Overview

In a previous exploratory study, the investigators observed an effect on disease activity outcomes of anti-inflammatory diet. The investigators also observed change in microbiome and circulating metabolites. The current study will determine whether or not the addition of anti-inflammatory diet improves the clinical outcomes in participants with rheumatoid arthritis, and the role of microbiome and circulating metabolites.

Eligibility

Inclusion Criteria:

• Patients with low or moderate disease activity (defined as Clinical Disease Activity Index ≤ 22) and without changes in disease activity or therapy during the previous 3 months, who are interested in dietary intervention, and are able to provide consent and attend to follow up visits.

Exclusion Criteria:

• Pregnancy or lactating. Patients that will become pregnant during the study will be remove from the study.
• Food allergies
• Subjects with significant other comorbidities and /or medication use which in physician's clinical judgment might difficult the interpretation of the results