Can I get my rheumatoid arthritis markers down just by healthy eating?

Dainsey
Dainsey Member Posts: 2
edited 14. Apr 2025, 06:16 in Living with arthritis

Hi, I have been told I have rheumatoid arthritis but. My adult children say to rather eat very healthily rather than allow my consultant to put me on steroids and Methotrexate (of course they are not medically trained but believe in alternative methods) because of the potential side effects. My recent markers are RF 250, CRP 25, and anti CCP 161 , I can’t see consultant until end of May. I am thinking that by eating an anti inflammatory diet I can reduce the high markers.
I’m just worried about taking the medication if I get prescribed it.

Comments

  • noddingtonpete
    noddingtonpete Moderator Posts: 1,357

    Hello @Dainsey and welcome to the Online Community. We are a friendly and supportive group and I hope that will be your experience as well.

    Can i suggest you have a look through the following, hope it might help.

    and

    Please let us know how you get on

    Best wishes

    Peter

    Need more help? - call our Helpline on0800 5200 520Monday to Friday 9am to 6pm

  • Arciere
    Arciere Member Posts: 114
    edited 11. Apr 2025, 20:59

    Hi @Dainsey

    My view on this is maybe you need to do both.

    I have RA and got in a muddle between medications where I effectively ended up with no medication for a period. What happened is I became really poorly, I could hardly walk down the stairs and the fatigue was very difficult.

    However, I do strongly believe that we are what we eat and that food can be thy medicine!


    I thought I had a good healthy Mediterranean diet. However, I was generally having a pastry or toast for breakfast, always a sandwhich and Diet Coke for lunch, followed by pasta regularly for supper.

    When I bought the anti inflammatory cook book it really contributed to my wellness (which happened around the same time I commenced biologic medication and removed a huge stressful issue from my life).

    In summary I ditched all gluten, artificial sweetener, and the deadly nightshade veg. Plus I take care of my micro biome with fibre ( from veg) and fermented foods, kimchi, sauerkraut, kefir etc It’s been hard because so many food products contain gluten and sweeteners !

    It’s really hard to evidence what’s worked but in general terms I feel better. Hydration helps too I think.

    So my view is that it’s risky to ignore medication, but at the same time food can be medicine, so consider both in my opinion.


    there is a documentary on Netflix called hack your Health, which you might find interesting

    Hope this helps

  • Arthuritis
    Arthuritis Member Posts: 541

    @Dainsey @Arciere As an escapee from the prison of RA & on max MTX for a year and got fed up and escaped drug and symptom free for 2 years (before being recaptured in January 2025 by RA), I whole heartedly agree with Arciere. We are what we eat. You need the immune suppression drugs to stop the immediate and often irreversible damage to joints if left uncontrolled (I refuse to call them DMARDs, they don’t modify the disease, they just hammer your immune system). You also need to bring your inflammation markers CONSISTENTLY down (you have not included a highly predictive marker, eosinophil count, it reflects how inflammatory your diet is, you need it well below .2).
    When the bio markers are consistently down, and you have no joint inflammation, you can talk to your rheumatologist about tapering. HOWEVER, “HEALTHY FOOD” is different and unique to each person, but there are common inflammatory foods you need to avoid and may not even be aware as they are present in so many things.

    In particular raw unfermented soya protein as found in soya protein drinks, lectins from beans, egg white and all meat that was reared on soya protein (pretty much all affordable farmed meat, as soya is a cheap protein used in animal feed and even farmed salmon). Eating any of these gave me flares. But not beef because cows are ruminants and the soya they eat gets fermented, destroying the toxic soya lectins. Nightshades like potatoes too, contain solanins that during your sensitised period, will trigger flares, it is thought that like bean lectins, they make gut tight junctions leaky, causing flares.

    Leafy green smoothies were the safest route for me to give my inflamed gut time to heal, and get off MTX. However 2 years after being off, I ate a bowl of porridge with soya protein drink after a gym work out and was promptly dumped back into RA, and had to re attend hosp to get blood work & MTX. I am now working on escaping again, so let’s keep in touch. Check your inflammatory bio markers. At the time of my january flare my eosinophil levels had shot up to .8, and take a long time to fall back as they don’t die easily while your gut is inflamed. I need it at .15 before I can try tapering. It will rise quickly if you eat anything your gut & immune system don’t like. Just to be clear, salmon, poultry, ham all caused flares. McDonald’s Big Macs did not! So it wasn’t even the quality of the meat, but simply it’s soya content. Keep us posted!

  • Arciere
    Arciere Member Posts: 114

    very interesting. Thank you

  • iwannerbeme
    iwannerbeme Member Posts: 40

    Lab Grade Turmeric + Lab Grade Boswellia Serrata

    What do people think about tumeric as an anti inflamtory? I came across the above while reading up on RA.

  • Arthuritis
    Arthuritis Member Posts: 541

    @iwannerbeme I don’t think you need “lab grade” (read expensive marketing), as in literal terms lab grade just means a measured concentration. Food grade turmeric from Tesco works just as well. However Turmeric’s anti-inflammatory activity in the context of RA, is like holding a teaspoon of water to a raging house gas fire where you need serious fire hose water pressure or the ability to shut off the gas. Not familiar with Boswellia, so can’t comment on that.

    Talking of water and shutting off the gas, there is now sufficient evidence to show that certain foods that your gut has become intolerant to, perhaps due to infection or other gut injury can cause RA like joint & tendon inflammation. (Listen to the Zoe podcast by a Rheumy who researched this plus other links). The other problem is that the active substance in turmeric, curcumin, is poorly absorbed. Black pepper enhances this absorption, but if you want the biggest benefit for the LOWEST cost, I’d consult a GP on safely doing a 7 day water fast, you will at the very least, benefit from a little weight loss, but more importantly, after a week of fasting you should start feeling less on fire, which would be your evidence that something in your diet is contributing to your pain. Unlike an allergy where your throat immediately tightens, this is very slow acting with a time delay depending on where along your intestine the sensitivity to the food product is located, so can take hours or even 2 days before something you are gives you trouble.

    Researching food based anti-inflammatory substances, I have found a lot of the spices in indian food cooking has this, in addition to some of their other medicinal properties. While turmeric and it’s orange colour receive all the publicity (no help if applied on the face as an anti inflammatory), another related spice, ginger, has a better anti inflammatory profile as it blocks IL-6 and TNF-alpha, however, it is quite spicy so unless you like fiery organic ginger ale and related food, it may not be the best option, but worth trying. I keep a hunk of ginger in the fridge for just such purposes. Interestingly enough, the dried form is more potent, containing the compound shoagol-6. Yum!

    IMG_9182.jpeg

    Shoagol is formed from drying the the fresh wet ginger containing gingerol. However I prefer to mix the two, but home baked gluten free ginger biccies take on a new meaning with RA. BTW, avoid factory made ginger biccies, manufacturers use artificial sweetners to claim “low sugar” or fructose corn syrup, invert sugar etc, all bad if you have RA. Make it at home. I just slice up my washed Tesco ginger and it works. However like the analogy of putting out a fire, if the gas is still on, the fire won’t go out and your gut can’t slowly begin repairs, so you need to think about that.

    Meds like MTX are powerful and will eventually damp your immune system enough that the joint problems stop despite the gas flowing, but it comes at a price. (Low immunity, nausea etc).

    The hard thing to understand is something you have always eaten and enjoyed in the past could be giving you so much grief now because of how your immune system reacts (explained in the UCL research link).

    Hope you get some relief soon.

  • iwannerbeme
    iwannerbeme Member Posts: 40

    Thank-you for all the info. I need to re read it a couple of times I think. it always takes me a while ! lol I am a big ZOE fan and I did see the one about RA.