Dietary Management

Balanced energy-protein supplementation reduced stillbirth with moderate-certainty evidence. Multiple micronutrient supplementation showed no clear benefit for stillbirth despite high-certainty evidence. Eating two or three times daily is described as allowing recovery windows to burn through glucose stores. The goal of the dietary approach is to preserve as wide a diet as possible while reducing the primary histamine load. Eating the right foods supports all three energy systems — gut, hormone, and immune — simultaneously. Even modest reductions in carbohydrate intake and meal frequency produce measurable improvements in the metabolic conditions that drive immune vulnerability. Expected improvements from nutritional intervention include a flatter abdomen, rising HDL cholesterol, falling triglycerides, improved inflammatory markers, and improved blood pressure. Niacinamide supports cellular energy production and has documented anti-inflammatory effects in joint and connective tissue contexts. Dietary approaches may improve blood pressure control, arterial stiffness, oxidative stress, diastolic dysfunction, and exercise intolerance. Lowering blood glucose through dietary changes re…