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Expert Pearls

Rheumatic Disease - Diet

Diet - reduce saturated fat from meat and increase “white meat” or fish. [Arthr Rheu., June 1994;37(6):824-825. 21724 (1995)] Summary Interview

Rheumatic Disease - Diet (anti-inflammatory) - 2

Diet (anti-inflammatory) - modified lacto-vegetarian diet; consumed only plant-derived fats and oils; no egg yolk, and dairy products with reduced fat; AA intake was reduced to <90 mg per day - meat intake was limited to a maximum of two servings of 120 g per week AND Menhaden oil capsules containing 245.3 mg (EPA, docosapentaenoic acid [DPA] and docosahexaenoic acid [DHA]) per gram of fish oil and, for stabilization, 1.0 mg/g each of a-tocopherol and g-tocopherol, and 0.02 % of tertiary butylhydroquinone. Patients were given 1 capsule per 10 kg of body weight, which provided 30 mg of total fish oil n-3 fatty acids per kg of body weight. [Rheumatol Int, 2003;23:27-36. 41105 (2004)] Summary Interview

Rheumatic Disease - Fasting

Fasting - reduces arachidonic acid and reduces symptoms. This can also be achieved by a low arachidonic acid diet. [Eur J Clin Nutr, 1995;49:703-717. 23942 (1997)] Summary Interview

Rheumatic Disease - Fish oil

Fish oil 3 g/day plus olive oil 9.6 g/d. [Nutrition, 2005;21:131-136. 42917 (4/2005)] Summary Interview

Rheumatic Disease - Food intolerance

Food intolerance - commonly offending foods by patient history - meat and meat products, alcoholic beverages, sweets, cereals, coffee, chocolate, fruits and/or milk, positive anti-gliadin antibodies. [Eur J Clin Nutr, 1995;49:703-717. 23942 (1997)] Summary Interview

Rheumatic Disease - Nutritional supplements

Nutritional supplements - fish oil 2 gm/d or more; vitamin E 400 I.U. dl-alpha-tocopherol; selenium 200 mcg/d; vitamin D 1000 I.U./d; vitamin C 200 mg/d; vitamin A 6000 I.U./d; B vitamins 2 mg each/d; zinc 10-15 mg/d; iron 10-15 mg/d; copper 1.5-3 mg/d. [Eur J Clin Nutr, 1995;49:703-717. 23942 (1997)] Summary Interview

Rheumatic Disease - Omega-3 fatty acids

Omega-3 fatty acids 2.6 gm/d (6 capsules/d). [Arthr Rheu., June 1994;37(6):824-825. 21724 (1995)] Summary Interview

Rheumatic Disease - Vegetarian diets

Vegetarian diets have a greater effectiveness than meat-based diets in reducing rheumatoid arthritis symptoms. [Brit J Nutr, Nov 2000;85:589-595. 36643 (2001)] Summary Interview
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