Chocolate is a beloved treat for many people. But some MyLupusTeam members wonder if it’s safe to eat if you are living with systemic lupus erythematosus (SLE). “I love to eat chocolate, and I want to know if it’s bad to eat,” a member wrote. Another said, “I’ve been craving chocolate cake, but I haven’t been sure about it.”

Many people with lupus enjoy chocolate without any problems, but others report bad reactions. “No hot chocolate, which is a bummer (my stomach is not liking chocolate right now). I mean, what’s up with that?” another member asked.

Research suggests that autoimmune conditions such as lupus may cause sensitivities to some foods, although studies aren’t readily available that focus specifically on chocolate and lupus. If you’ve had a bad reaction to chocolate, it may be caused by some of the ingredients that are commonly found in chocolate products. A coinciding health condition could also cause chocolate intolerance.

Inflammation, Chocolate, and Lupus

SLE is a chronic autoimmune disease that causes the immune system to attack its own tissues. This process leads to inflammation and damage to tissues and organs, including the joints, skin, lungs, and kidneys. Common symptoms include fatigue, fever, muscle or joint pain, rashes, kidney problems, and mouth sores. There isn’t a cure for lupus, but medical care and lifestyle changes, such as diet, can help manage it.

There is some research linking food allergens, like peanuts, milk, egg, soy, and corn, to inflammatory reactions in the immune system. These food items are frequently found in processed foods, including chocolate. Refined sugar, another common ingredient in chocolate products, is also linked to inflammation and an increase in symptoms of lupus.

Make sure to read the ingredients on any packaged food, including chocolate products — particularly if you’re aware of any food sensitivities or allergies. You can also talk to your doctor about testing for food allergies. You may discover that you can enjoy chocolate without certain ingredients, thus avoiding any unwanted side effects.

“It just depends on how sensitive you are. The milk and sugar can cause more gas as it is digested. You can always just try a little and see. I would stay away from milk chocolate, though. The darker the better,” a MyLupusTeam member suggested.

Another member said, “I made chocolate sugar-free cake (how can you not feel a little better with chocolate?) LOL.”

Caffeine in Chocolate

Caffeine is a stimulant that occurs naturally in some plants and can be found in coffee beans, tea leaves, and cacao beans (the source of chocolate). Interestingly, some research has indicated that moderate amounts of caffeine may benefit people with lupus and reduce disease activity.

Although moderate caffeine consumption is considered safe for most people, some have caffeine sensitivity. For them, even small amounts found in chocolate may cause adverse reactions, such as headaches or irritability. Dark chocolate has a higher concentration of caffeine than milk chocolate or white chocolate — though it has more anti-inflammatory benefits.

Chocolate and Acid Reflux

People with lupus have an increased risk of gastrointestinal problems, such as gastroesophageal reflux disease (GERD), often called acid reflux. GERD can cause heartburn, vomiting, and indigestion, among other symptoms. Chocolate contains chemicals that relax the lower part of the esophagus, making it easier for stomach acid to leak from the stomach. This response causes heartburn.

“Is it alright to eat chocolate, but not a lot, when having GERD?” one MyLupusTeam member asked.

If you have symptoms of acid reflux, talk to your doctor about treatment options and appropriate foods. High weight and weight gain can be risk factors for GERD. Depending on your particular condition, you may not have to give up chocolate if you have GERD.

The Benefits of Chocolate

Research indicates that some compounds in cocoa beans may have anti-cancer properties and benefits for cardiovascular health and cognitive health, among other medicinal properties. Dark chocolate contains flavonols, which may help reduce inflammation, such as for lupus. Ongoing research is investigating these potential health benefits but is inconclusive so far.

Cacao beans contain saturated fats (cocoa butter), and chocolate products are usually processed with added sugar. These both may lead to weight gain, higher cholesterol, and an increased risk of heart disease. To reap the benefits of chocolate for lupus — without the potential health risks — go for lower-sugar and darker versions (those containing at least 70 percent cocoa). Because chocolate is high in calories and fat, enjoy a bit (about 1 to 2 ounces) on occasion.

Discuss Food Sensitivities With Your Doctor

Talk with your doctor if chocolate or any other food is causing unwanted symptoms. They can determine if symptoms are a sign of a lupus flare-up and can also find out if your diet is meeting your nutritional needs.

For instance, if you have an intolerance to dairy products, your doctor may advise calcium and vitamin D supplements to help protect your bones from osteoporosis and the risk of bone fractures.

If you need help adopting a healthy lupus diet, ask your doctor for medical advice, resources, or a referral to a dietitian.

Healthy Diet With Lupus

For many people with lupus, chocolate can be part of a balanced diet. Health experts recommend that people with autoimmune diseases such as lupus eat a diet rich in:

• Fruits and vegetables
• Low-fat proteins such as skinless chicken, low-fat Greek yogurt and cottage cheese, legumes (beans, peas, and lentils), and quinoa
• Fish such as mackerel and sardines that are high in omega-3 fatty acids
• Whole grains
• Foods containing healthy fats, such as avocados and olive oil

This type of diet is often called an anti-inflammatory diet and emphasizes foods that are believed to help counter inflammatory responses in the immune system.

Find Your Team

MyLupusTeam is the social network for people with lupus and their loved ones. On MyLupusTeam, more than 223,000 members come together to ask questions, give advice, and share their stories with others who understand life with lupus.

Have you had any issues with chocolate? Share your experience in the comments below, or start a conversation by posting on your Activities page.