George was in his mid-forties when his joints began to feel painful and stiff. The affected joints were red and swollen and he also felt feverish at times. After running some blood tests, his doctor diagnosed rheumatoid arthritis. George was a landscape gardener, who had always done a lot of the hard physical work himself, and the gradual loss of mobility affected his business badly. Although the drugs he was given helped a little the disease gradually got worse and by the time he was 50 simply getting out of bed in the morning was difficult. His shoulders were so stiff that he could not comb his hair or put on a tie, and gripping a tea mug was difficult because of the stiffness in his hands. At this stage, his doctor suggested that George might like to try an elimination diet, which was said to help some people with rheumatoid arthritis. She told him to cut out grains, dairy produce, eggs, citrus fruit and other

common foods, but this produced little improvement. In fact, his symptoms got slightly worse in the first few days, but he stayed on the diet anyway. By the end of the second week he began to feel better in himself, and some of his joints were less swollen and painful. Over the next week, things improved noticeably every day, and after three weeks he was almost back to his former good health. When he tried reintroducing foods, George found that milk, potatoes and yeast triggered off his joint symptoms again. By avoiding these he is fairly well, although he still has a few aches in his joints and his shoulders are a little stiff. He suspects that some of the foods he is still eating may be at the root of this, but rather than restrict his diet further he relies on low doses of an anti-rheumatoid drug to reduce the inflammation. His gardening business is expanding again and he feels better than he has done for years.

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