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I was diagnosed at an early age - 21. Bummer. It comes and goes, but when it hits, it floors me. No analgesic comes close to stopping the pain -- which is not intense, but all pervasive. I can take it in most joints, but when it hits my hands, I can't stand it....
I took advice from one of Dr Weil's books -- which was to experiment with diet. He wrote that if one could isolate a food which triggered the agony, one could tell within a week.
I tried dairy. Gave it up. Within a week, symptoms gone. When I introduce dairy (milk butter cheese, etc) -- symptoms arise again.
I knew I had been diagnosed as allergic to milk products as a child; but it was only recently (and I am no spring chicken) that my Dad told me that I was seriously allergic to milk from infancy.... Not having discerning parents, they continued to feed me dairy, because they did not know better and it is an easy way to feed kids, and I can't help but wonder if this diet of irritating food contributed to my RA.
I LOVE cheese. I LOVE butter. When I avoid them, I feel great; when I imbide, I suffer (within days).
Experimentation with diet might be tried, in your case. Dairy is a good place to start -- as I said, a week -- which is not a long time -- will tell. If symptoms persist, the next 'suspect" to try is nightshade relatives -- tomatoes (tragically!), eggplant, etc.
RA SUCKS! SUCKS THE BIG WET ONE! I HATE IT!! IT'S BRUTAL! but, mercifully, in my case, I have discovered very obvious food triggers. When I avoid, or mininize, dairy, I am symptom free. Go figure....
One final note -- I have been extremely allergic since childhood. I was so bad as a kid I was studied by a major hospital as an extreme example, and to this day my picture appears in medical manuals as an example of "OH SHIT!" .
Weird thing is, I don't go sneezing through life any more -- but I have bad RA when I injest things I am allergic to....
Before your loved one starts taking drugs, IMHO, he might want to experiment with his diet, first. Relief will appear in days. It doesn't take long to finger triggers.
Good luck, my dears.
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