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The Rheumatoid Arthritis protocol  -  how to reduce symptoms and heal yourself naturally


The information on this website is based on many hours of research and is completely FREE. The protocol is designed to be safe, simple and easy to implement, however it may not work for everyone as each one of us is unique. It may also help with other conditions, such as: osteoarthritis, type 2 diabetes, high blood pressure, high cholesterol, IBS, ulcerative choilitis, Crohn's disease, atopic dermatitis, eczema, psoriasis, fibromyalgia, lupus, multiple sclerosis and others.

Many links are provided throughout the article for further reading, including links to clinical trials and evidence. Please note, this site has no association with any external links given, nor do we receive any commission from any link etc - these links are simply given to make it easier for you. In general, we
recommend you undertake further reading and research of your own condition. YOU have the power to take control of your health and change things for the better.

Important information:
1) Since each person is unique, a certain food may be good for one person and not for another. You have to learn what works for you. Thus it is important you listen to your body - keep a food diary - for example, if a certain food causes nausea, stomach upset, significant bloatedness/gas, increased inflammation etc then make note of it, and bear this in mind for the future. If it happens again when you consume it, it is likely best not to include it in your diet. Obviously, if you have a known allergy to a food then do not consume it, even if it is listed below.
2) The protocol is designed to be a step-by-step incremental process, meaning it is recommended to implement each step gradually and see if it works for you. Of course, the more changes you make, the more chance of reducing symptoms, but doing everything may not be necessary. Most people notice improvement in the way they feel in anywhere from a few days to a few weeks. If you do not notice any improvement at all within 3 months and you have implemented all of the recommendations then it is unlikely this protocol will be of benefit to you. 3 months of your time is not much to ask for what could be a life-changing transformation in your health.
3) Smoking, excessive alcohol consumption and being significantly overweight can exacerbate symptoms in rheumatoid arthritis and impair healing, thus it is recommended to stop smoking, limit alcohol intake and reduce weight to normal levels (see BMI calculator). One of the additional benefits of this protocol is that it should help to lose weight gradually. References: [1] [2] [3] [4] [5]


Let's begin...

The key to alleviating rheumatoid arthritis symptoms is to reduce inflammation within the body. This is what most arthritis treatments and medications try to do. Fortunately, we can also reduce inflammation through diet, supplements and some exercise. The following protocol is listed in order of importance with many links given for extra information if you wish to do further reading
:

1) DECREASE common inflammatory foods

Reduce: red meat (e.g. beef, pork, lamb). Out of these, lamb is perhaps least likely to cause digestive issues. Grass-fed meat is considered the best.
Alternatives: fish is best, chicken is good. Egg is ok - you may wish to leave egg out of your new diet for the first few weeks. Animal sources of protein should be kept to a minimum however. Excellent sources of protein include: quinoa, tofu, beans, lentils, peas, spinach, mushrooms. If you have trouble digesting beans/lentils (e.g. excess gas), consider sprouting them first then cooking them.


Reduce: dairy (e.g. milk, cheese, yoghurt). Some people do not react to grass-fed raw dairy, but this is sometimes harder to source.

Alternatives to cow's milk: rice milk is usually well tolerated, but there is also oat, almond, soya, hemp milk. These alternatives are commonly found in supermarkets. Try to get one fortified with vitamins/minerals.


Reduce: wheat and gluten (e.g. bread, pasta, biscuits, some cereals)
Alternatives: many supermarkets now stock gluten-free products, such as gluten-free pasta and flour. Try buckwheat, quinoa, rice (brown or wild rice is best) or millet. A good alternative to cereals are buckwheat/oat porridge or muesli, try to get fortified versions if available. If you are coeliac/celiac then you should only use "gluten-free" oats. .

Reduce: added sugar (e.g. tea, sweets, cakes, chocolates, biscuits)
Alternatives: if you must sweeten your tea then you may use artificial sweetners such as stevia or erythritol. Herbal teas can be very good (e.g. grated ginger, green tea (also with pomegranate), black tea, rosehip and hibiscus, 1/2 tsp turmeric with pinch black pepper, cinnamon, chamomile, nettle, peppermint/spearmint, pinch of clove or fennel seeds). You can also add some lemon or lime (juice or peel) for a different flavour. Don't be afraid to try different combinations. It is not recommended to drink excessive amounts of any one tea or artificial sweetners. The healthiest sugars are date sugar and blackstrap molasses. Also see here for other sugar alternatives.


Reduce: fried foods
Alternatives: grill, bake, saute sparingly, steam when possible.


Reduce: processed white flour and yeast (e.g. avoid most bread)

Alternatives: you can buy gluten-free and yeast-free breads, e.g. sourdough. You could also try making flat breads.


2) INCREASE common anti-inflammatory foods

Try the food alternatives and herbal teas listed above.


When cooking with oils try virgin coconut oil or coldpressed rapeseed/canola oil or normal olive oil instead of safflower/corn/sunflower/vegetable oils. Also extra virgin olive oil (e.g. salads, drizzled over cooked vegetables). Always use oils sparingly - see tips on how to cook without oil.

A daily handful or two of blueberries, cherries (or blackberries/raspberries/strawberries/cranberries due to antioxidants), purple/red grapes (due to resveratrol), papaya is excellent for papain and vitamin C, also kiwi.

Cruciferous vegetables, such as broccoli, brussel sprouts, kale, watercress, collard greens, red cabbage, cauliflower etc. Start with small portions.

Seasoning dishes: add a little turmeric with black pepper when possible, use garlic, black onion seed (also called: kalonji, nigella sativa), onions, cinnamon (in tea, cereal, fruit), fresh grated ginger, high antioxidant herbs such as oregano/parsley/basil/thyme/sage/rosemary. All of these are commonly found in supermarkets.

Snack on potassium and magnesium rich foods, e.g. banana, baked sweet potato, dates, prunes, raisins, carrot juice. Nuts (no more than handful daily): almonds, cashews, one brazil nut (good for selenium also), pistachios, pine nuts, walnuts, sunflower/pumpkin seeds - all of these can be soaked in water for several hours first making them easier to digest. You can also boost magnesium levels by taking a bath (or feet only) with epsom salts.

If you have a juicer, have a green juice 2-4 times per week, e.g. peeled cucumber +celery+apple+fresh ginger, or pineapple+spinach. They may not be to everyones taste but they are very good for you. You can add other fruit for a different taste, or vegetables (e.g. carrot, beetroot) or some fresh ginger, try different combinations. Always thoroughly wash them first, and try to buy organic if possible. Green vegetable juices are amongst the best fluids to drink for rheumatoid arthritis. To make them healthier, consider adding a tsp of ground flaxseeds, or chia seeds.


Bone broth: 1/2 to 1 cup per day. Click - how to make - note, after cooling, fat must be removed before consumption as shown in video. Can be made from bones/joints/cartillage/carcass of chicken/fish (4-12 hours), duck/beef/lamb/turkey (8-36 hours) - ideally in filtered water and a free range organic/pastured animal source. You can use any bones but marrow filled bones, knuckle, and oxtail are best. You can cook it in 2-3 hours if you use a pressure cooker instead of an ordinary pot. You can also re-use some of the bones for your next batch. Lasts for 1wk in the fridge in glass jars, or for several months in the freezer. You can drink it on its own, sip it with food, add it to stews, sauces, soups or cook beans/grains in it. Your local butcher may even give you some bones for free.
If you do not wish to make bone broth you could consider using an unflavoured gelatin product such as this (1 tsp twice daily).



Side note: in addition to the above, if you wish to find out what foods you are specifically intolerant to, you can try keeping a food diary, or consider purchasing a food specific IgG blood test, e.g. CNS (65) or YorkTest (250). I only recommend buying these products if you have little or no success with this rheumatoid arthritis protocol. To read more about food sensitivities please see here and here. You could also consider a free do-it-yourself pulse test to determine possible food intolerances, although may not be as accurate.



3) Healthy gut and digestive system - do not miss this step.

We are what we eat, thus it is vital our gut can break down food properly and absorb the nutrients we need for good health. One of the safest, healthiest and cheapest ways to do this is to take fermented/cultured vegetables (if you do not have a juicer to make a celery starter culture you can use this method). Some also use a quality miso paste. Having regular bowel movements is important for your gut and rheumatoid arthritis. Prunes can help with this. Aim for 1-3 bowel movements per day.
Alternatively, you can use digestive supplements a few times per week, e.g. probiotics (CP-1 or Bio-Kult or perhaps ProbioticMax/acidophilus) and digestive enzymes, bromelain, papain - take with main meal. If on warfarin, aspirin or sedatives - see this advice first. For an excellent overview of the potential health benefits of fermented probiotics click here.
The supplement L-glutamine should also be considered, as it has been shown to repair the gut and/or keep it strong. Take one tsp first thing in the morning and last thing at night (with water or a fruit juice such as apple or orange), as it works best on an empty stomach. As with all supplements, start with lower doses and increase gradually if no side effects.



4) Mild exercise

Bodyweight exercises (beginner - intermediate) and yoga (beginner - intermediate) are best, and you don't need to buy any equipment. Click links for video examples, there are many others online. A regular brisk walk may also be beneficial. There are also exercises to help with different parts of the body that are painful. Exercise is important to strengthen and nourish the joints. Always build up exercise gradually and don't overdo it.


5) Supplements if necessary

The following supplements have been shown to help, however always do your own research. Listed in order of importance:
Vitamin D daily (take with main meal of day, ideally one that has some fat/oil as this vitamin is fat soluble), 20 micrograms (μg) or 800 international units (IU). This can be an important longterm supplement, and at these doses is very safe.
Vitamin C (if you are eating lots of Vitamin C rich fruits and vegetables then you may not need to supplement). If you decide to supplement, vitamin C tablets are cheap (avoid ones with artificial sweeteners), also rosehip or amla powder (can usually be bought at an Indian grocery store). Note: a sign of too much VitC is watery stools.

Curcumin (increase effectiveness by taking with a little fat/oil, e.g. drop of virgin coconut or olive oil, nuts/seeds or avocado, and ideally with black pepper). See note first.
fish oil or krill oil (rich in omega 3) - one of the most common supplements. Alternatively good plant based omega 3 sources are ground flax/chia seeds, walnuts and some cruciferous vegetables.
Boswellia (references:one two three).
Others you may wish to research: type 2 collagen, glucosamine sulphate, chondrotin, hyaluronic acid as oral supplement (mainly for knee pain),magnesium, resveratrol, taurine, quercetin, boron, devil's claw, ashwagandha, msm, capsaicin gel (use sparingly), astaxanthin. As with all supplements, start with lower doses and increase gradually if no side effects.



 
Not sure how to get started? Try this for the first few days...


After waking, have a herbal tea to begin the day. Choose whichever from the list above, and try different ones throughout the day. Have 3 small meals during your day.

Breakfast: fruit salad (a mix of chopped fruit), or buckwheat or quinoa or fortified oat porridge with a fortified non-dairy milk (add some extras for whatever flavour you like, e.g. blueberries, sultanas/raisins, sliced banana, cinnamon, cranberries, pre-soaked sunflower or pumpkin seeds for crunch, black onion seeds for a light peppery flavour, grated apple/pear, cold pressed honey, grated ginger and sprinkled turmeric for a light earthy spicy flavour, a little lime/lemon/orange zest, raw cacao powder for a chocolate taste). Fortified plain oat porridge is a good option, cheap and commonly available. You can now also get buckwheat or oat muesli.
You could alternate the above with a breakfast smoothie: blend: fortified non-dairy milk of your choice, blueberries, some pitted cherries and dates, banana. Healthy optional extras: a tsp of amla powder or ground flax/chia/hemp seed.


Lunch: vegetable soup, pumpkin ginger soup or a light salad (no oil). There are many online recipes to choose from. Also always consider adding/using the herbs/spices listed above.


Dinner: oily fish and sprouted bean salad, gluten free pasta with a garlic tomato sauce or chickpea pesto (mushrooms optional), salmon and brown/wild rice salad, salmon burgers, potato salad, oven baked sweet potato wedges lightly brushed with olive oil and above herbs/spices, curry parsnip soup, vegetable stir fry. Search for other recipes online.

Optional snack: banana, apple, celery/cucumber/carrot sticks with hummus/guacamole, or a handful or two of blueberries, cherries (or blackberries/raspberries/cranberries, purple/red grapes), rice cake with avocado and turmeric and black pepper, handful of mixed nuts or crush some nuts and add to some sliced banana+dates with cinnamon for a healthy treat, a green juice as mentioned earlier, chocolate milkshake (non-dairy milk+ pitted cherries and dates + raw cacao powder + banana), carrot juice, kale chips, pumpkin pie, baked sweet potato with some cinnamon and pinch of clove, several prunes. 


Fermented vegetables: a tbsp before and after each meal. You can start with only one tbsp with each meal for the first few days if you wish.


Remember, try and incorporate a plentiful variety of fruits and vegetables into your diet. Keep a food diary. If you keep your meals small to begin with you may notice a difference in your inflammation/pain levels within a week. Strongly consider investing in a juicer or a high powered blender. Try not to over eat, and always be left feeling a little hungry after each meal.



If you get your symptoms down to a level you are happy with, you can consider re-introducing some foods you have eliminated, one at a time, eating it several times, then waiting several days before the next re-introduced food, to see if you react/flare-up. It is often the case that once your digestive system has become stronger, and symptoms greatly reduced, you will be able to increase variation in your diet, which will make life easier.


I hope you have found this information helpful and I wish you all the best in your journey to recovery.


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If the above protocol does not work you may need to consider going on a strict elimination diet and/or a plant based low-fat diet, see here.


End Note:

People I know have already benefited from the above protocol and I want to help you too. If you try this and it works for you, please spread the word to any family/friends with rheumatoid arthritis. You may also wish to consider telling others about it via online forums, blogs, twitter, facebook or make a youtube video about this site. Remember, people may be hesitant and skeptical about this approach, thus sharing your experience will help motivate them to try it. You can tell us about your results via email - or better yet, send me a link to your youtube video and I can post the link on this page if you wish. Email:




IMPORTANT: it is recommended to consult your physician or other health care professional before making any significant change in your diet, exercise or supplements to determine if it is suitable for you.

For a full list of clinical evidence references for this article - click here.

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