Goodman said there’s nothing wrong with seeing what happens when you eliminate a food from your diet, as long as your daily energy and nutrition needs are still being met. “Patients with chronic disease like to control some aspect of own lives, and it can be useful to try eliminating foods,” she said. “But other than adding fatty fish or fish oils, it’s really unclear that diet changes are beneficial.” Goodman does recommend a heart-healthy Mediterranean diet, which is traditionally rich in fruits, vegetables, and fatty fish like salmon and tuna. “People with RA have accelerated cardiovascular disease, so even if their arthritis symptoms aren’t improved, there are clearly many other reasons to adhere to that sort of diet,” she said.

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