(Note: The nutrition and supplement information given here is relevant for all arthritics, including those who suffer from osteoarthritis and rheumatoid arthritis, which follows this "Osteoarthritis" entry.) It is important for arthritics to eat a diet high in protein, and to include complex carbohydrates and lots of fresh fruits and vegetables (avoid citrus fruits). Foods that are particularly protective include lentils, soy, and barley (rich in folic acid); asparagus, egg, garlic, and onions (high-sulfur content inhibits inflammation and assists in the repair and rebuilding of body tissues). Also include deep-sea, cold-water fish-such as tuna, salmon, and trout (high in fatty acids that lubricate the joints)-and soy products such as tofu and tehlpeh (high in the amino acid methionine). Consume up to a gallon of pure drinking water daily and juices from red, yellow, and green fruits and vegetables (not citrus), six to eight times daily (rich in phytochemicals). Be sure to eat fresh pineapple frequently, as it contains bromelain, an enzyme that fights inflammation.

Reduce your fat intake, as extra weight increases stress on joints and bones, and remember to eat foods rich in fiber every day. Some sufferers have an adverse reaction to nightshade vegetables (peppers, eggplant, tomatoes, white potatoes) because they contain solanine. Solanine interferes with enzymes in the muscles, resulting in pain and discomfort. Avoid iron supplements, as iron has been shown to be involved in pain, swelling, and joint destruction. Get your iron from foods such as peas, cauliflower, fish, broccoli, or blackstrap molasses.

People suffering from arthritis can benefit from an individualized supplement program. A specialist takes into consideration type of arthritis, age, weight, and a number of other factors. Also, studies have indicated that people suffering with arthritis have benefited from taking S-adensyl-L-methionine (SAM-e). Neither a hormone nor an herb, SAM-e is a chemical compound found in all living cells. In most people, the body manufactures all the SAM-e it needs from the amino acid methionine found in soybeans, eggs, seeds, lentils, and meat. It appears to regulate more than 35 different mechanisms and helps the body maintain cell membranes and remove toxic substances.

Following are some daily supplements that can benefit all arthritics.

Most Important

boron (3 mg)-required for healthy bones; recent studies suggest it may even reverse symptoms of osteoarthritis

sea cucumber (as directed on label)-replenishes the lubricants needed for connective tisues and joints

N-acetyl lucosamine (as directed on label)-aids in bone, tendon, and ligament formation

pantotheni cid (500 mg)-essential for steroid production

bromelain (as directed on label)-inflammation-fighting enzym

Also Recommended

calcium (2000 mg)-needed to prevent bone loss

shark cartilage (as directed by healthcare provider)

cat's claw (as directed on label)

magnesium (1000 mg)-needed to balance calcium

copper (3 mg)-strengthens connective tissue

zinc (30 mg, not to exceed more than 100 mg total supplement)-necessary for bone growth; often deficient in arthritics

coenzyme (60 mg)-aids in the repair of connective tissue

niacinamide (500 mg 3 times daily)-helps reo lieve pain and reduce inflammation (Note: this vitamin is especially helpful for rheumatoid arthritis sufferers.)

vitamin E (400 IU)-an antioxidant that protects joints from damage by free radicals; increases joint mobility

citrulline (as directed on label)-antiinflammatory properties (Note: this vitamin is especially helpful for rheumatoid arthritis sufferers.)

glutathione or N-acetyl cysteine (250 mg) strong antioxidants (Note: especially helpful for rheumatoid arthritis sufferers.)

grape seed extract (as directed on label)-a free radical scavenger that also fights inflammation and strengthens connective tissue

hydrolyzed collagen (as directed on label)-important for joint tissue rebuilding

S-adensyl-L-methionine (SAM-e) (as directed on label)

methyl sulfonyl methane, or MSM (as directed on label)-a sulfur compound that aids synthesis of collagen

capsaicin (as directed on label, topically or orally)-good pain reliever and anti-inflammatory

(For an acute condition, take supplements until your symptoms subside. If symptoms persist, seek the advice of your healthcare provider. For a chronic condition, consult your healthcare provider regarding the duration of treatment.)