Early Treatment Of Rheumatoid Arthritis Is Important

Rheumatoid arthritis (RA) is a chronic autoimmune disease that affects 1.3 million Americans, the majority of whom are women. RA is a particularly devastating disease that can lead to extensive joint destruction. However, with early diagnosis and treatment the outlook for people with RA has improved dramatically over the past 20 years.

What is rheumatoid arthritis?

When it is working normally the body’s immune system is designed to help us ward off disease. In the person with RA, the immune system has become confused: rather than protecting the body, the immune system attacks healthy tissue in the joints, which causes painful inflammation. Over time this chronic inflammation causes crippling deformities and can lead to other health problems, as well. RA can affect people of all ages, including children.

What are the symptoms of RA?

The most telling symptom of RA is prolonged morning stiffness, especially in the hands and feet. Other common symptoms include swelling, pain, and a sensation of warmth in the joints. When these symptoms occur, it is best to address them right away to prevent joint damage before it occurs. If your care provider suspects RA, he or she may refer you to a rheumatologist (a doctor who specializes in diagnosing and treating RA and other autoimmune diseases). This can be important because an early and accurate diagnosis will help establish a treatment plan tailored specifically for you.

How is RA diagnosed?

Diagnosing RA begins with your medical history and a physical exam. This is followed by a blood test to determine if you have the rheumatoid factor, which is an antibody that most people with RA have and which supports the diagnosis of RA. Your rheumatologist may also order a blood test for antibodies to cyclic citrullinated peptides (CCP), which can be found in the blood of a high percentage of those with RA. The proper diagnosis of RA can be challenging because occasionally these identifying antibodies are absent even if there is an inflammatory process occurring. Increased chronic inflammation not only relates to RA, but it can also be indicative of other conditions including heart disease. So when there is an underlying inflammatory process occurring it is very important to address it with your physician.

What is the treatment for RA?

Over the last two decades there has been a paradigm shift in how we treat RA. Historically the accepted approach was to wait until damage to the joint occurred before initiating treatment. Now, with a number of medications specifically targeted to treat the immune system, we are better able to reduce inflammation and prevent joint destruction and deformities from occurring. These new medications can induce remission of RA and hopefully heal damage that may have already occurred. In addition to medication, I recommend that people with RA quit tobacco use, get regular exercise, learn to reduce the stress in their lives, and get plenty of rest. All of these steps positively support the treatment process. This approach to treatment enables people with an early diagnosis of RA to return to a healthy state and prevent the kind of joint damage that leads to joint replacement surgery.

Do rheumatologists treat only arthritis?

Rheumatologists routinely treat a number of conditions of the musculoskeletal and immune systems. Most commonly we treat patients with RA, osteoarthritis, lupus, psoriatic arthritis, fibromyalgia, ankylosing spondylitis (an immune condition that attacks the spine), and osteoporosis.
Dr. Meador is board certified in internal medicine and rheumatology. He is on the medical staff of Cayuga Medical Center and is in practice with Cayuga Medical Associates, where he can be reached at (607) 257-2920. In addition to rheumatology, Dr. Meador has fellowship training in geriatrics and palliative care.



Drink Thyme Tea Every Morning to Help With Fibromyalgia, Hashimoto’s, Rheumatoid Arthritis, Lupus, and Multiple Sclerosis

Did you know that down through the centuries thyme has been used for many ailments, from influenza to epileptic seizures?  It was often mixed with equal parts of lavender and sprinkled on the floors of churches in the Middle Ages to eliminate any unwanted odors. Long before the discovery of modern medicine, crushed thyme was placed on bandages to promote wound healing and ward off infection.

The volatile essential oils in thyme are loaded with anti-rheumatic, anti-parasiticanti-septic, anti-viral, and anti-fungal properties.

If taken on a regular basis it can significantly help to reduce the viral load in the body which makes it very beneficial in dealing with Chronic Fatigue Syndrome, Fibromyalgia, Hashimoto’s Thyroiditis, Rheumatoid Arthritis, Lupus, Vertigo, Tinnitus, and Multiple Sclerosis.

Thyme is packed with vitamins and minerals. It’s rich in potassium, iron and calcium, all of which contribute to blood pressure regulation, proper red blood cell formation and distribution of antioxidants in the body.  It is rich in high in B-complex vitamins, vitamin A, C and folic acid. Thyme contains a variety of important bioflavonoids and volatile oils, including thymol. Thymol is an essential oil that has very powerful antioxidant properties.

Thyme has cancer preventive properties; containing terpenoids like rosmarinic andursolicacids. (Regular consumption of thyme has been shown to increase the amount of DHA (docosahexaenoic acid, an omega-3 fatty acid) in brain, kidney, and heart cell membranes).

Thyme’s essential oils have expectorant and bronchial antispasmodic properties treating…

  • acute and chronic bronchitis
  • sore throats
  • coughs
  • laryngitis
  • asthma
  • treats inflammation of the mouth
  • throat infections
  • prevent gingivitis

Drink Thyme Tea Every Morning to Help Cure Fibromyalgia, Hashimoto’s, Rheumatoid Arthritis, Lupus, and Multiple Sclerosis.

How to Make Thyme Tea


  • Thyme (dried or a handful of fresh)
  • A covered container for brewing & straining
  • Mug

How to make Thyme Tea, Instructions.

1) Put some herbs in your brewing container – about 1 tsp dried herbs per cup of water.  For fresh herbs, use more.

2) Pour over water that’s just off the boil.

3) Cover and infuse for about 5 minutes.

4) Strain and serve.



10 Steps to Reversing Rheumatoid Arthritis Inflammation and Other Autoimmune Diseases

Image result for 10 Steps to Reversing Rheumatoid Arthritis Inflammation and Other Autoimmune DiseasesI am often asked if there is a way to deal with autoimmune disease — the most common chronic disease – the most common question being Is there any way to deal with this without taking powerful anti-inflammatory drugs that often have serious side effects?

Autoimmune diseases are a huge problem in this country. As a whole, autoimmune diseases affect over 80 million Americans and five percent of the population in Western countries.

They include type 1 diabetes, lupus, rheumatoid arthritis, multiple sclerosis, colitis, Crohn’s disease, and dozens of others, but they all have one thing in common: The body attacks itself.

Autoimmune diseases, like rheumatoid arthritis or RA, often include challenging symptoms such as pain, swelling, fatigue, and disability.

At their root, one central biochemical process connects these seemingly disparate diseases: A runaway immune response, called systemic inflammation, inevitably results in your body attacking its own tissues.

Your immune system’s job is to defend you against invaders or foreign microbes, toxins, or abnormal cells like cancer or foreign food proteins (allergens). Imagine your immune system as an army that must clearly distinguish friend from foe.

Autoimmunity occurs when your immune system gets confused and your own tissue gets caught in the crossfire. Your body is designed to fight off harmful things like infections, toxins, allergens, or a stress response. Sometimes and for reasons not fully known, that immune army directs its hostile attack on your joints, brain, skin, and sometimes your whole body.

Conventional medicine accepts this problem, but stops there, without LOOKING for what might be causing the body to be out of balance and attacking itself.

Instead, conventional medicine invents pharmaceutical drugs to inhibit, block, or anti-something, and fails to answer one simple question: Why is the body out of balance to begin with, and how do we help it regain the proper balance?

Isabel’s Story

Isabel, a cute 10-year-old girl from Texas who loved riding horses, walked into my office several years ago with one of the most severe cases of autoimmune disease I had ever seen. Her face and joints were swollen and her immune system was attacking her entire bodyincluding her muscles, skin, joints, blood vessels, liver, and white and red blood cells.

Isabel couldn’t squeeze her hand or make a fist. The tips of her fingers and toes were perpetually cold from Raynaud’s disease. She had been suffering from rashes that burned and irritated her skin for years. She felt tired and miserable and was losing her hair.

Isabel was on elephantine doses of intravenous steroids every three weeks just to keep her alive, and she was taking prednisone, aspirin, acid blockers, and methotrexate, a chemotherapy drug used to shut down the immune system daily.

Despite these mega-doses of medication, she still wasn’t getting any better, and her lab tests were still abnormal.

Her doctors wanted to add another powerful immune suppressing drug (a TNF-alpha blocker) to the regimen of medication she was already taking. This drug increases the risk of cancer and death from overwhelming infection because it prevents the immune system from fighting infections normally. The inflammation slows down, thus the autoimmune symptoms may abate, but at a cost: Increased risk for cancer and infection.

Disturbed by these possibilities and disgusted with conventional approaches that weren’t working, her parents brought her to see me.

Two months after I first saw Isabel, when I discovered and then treated the underlying causes of her inflammation — after, as she says, she “stopped eating gluten, dairy, and sugar and took some supplements” – she was symptom-free. In less than a year, she was completely healthy, her blood tests were normal, and she was off all her medication.

A Functional Medicine Perspective to Autoimmune Disease


Isabel’s story is a perfect example of the power of Functional Medicine, which provides a map to find the root cause of inflammation, which underlies autoimmune disease.

Functional Medicine asks why that inflammation exists. When we identify the underlying sources, we can heal the body. Those causes include stress, hidden infections, food allergies or sensitivities, toxic exposure, genetic predisposition, nutrient deficiencies, and leaky gut.

In fact, there are just five root causes of all disease:

  1. Allergens
  2. Microbes or imbalance of the bugs in your gut
  3. Toxins
  4. Poor diet
  5. Stress

All of these can trigger symptoms and create thousands of diseases, including autoimmune diseases.

If you want to cool off inflammation in the body, you must find the source.  Physicians are mostly taught to diagnose disease by symptoms, NOT by their underlying cause.

Functional Medicine approaches diagnosing and treating disease differently. It focuses on causes not symptoms, one that is based on an understanding of the dynamic way our genes interact with the environment, one that goes beyond simply treating diseases based on their label.

Functional Medicine teaches practitioners to understand the body as a system; to seek the causes of illness; to understand the body’s basic functional systems, where they go awry, and how to restore balance; to understand the interconnections between symptoms and organs rather than segregate diseases into specialties.

This approach provides a fundamentally different way of solving medical problems, one that allows us to decipher the origins of illness and identify the disturbances in biology that lead to symptoms. And that leads me back to Isabel’s story.

From Conventional Illness to Functional Health

For Isabel, the only response physicians had to her life-threatening illness was to shut down her immune system, leaving her at risk for cancer, infection, osteoporosis, muscle wasting, and psychiatric illness. But there was another way.

I simply asked the question “WHY?” I didn’t focus on WHAT the name of her disease was, but WHY she was inflamed, WHERE this inflammation originated from, and HOW we could locate the causes and restore balance to her overactive immune system that was attacking her own body?

The immune system usually responds to some insult such as an allergen, a microbe, or a toxin, and then runs out of control. Finding and removing that trigger is essential.

In a review in the New England Journal of Medicine, researchers acknowledged that “even in a genetically predisposed person, some trigger, an environmental exposure, or change in the internal environment – is usually required for [autoimmunity].”

When I initially talked to Isabel, I discovered many potential triggers for her inflammation. She was being exposed to a toxic mold, Stachybotrys, in her house. Her mother worked in limestone pits exposing her to excessive amounts of fluoride while pregnant. Isabel had all her immunizations before 1999 when thimerosal was removed from vaccines. She also had a thimerosal-containing flu shot every year.

Thimerosal contains mercury, a known immune toxin. This problem became compounded by her diet, which included large amounts of tuna and sushi she loved and ate regularly (and which exposed her to even more mercury) and loads of dairy and sugar. In the year before she got sick, she also had many courses of antibiotics.

Mold, mercury, antibiotics, sugar, gluten, and dairy all become potential immune irritants.

Isabel’s lab tests were frightening. Her muscle enzymes and liver function tests showed severe damage. She had many autoimmune antibodies (antinuclear antibodies, rheumatoid factor, anti-SSA, anti-DNA, anti-RNP, lupus anticoagulant), a sign that the levels at which the body was attacking itself were extremely elevated.

Other markers of inflammation were extremely high as well. Her white blood count and red blood cell count were low. Her vitamin D was also low. She had elevated levels of antibodies to gluten, which is a common cause of autoimmune disease and triggers significant intestinal inflammation. And her mercury level was extremely high in her urine after a provocation test (the only way to assess total body burden of metals). Normal is less than three. Hers was 33.

At the first visit, I simply put Isabel on an anti-inflammatory elimination diet to remove possible triggers of inflammation from food allergens. She stopped eating sugar, dairy, and gluten (from wheat). I gave her a multivitamin; vitamins D, B12, and B9 (folate); fish oil; and evening primrose oil all of which are anti-inflammatory.

I also gave her nystatin (a non-absorbed antifungal) to treat suspected yeast overgrowth due to the multiple courses of antibiotics. I gave her N-acetyl cysteine (NAC) to support her liver and told her parents to take her off of the acid blocker, the calcium channel blocker that she used for her Raynaud’s, and the intravenous steroids she had been taking.

Two months later, at her second visit, Isabel reported the rash was totally gone. She had no joint pain and her hair was growing back. Her autoimmune markers had dramatically improved. Her muscle enzymes, liver function, and level of inflammation were all normal.

I added probiotics to support healthy digestive function and reduce gut inflammation. I also started her on DMSA (a chelating agent) to help bind the mercury from her tissues and cells and help her excrete it. To help her get off the prednisone, I gave her herbs to support heradrenal gland function.

Seven months later, her tests were normal, including her white blood count. Her mercury came down from 33 to 16. After 11 months, her mercury was down to 11 and her gut inflammation was gone. She was off all her medications and feeling happy, normal, and was able to ride and show her horse again.

Isabel’s experience is not rare, and I take a similar approach (though not always as comprehensive) with autoimmune disease. Considering these and other amazing results, wouldn’t you say Functional Medicine should be expanded and made available to more patients? Shouldn’t we see more case studies and success stories like Isabel’s?

10 Steps to Reverse Autoimmune Disease

Functional Medicine removes the bad stuff, but it also replenishes with good stuff. What are the ingredients for great health? They include fresh food, light, air, water, movement, love, sleep, connection, balanced hormones, meaning, love, and purpose.

If you have an autoimmune disease, I encourage you to work with a Functional Medicine practitioner. These are among the strategies I take to reverse RA and other autoimmune diseases:

  1. Get tested for hidden infections.Work with your doctor to check for hidden infections like yeast, viruses, bacteria, and Lyme or other tick-borne illnesses.
  2. Try The Blood Sugar Solution 10-Day Detox DietMy plan is designed to eliminate most food allergens and reduce inflammatory foods.
  3. Get tested for celiac disease. This is a blood test any doctor can do.
  4. Get checked for heavy metal toxicity. Mercury and other metals can cause autoimmunity.
  5. Fix your gut. Leaky gut and other gut issues such as overgrowth of bad bugs (yeast, bacteria, and parasites) fuel the flames of inflammation, exacerbating autoimmune diseases. Functional Medicine practitioners can test your stool and employ the 5R program (remove, replace, re-inoculate, repair and renew)
  6. Use anti-inflammatory nutrients. Great anti-inflammatory nutrients that help calm your immune system include fish oil, vitamin C, vitamin D, and probiotics. You can find them all on my online store.
  7. Try anti-inflammatory herbs. Curcumin, Boswellia extract, ginger, etc. can work well. I often use Zyflamend, also known as Inflamasyn with my patients.
  8. Exercise regularly. Regular, consistent exercise is a natural anti-inflammatory. Click here to find a simple, effective plan no matter what your fitness level is.
  9. Practice deep relaxation. Stress worsens the immune response. Relaxation for you might include yoga, deep breathing, biofeedback, or massage. You might also try my UltraCalm CD.
  10. Get 8 hours’ sleep every night.You can get 19 of my top sleep tips here.

Even though autoimmune diseases now affect over 80 million people, conventional strategies like powerful immune-suppressing medication fail to address the underlying cause. That’s like taking a lot of aspirin while you are standing on a tack. The treatment is not to take more aspirin or a strong immune suppressant; it is to remove the tack.

In conventional medicine, most of us were taught to diagnose disease by symptoms, NOT by their underlying cause.

No matter what autoimmune disease you struggle with – and remember, they are just labels – I encourage you to dig deeper and address underlying causes. Again, I strongly encourage working with a Functional Medicine practitioner. To provide a richer arsenal of techniques to heal, I also strongly recommend my ebook The 10-Day Detox Autoimmune Solution.

If you’ve ever struggled with rheumatoid arthritis or another autoimmune disease, did you take the conventional medicine route or work with a Functional Medicine practitioner who helped you dig deeper regarding the underlying source? I would love to hear your story below or on my Facebook page.

Wishing you health and happiness,



The 8 Key Ways To Relieve Knee Pain That Really Work

Image result for The 8 Key Ways To Relieve Knee Pain That Really WorkProtect Your Knees

Knees have surpassed hips as the number one joint that gets replaced—one study from the Harvard’s Brigham and Women’s Hospital found that 1 in 20 people over the age of 50 had undergone surgery.

It’s really not surprising. The complicated structure of joints and cartilage coupled with a lack of protection makes knees especially vulnerable to injury. Knee injuries in turn can lead to osteoarthritis (OA), a form of arthritis that affects your joints. In fact, half of all Boomers who suffer tears to knee ligaments and cartilage will develop OA in as few as five years, says Patience White, M.D., a rheumatologist and vice president of public health for the Arthritis Foundation. Other conditions that make knees more prone to pain: bursitis, tendinitis, rheumatoid arthritis, and the inevitable wear and tear due to age.

While you can’t reverse the effects of knee damage or arthritis, you can slow them down. You may even stave off surgery forever, and save yourself thousands of dollars. The best time to do it is now—before the pain gets so bad you no longer can play with your grandkids. Here’s how:

1. Head to the doctor

f your knee hurts, make an appointment right away with your primary care physician, recommends Dr. White. The sooner you discover the cause of the pain, the sooner you can treat it and get relief.

The best thing your doc can do is refer you to a physical therapist, who will give you specific strengthening exercises. “The earlier you can come in and build strength in your knees, the better chance you have of avoiding surgery,” says Robert Agosto, DPT, director of physical therapy at the Sports and Spine Rehab Clinic in Rockville, MD. In fact, a recent study in the New England Journal of Medicine found that physical therapy was as good at easing pain and improving range of motion as knee surgery for people suffering from OA or a torn cartilage. And while a third of the 351 patients (all over 45) did eventually get surgery, the study showed that physical therapy is a good first option. And a cheaper one too.

2. Shed pounds

Sure, it’s a no-brainer, but knees bear the brunt of your body weight—and every pound you gain is the equivalent of four pounds of pressure on your knees. “So if you gain ten pounds, it’s like forty pounds across the knee, which is why the knees are so susceptible to weight problems,” says Dr. White, who’s also a professor at George Washington University School of Medicine. You can cut knee pain in half—as well as your risk of osteoarthritis—by losing 10 or 15 pounds, she adds. But even shedding one pound can help—if you couple weight loss with staying active. Osteoarthritis doesn’t necessarily have to go hand-in-hand with getting older, she adds.

3. Target key muscles

The key to preventing wear and tear is building up the muscles in the front and back of your thighs—the quadriceps and hamstrings. Warm up first by walking around the house or on a treadmill and then try these exercises, recommends Agosto:

Short arc quad:
This one’s easy, but great for people who need to ease into knee exercises. Lie on your back with your knee resting on a rolled towel. Tighten your thigh muscles while lifting and straightening your knee slightly. Hold for five seconds. Repeat with the other leg. To see how short arc quads are done, click here.

Wall slides:
Using a wall can be a gentler, safer way to build up your quadriceps. For slides, press your spine against the wall and slide into a sitting position as far down as you can comfortably go. Hold for a few seconds, then slide back up. Work up to longer holds and more reps. To see how wall slides are done, click here.

This exercise boosts hamstring strength (as well as strengthening your core and butt). Lie on your back with your feet flat on the ground, and knees over the heels. Lift your pelvis off the ground. The aim is to make a straight line between your knees and your shoulders. To see how the bridge is done, click here.

4. Be gentler when you exercise

Running on roads can jar your knees, while a jog through a wooded trail carries the risk of falls and twists to knees and ankles. A better way to run is on a treadmill or track, or alternate jogging with walking, Dr. White suggests. Biking doesn’t put as much strain on your knees, but it can cause pain if you ratchet up the resistance too high on a stationary bike or the saddle is pushed back too far or is too low.

If you bike a lot outdoors, you might want to spring for a professional bike fitting, which can help you with seat and handlebar height and pedal strokes. Whatever exercise you do, just remember to warm up.  You lose muscle strength as you get older—especially if you sit at a desk most days—and that just increases your chances of injury when you head out to exercise.

5. Spice things up

Inflammation can exacerbate knee pain—as well as increase the risk of chronic conditions like arthritis, says Beth Reardon, RD, director of integrative nutrition at Duke Integrative Medicine Center in Durham, NC.  While pain relievers like aspirin and ibuprofen can inhibit the COX enzyme, a key player in inflammation, certain foods and spices can too. Chief among them is quercetin, a flavanol found in apples, onions, and green tea. Tumeric, cumin, ginger, and capsicum, found in red pepper, are also high in anti-inflammatory properties, says Reardon.  To get the effects of these anti-inflammatories, drink at least three cups of green tea a day and add these spices into your cooking rotation. Also eat more fruits, vegetables and fish that are high in omega-threes, like salmon.

6. Ditch the heels—and the flats

“High heels aren’t good for your knees, they’re not good for your feet. The lower the heel, the better,” says Dr. White, who recommends footwear with heels no higher than two inches. Also bad for knees: Shoes with no arch support, like loafers and ballet flats. If you love the ease of either, get over-the-counter inserts that can provide a bit more support. And if you walk a lot, splurge on a good pair of kicks that can really cushion your steps. Then slip on those heels or loafers once you get to your destination, says White.

7. Try supplements

Two supplements that promised pain relief to people with osteoarthritis have gotten mixed reviews from observational studies—glucosamine, found naturally in shellfish and animal bones, and chondroitin, made from animal cartilage. Both seem to benefit some people with OA and not others. “I don’t have any trouble with people trying either, especially if they help. But if they don’t, save your money,” says Reardon.

Instead, check out Zyflamend, a blend of anti-inflammatory spices like rosemary, green tea, ginger, tumeric, and Chinese herbs. The OTC supplement has been found to relieve pain in people with OA. “We should be eating more of those foods, but if you don’t then that’s one supplement I would recommend anybody take,” Reardon adds. The reported side effects: A bad taste in your mouth, heartburn, and diarrhea.

8. Keep a food journal

In some people with OA, eating foods like eggplant, tomatoes, and citrus can cause painful flare-ups, while others get a reprieve from their symptoms, explains Reardon. That’s why it pays to keep a record of what you eat and how you feel each day, she suggests. Or you can experiment with various foods. Eliminate tomatoes, potatoes, eggplant, and peppers for three weeks, and record your symptoms. Do the same with citrus. Then add each food back gradually and see if the pain worsens.




Erelzi Approved For Treatment of Rheumatoid Arthritis, Psoriatic Arthritis

The U.S. Food and Drug Administration today approved Erelzi, (etanercept-szzs) for multiple inflammatory diseases. Erelzi is a biosimilar to Enbrel (etanercept), which was originally licensed in 1998.

Erelzi is administered by injection for the treatment of:

  • moderate to severe rheumatoid arthritis, either as a standalone therapy or in combination with methotrexate (MTX);
  • moderate to severe polyarticular juvenile idiopathic arthritis in patients ages two and older;
  • active psoriatic arthritis, including use in combination with MTX in psoriatic arthritis patients who do not respond adequately to MTX alone;
  • active ankylosing spondylitis (an arthritis that affects the spine); and
  • chronic moderate to severe plaque psoriasis in adult patients (18 years or older) who are candidates for systemic therapy or phototherapy.


Health care professionals should review the prescribing information in the labeling for detailed information about the approved uses.

“The biosimilar pathway is an important mechanism to improve access to treatment for patients with rheumatic and autoimmune diseases,” said Janet Woodcock, M.D., director of the FDA’s Center for Drug Evaluation and Research. “We carefully evaluate the structural and functional characteristics of these complex molecules. Patients and providers can have confidence that there are no clinically meaningful differences in safety and efficacy from the reference product.”

Biological products are generally derived from a living organism and can come from many sources, including humans, animals, microorganisms or yeast. A biosimilar is a biological product that is approved based on a showing that it is highly similar to an already-approved biological product and has no clinically meaningful differences in terms of safety and effectiveness from the reference product, in addition to meeting other criteria specified by law.

The FDA’s approval of Erelzi is based on review of evidence that included structural and functional characterization, animal study data, human pharmacokinetic and pharmacodynamics data, clinical immunogenicity data and other clinical safety and effectiveness data that demonstrates Erelzi is biosimilar to Enbrel. Erelzi has been approved as a biosimilar, not as an interchangeable product.

Erelzi should not be administered to patients with sepsis.

The most serious known side effects with Erelzi are infections, neurologic events, congestive heart failure and hematologic events. The most common expected adverse reactions with Erelzi are infections and injection site reactions.

Erelzi contains a Boxed Warning to alert health care professionals and patients about an increased risk of serious infections leading to hospitalization or death, including tuberculosis, invasive fungal infections (such as histoplasmosis) and others. The Boxed Warning also notes that lymphoma and other malignancies, some fatal, have been reported in children and adolescent patients treated with tumor necrosis factor blockers, including etanercept products. The drug must be dispensed with a patient Medication Guide that describes important information about its uses and risks.

Erelzi is manufactured by Sandoz Inc., based in Princeton, New Jersey, at Novartis Pharma in Stein, Switzerland. Enbrel is manufactured by Amgen Inc., of Thousand Oaks, California.



25 Tips to Manage Rheumatoid Arthritis Fatigue

Image result for Rheumatoid ArthritisTips to manage rheumatoid arthritis fatigue (UPDATED 2016)

Rheumatoid Arthritis fatigue is a real tangible physical symptom of RA.  I’ve read so many frustrating articles about how to manage Rheumatoid Arthritis fatigue that sound like the writers can’t articulate exactly what it is. Maybe I’ll help them out since person with rheumatoid disease (PRD) knows firsthand…

Rheumatoid Arthritis fatigue can feel like the tiredness of a flu virus.  It can come at any time of day or night. Rheumatoid arthritis fatigue is not always the result of physical activity. It can suddenly develop for no apparent reason. Rheumatoid Arthritis fatigue can last hours or days. It makes movement very difficult. It is not a psychosomatic condition.

Readers’ favorite tips to manage Rheumatoid Arthritis fatigue

It’s tough work for PRD to manage Rheumatoid Arthritis fatigue on top of pain and disability. Here are some ways readers cope.

  • Budget energy wisely. Guard energy.
  • Have a regular schedule. Or go to bed early.
  • Do gentle modified stretching or yoga.
  • Eat a nutritious, balanced snack such as protein bar and fruit.
  • Get the best sleep at night possible.
  • Get the best bed possible.
  • Use heat to fight fatiguing pain.
  • Eat on a regular schedule.
  • Eat enough protein.
  • Take small naps.
  • Go until you collapse.
  • Try relaxation or meditation techniques.

My favorite rheumatoid arthritis fatigue management tips

Here are some things I’ve tried to manage rheumatoid arthritis fatigue.

  • Alternate periods of activity and rest.
  • Check for deficiencies such as iron or vitamin B-12.
  • Treat the disease as aggressively as possible.
  • While resting, plan for what you’ll do when you are more able.
  • Fruit juice & sympathy.
  • Check for side effects of medicines. Take them at the best time of day to avoid fatigue.
  • Accept the reality that the list will not be accomplished today.

What people do to manage rheumatoid arthritis fatigue when nothing else works

Sometimes nothing works well when fatigue is severe. When you are desperate try these…

  • Caffeine.
  • When the body says, “No more,” then stop.
  • Watch a movie.
  • Take large naps.
  • Delegate and oversee.
  • Blue Kryptonite.