Link between gut health and RA

Hi all,

I'm interested to get your opinions on gut health and the severity of RA. Has anyone actively tried to improve gut health with diet or supplements, and have you seen an improvement in inflammation or pain?

I mentioned gut health at my last arthritis nurse appointment and the response was ' you can always try'.

Also, I'm currently injecting Amgevita every 2 weeks and wondered if the supplements containing 'live bacteria' which promote gut health are appropriate for me, or should they be avoided because they are 'live'.

I would really welcome your opinions.

Thanks, Louise


  • Poppyjane
    Poppyjane Moderator Posts: 674

    Hi @Lou1234

    I hope you will find this discussion interesting.

    Best wishes


    If it would be helpful to talk to someone ring the Helpline 0800 5200 520

    Monday - Friday 9.00a.m. - 6.00p.m.

  • stickywicket
    stickywicket Member Posts: 27,608

    I believe, increasingly, they're findng there's possibly a gut trigger for at least some cases of RA. But, once we have it......?

    In my early RA years i tried all sorts of supplements and diets. Only DMARDS helped. If you want to try anything then I'd go with your rheumatology nurse but run anything you propose to take past your pharmacist to check for interactions with each other and with prescribed meds.

    Live bacteria? Well, as live vaccines and soft cheeses are out for us I'd be very wary of live bacteria in supplements. Again, check first with the pharmacist. But keep taking the meds😉 And good luck.

    If at first you don't succeed, then skydiving definitely isn't for you.
    Steven Wright
  • jamieA
    jamieA Member Posts: 612

    Hi @Lou1234

    I'd agree with @stickywicket that you'd best talk to your rheumatologist first. I'm also on Amgevita and was warned to not eat pate, raw egg products, soft cheeses, blue cheeses, feta, anything unpasturised or undercooked meat and poultry. The fact that we take adalimumab means we are officially immunocompromised so I'd be wary of taking anything with live bacteria in it unless a medical professional with some knowledge of the circumstances says it's ok.

  • Lou1234
    Lou1234 Member Posts: 9

    Thank you all for your advice. I always forget about the pharmacists. I'll have a chat with one of them. Thank you again, I really appreciate your comments. Louise

  • Saffey
    Saffey Member Posts: 4

    I’m on Enbrel injections once a Methotrexate 112.5mg ,I’m vegetarian 41 years , 20 yrs RA, now Osteoarthritis,and also now fibre depleted. Am taking A supplement ‘ Insulin’ from Health shop I week.

    Iv not ask anyone if ok yet.. but may do.🙋‍♀️💐


  • Gadgetgirl
    Gadgetgirl Member Posts: 20

    Hi . Have you heard of Chris Mortee. I think he believes there is a link. I am trying to find out if anyone has signed up to his programme and been successful

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