Originally posted by VectraMan
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There are a number of musings behind this, but the most accepted idea at the moment is: many bacteria contain genome patterns very similar to HLA-B27 and in attacking the bacteria in the diverse microbiome within the gut your body is ultimately inadvertently attacking the synovial fluid and collagen between joints, resulting in inflammation. Thus reducing the proliferation of this bacteria can lead to decreased experience of inflammation and therefore symptoms. This would also explain why a FODMAP diet, which heavily limits specific starches is also seen as beneficial for many (yet not all) such patients.
I have two friends who have taken this approach and done well and no longer on medication, managing it via diet - but a third isn't having much luck at all. This would lead to the fact that these diseases are often inter-related and caused by different bacteria or immune issues in the first place, so diet will not help alleviate all cases. Best of luck to you.


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