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Nutrition/Obesity

ICYMI: Eating for Rheumatoid Arthritis

The majority of practicing rheumatologists at RheumNow Live were unaware of the new ACR guidelines issued in 2022 regarding dietary and lifestyle recommendations for patients with Rheumatoid Arthritis. Dr. Monica Guma reviewed these guidelines during her lecture on the impact of diet on

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Mixed Long-term Effects of Calcium and Vitamin D in Postmenopausal Women

A follow-up analysis of a randomized clinical trial found that the use of calcium and vitamin D supplements among postmenopausal women was associated with decreased risk for cancer mortality, but increased risk for cardiovascular disease (CVD) mortality. The analysis is published in 

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Eating for Rheumatoid Arthritis

The majority of practicing rheumatologists at RheumNow Live were unaware of the new ACR guidelines issued in 2022 regarding dietary and lifestyle recommendations for patients with Rheumatoid Arthritis. Dr. Monica Guma reviewed these guidelines during her lecture on the impact of diet on

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Weight loss is associated with reduced systemic inflammation in RA. If only discussing body composition/obesity/adiposity were that easy for our patients, these changes are hard and non-linear. Dr. Jon Giles #RWCS24 @RWCSmtg @RheumNow https://t.co/vrbBHLz6sL
Dr. Rachel Tate @uptoTate( View Tweet )

Could Weight-Loss Drug Improve Hip Replacement Outcomes?

MedPage Today

The antidiabetic and weight-loss drug semaglutide (Ozempic, Wegovy, Rybelsus) either does or does not help patients undergoing total hip arthroplasty (THA) avoid complications and other poor outcomes, according to two retrospective studies presented here.

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VITAL Info on Autoimmune Disease (2.9.2024)

Dr. Jack Cush reviews the journal reports from the past week on RheumNow.com. Highlights are summarized by three songs: "Stairway to Heaven", "You're No Good", and "How Long (has this been going on)".





  1. Many #RA pts remain on Steroids despite b/tsDMARD use! Study 228 #RA pts

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VITAL Study - Autoimmune Prevention Requires Continued Supplements

In the 2 years that followed the termination of the VITAL study, the preventative effect of vitamin D on incident autoimmune disease disappeared with supplement discontinuation; but n-3 fatty acid treated individuals had a sustained benefit in reducing the risk of autoimmune disease.

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Diet and Osteoarthritis Pain Knee osteoarthritis (OA) pain was worse with a pro-inflammatory diet, an observational study suggested. https://t.co/GHSd9SzNav https://t.co/MiCj9gE4Kj
Dr. John Cush @RheumNow( View Tweet )

Diet and Osteoarthritis Pain

MedPage Today

Knee osteoarthritis (OA) pain was worse with a pro-inflammatory diet, an observational study suggested.



Scores on a proprietary "Dietary Inflammatory Index" (DII) were significantly associated with standard knee pain scores among patients over nearly 11 years of follow-up (β=0.21

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Do you use the ASA24? Dr. Gabalawy asked Dr. Guma about this index at the #RNL2024. These indices don't quite encompass all aspects of the ACR recommended Mediterranean diet, for example, but could be useful in developing better assessments for patients and their diet.… https://t.co/v4Fu43u7et https://t.co/CTV2IaJ1xW
Dr. Rachel Tate @uptoTate( View Tweet )
"The gut microbiome may affect how patients respond to their therapies" - Dr. Guma another reason why diet is important #RNL2024 @rheumnow https://t.co/7qI72HWRg0
TheDaoIndex @KDAO2011( View Tweet )
Monica Guma at #RNL2024 @RheumNow How does Mediterranean diet help inflammation? Maintains healthy microbiota Enhancing production of anti-inflammatory metabolites Maintains intestinal barrier integrity https://t.co/CyzTGBJzhm
Eric Dein @ericdeinmd( View Tweet )

Severe Hypocalcemia Risk with Denosumab and CKD Patients

On 1-19-2024, the Food and Drug Administration (FDA) issued a Drug Safety Communication about the risk of severe hypocalcemia in chronic kidney disease (CKD) patients taking denosumab for osteoporosis, with an accentuated risk in older women who are dialysis-dependent.

This report is an update

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2023 EULAR Non-pharmacological Management of Hip and Knee Osteoarthritis: 2023 update

EULAR has published the 2023 updated recommendations for the optimal non-pharmacological management of hip and knee osteoarthritis (OA).



Non-pharmacological treatments for OA are as important and impactful at improving pain, function and quality of life in OA. These EULAR

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New Year's Resolutions (1.5.2024)

Dr. Jack Cush imparts his new New Year's Resolutions for 2024 and also reviews the news and journal reports from the past week on RheumNow.com.

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Curcumin therapy for knee osteoarthritis

Curcumin is widely used in traditional Chinese medicine to treat arthritis and is presumed to have analgesic and antiinflammatory effects that may benefit those with osteoarthritis, particularly knee osteoarthritis (KOA).



A network metanalysis was performed to gauge the efficacy and

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Does Weight Loss Really Work in Gout?

A clinical trial has shown that obese gout patients will benefit from diet and lowered body weight, but weight loss was not associated with beneficial effects on serum urica acid (SUA), fatigue or pain.



Weight loss is commonly recommended as management strategy for gout patients. This

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CBT or Naltrexone in Fibromyalgia (12.8.2023)

Dr. Jack Cush reviews the news and journal articles from the past week on RheumNow.com.  Be sure to catch the early registration break for 2024 RheumNow Live.





  1. Palmoplantar pustulosis (PPP) is difficult to treat; w/ few reports of JAKi

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Slower Weight Loss May Affect Osteoarthritis Survival

EurekAlert!

Arthritis & Rheumatology has published a new study that suggests knee or hip osteoarthritis patients who are overweight or obese may have less premature death if slow to moderate rate of weight loss results from anti-obesity medications.

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Venous Thromboembolic Risk with Joint Replacement

The role of thromboprophylaxis following total hip (THA) or total knee arthroplasty (TKA) is uncertain and consensus is lacking. A recent study suggests that thromboprophylaxis strategies should be tailored to individual risk of thrombosis and bleeding.

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ICYMI: Do Probiotics Improve Psoriatic Arthritis?

Psoriatic arthritis and the gut microbiome have become more intertwined, especially in the past few years. It was to my amazement that one of the first abstracts I came across was the effect of probiotic modulation on gut dysbiosis and disease activity in psoriatic arthritis patients. 

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The ADIRA trial showed no significant difference in change in DAS28 bet grps in the adjusted analysis. Intervention included food delivery svc & probiotic shot Limitations included study design issues such small sample size #ACR23 @RheumNow @rheumarhyme https://t.co/J6LEb0yONS
sheila ( View Tweet )
More vitamin D during pregnancy is better, right? Hopkins Lupus cohort, vit D levels & adverse pregnancy outcomes Actually, there's a sweet spot (too high just as unfavourable as too low) Maybe popping vit D pills isn't always limitless @jhrheumatology #ACR23 ABST1364 @RheumNow https://t.co/TVPCqP3dq9
David Liew @drdavidliew( View Tweet )

Do Probiotics Improve Psoriatic Arthritis?

Psoriatic arthritis and the gut microbiome have become more intertwined, especially in the past few years. It was to my amazement that one of the first abstracts I came across was the effect of probiotic modulation on gut dysbiosis and disease activity in psoriatic arthritis patients. 

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Is exercise safe in PsO/PsA? Ab0497 #ACR23 US of entheses before & after 60 min of badminton 🏸 7 PsA pts, 9 PsO pts, 196 US scans acquired. No signif change in VAS pain/tender entheses 4 pts w grade 1 doppler at 6 entheses, butnon-tender 1 pt w active PsA had worsening @RheumNow https://t.co/nsi9b6px0X
Eric Dein ( View Tweet )