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Lean protein sources: chicken, turkey, fish, eggs, lentils, tofu Dairy or fortified alternatives for calcium, particularly important if you take corticosteroids that can affect bone density Complex carbohydrates and fibre Wholegrain or sourdough bread, oats, brown rice, sweet potato, quinoa Beans and lentils, which provide both fibre and plant-based protein A high-fibre diet supports gut health, which is increasingly linked to autoimmune disease management Foods to limit Ultra-processed foods, which tend to promote inflammation Sugary drinks and refined carbohydrates Excess alcohol, which can interact with RA medications (particularly methotrexate) Bone health RA, corticosteroids, and rapid weight loss can all affect bone density

But as you said, Ive already optimized chewing, eating mindfully, adding digestive enzymes

Although compounding remains an acceptable pharmacy practice, the recent compounding of generic semaglutide has highlighted several patient issues

For example, if you usually administer tirzepatide on Sundays, you can administer the next dose on Wednesday or any day after Wednesday

But, noted Casberg, the DPP-4s and SGLT2s are significantly less expensive, with annual list prices in the $6,000 range for Januvia and Jardiance