — dal, legumes, or fish
  • 1 tsp ghee (optional)
Evening · 4–5 PM

Light Snack

  • Roasted chana
  • Fresh seasonal fruit
  • Herbal tea
Dinner · 6:30–8 PM

Light Dinner

  • Light khichdi or vegetable soup
  • Moong dal rice with ghee
  • No heavy proteins at night
Hydration — All Day

Water & Drinks

  • Warm water — primary drink
  • Herbal infusions (coriander, fennel)
  • Minimal caffeine — max 1 cup
  • Zero cold or carbonated drinks
Foods to Avoid During Active HS — or Consistently
DairySugarRed meatBakery / processed foodsAlcoholExcess coffeeSpicy foodsFermented foodsCold / raw foods during flaresLate-night heavy meals

Cooking Method

Prefer steaming, boiling, or light sautéing in ghee. Avoid deep frying, roasting, or charring. The method changes how digestible food is — and how much it adds to your inflammatory load.

Meal Timing

Largest meal at lunch — digestive capacity is highest between 12 and 2 PM. Dinner before 8 PM. No eating after 9 PM. Space meals at least 4 hours apart to allow complete digestion.

Temperature

Warm or room-temperature food and drink throughout the day. Cold water, cold food, and refrigerated leftovers add to digestive load — both of which worsen HS patterns.

Diet Is One Layer of a Larger System

Diet alone rarely reverses established HS — but it is a meaningful variable in the internal environment that treatment works to correct. A personalised evaluation identifies which food-related drivers are most active in your case.

Begin Evaluation Gut Health & HS →