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Table 1.

Eligibility criteria used for literature search and screening.

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Table 2.

Categories of types of diets pre-specified in the survey.

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Fig 1.

Flow chart of screening process according to PRISMA.

[23]

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Table 3.

Characteristics of included studies–trials modifying fatty acid intake by supplementation.

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Table 4.

Characteristics of included studies–trials modifying Vitamin D intake by supplementation.

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Fig 2.

Overall risk of bias across all included studies as judged by the reviewers.

Note: `Other sources of bias`are relevant in certain circumstances, relating mainly to particular trial designs (e.g. carry-over in cross-over trials and recruitment bias in cluster-randomized trials). [14].

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Fig 3.

Risk of bias of included studies as judged by the reviewers.

Note: `Other sources of bias`are relevant only in certain circumstances, relating mainly to particular trial designs (e.g. carry-over in cross-over trials and recruitment bias in cluster-randomized trials). [14].

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Table 5.

Sociodemographic data of PwMS and controls.

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Fig 4.

Type of diet among PwMS and controls in % (n = 473).

* = significant difference (p<0.001) PwMS = Patients with MS.

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Fig 5.

Patients’ goals of using specific diets.

(n = 143) (Multiple answers possible).

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Fig 6.

Influence of different factors on disease course in the perception of PwMS.

Patients could attribute 0 to 100 points to the different factors, 0 meaning no influence, 100 meaning maximum influence. n = 337 DMD = Disease Modifying Drugs.

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Fig 7.

Importance of different topics in a patient education program.

Percentage of PwMS assigning rank 1 or 2 to the topic (n = 113).

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Table 6.

Content of the education program.

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Table 7.

Pilot evaluation of the program by 11 PwMS; Median and Range (0–10) are displayed.

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