Some have claimed the following dietary approaches have helped people with RA. But there isn’t much research that shows a positive link between these diets and reduced RA symptoms. But the study didn’t show a corresponding reduction in RA symptoms. On this diet, you eat foods that are rich in nutrients, like meat, fish, and some vegetables, and steer clear of foods that are pro-inflammatory, like grains, dairy, and nightshade vegetables (tomatoes, potatoes, eggplant, peppers). Researchers have been examining gut bacteria in an effort to one day identify those people at higher risk for RA. The thought is that if these patients are identified earlier, treatment can begin and there’s potential to modify the gut microbiome and improve disease outcomes. In recent years, the ketogenic (keto) diet — which is a high-fat, very low-carb diet — has become popular. While the diet may help people lose weight, experts warn that the keto diet is bad for RA because it’s high in fats that promote inflammation and low in grains, fruit, and many vegetables that keep the body in balance and reduce inflammation. A look at the components of the Mediterranean diet would suggest that it has some benefits for RA. For instance, it’s high in seafood, a great source of omega-3 fatty acids, as well as heart-healthy olive oil and nutrient-rich vegetables. It’s also high in fiber, which may be associated with decreased inflammation. Both the safety and the efficacy of committing to periods of fasting are in question. Some small studies have shown that restricting calories, as happens during a typical IF diet, may have an anti-inflammatory effect. The exact mechanisms by which this occurs are unknown. One study in people with rheumatoid arthritis took place during Ramadan, a holiday when religious Muslims fast for 30 days from dawn to dusk (meaning a 12/12 or longer intermittent fast). Do not fast or get your nutrition from juice alone without consulting a physician first. Based on their review, they compiled a list of potential foods to consume and avoid to help with RA. An ideal meal, they found, includes:

Raw or moderately cooked vegetables (lots of greens and legumes)Seasonal fruitsProbiotic yogurtSpices like turmeric and ginger

Remember to always verify with your healthcare provider and rheumatologist that any dietary change is safe for you. If you have any dietary questions or concerns, consider consulting a licensed dietitian.