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What are the best treatment options for severe arthritis in Thailand, especially concerning knee replacements?
Arthritis TreatmentKnee ReplacementThai HospitalsPublic vs Private HealthcareCortisone InjectionsAlternative TherapiesDiet and InflammationOrthopedic Surgeons ThailandProlotherapyPRP Injections
Sep 28, 2024
2 years ago
Mike ********
ORIGINAL POSTERNot visa advice but medical. My Thai g/f has bad arthritis in her knees, has anyone on here had a similar issue in thailand ? She’s 59 and has been countless times to various Thai hospitals for treatment and it’s always the same. take blood, X-rays, injections etc, I said she needs a knee replacement but she and the doctors are against it, she’s in constant pain from it and has tried most of the alternative fixes, creams,patches,injections,massage,etc non working, just had 6 visits to a clinic in Bkk for treatment and things are still the same,. I’m reluctant to pay thousands of baht for a private knee opp in a Bkk hospital when she as a Thai citizen can get it for free or little cost at a public Thai hospital,and before you start calling me a cheap Charlie I’ve thrown thousands of baht at this problem for years to no avail, fed up of going around in circles and need it sorting once and for all, any advice on costs of doing it private/public and the outcome at the end Tia,.
TLDR : Answer Summary
A user seeks advice on treatment options for their Thai girlfriend suffering from severe knee arthritis. Despite numerous visits to various hospitals and treatment attempts, they are considering a knee replacement, which local doctors have been hesitant to perform. They are uncertain whether to pursue private surgery due to potential costs, especially given her eligibility for public healthcare as a Thai citizen. The community discusses the effectiveness of alternative treatments, dietary changes, and potential costs for surgeries in both public and private facilities in Thailand.
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Thomas ********
Castor oil with cayenne pepper powder, rub on knee 2x daily
Sylvia ********
Knee replacement is most certainly done successfully in Roi Et and Khon Kaen
And for mother in law of 70 both knees since Covid
If your wife wants to chat with my 'sister ' in thai or yourself in English about costs, surgeon etc please message me for contact
And for mother in law of 70 both knees since Covid
If your wife wants to chat with my 'sister ' in thai or yourself in English about costs, surgeon etc please message me for contact
Christopher *******
Mike Davies Look up "Thai Bone manipulation," the proprietor Narm. Lives Nirun Condo Pattaya, also runs two Clinics one at Nirun Condo. This guy and his wife, are the very best at treating this condition. I also suffer the same issue, and he eases the pain. THB 1000 per visit, 1st visit
***
hours depending on how much pain she can stand. Worth a go.Lena *******
Knee surgery is a massive undertaking and does not have a great success rate as you get older. I've had three friends do it and they are still wobbling. I agree with everyone who has suggested the diet route. Carbs and sugar are the enemy of good health. Magnesium is your friend but not the shitty stuff. Vit D (I know it's sunny) but look up the work of Dr. Eric Berg. And exercise.
Lynnette *******
@Lena ******
thousands upon thousands of successful knee replacements and you know 3 who you say weren't. That's 3. . Which of course, could be due to surgeon error or the wrong type of implant. Fyi once bone and cartilage have worn away you can't replace it no matter what you eat. You'll reduce inflammation but that's it.Lena *******
I am not sure there are thousands but I'll let you have that. Data, not anecdote. Arthritis can be alleviated by many other things rather than going under the knife. Plus people expect doctors to do it all. I just keep exercising, take supplements and maybe having a healthy 94 year old mum has something to do with it. But as I said, happy for you to have your view.
Reply to
Lena *******
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Danny *******
May I suggest you watch videos on YouTube by Dr Jeffery Pang he talks about PRP injections for relieving arthritic pain he backs up his recommendations with actual medical studies, the only thing is every clinic I have had contact with in Thailand don’t do the procedure properly they don’t draw enough blood (it should be 60 ml) to extract the required amount of Platelet cells (6-8 mls) to inject into the knee thus making the treatment useless. I will continue to look and if I find a clinic that does the treatment properly I will put it on the platform.
Mitchell *******
One of the simplest things to try first is diet.
Just a bit of advice before you go too drastic.
Also, she COULD be allergic to something she is eating.
@Cam *******
is on the right track. Might be hard for an Asian, but first try cutting out things high in carbs and sugar like rice, pasta, bread, packaged granola, fruit juices, etc. even whole grain versions for a while. It may not be the cure, but could feel a difference in as little as a few days.Just a bit of advice before you go too drastic.
Also, she COULD be allergic to something she is eating.
Lena *******
@Mitchell ******
You know a lot of people would rather trust an orthopedic butcher than take personal responsibility. I know a lot of doctors who wouldn't have back, knee etc surgery. I'm with you. Carbs and sugar cause a lot of trouble.Reply to
Lena *******
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Bernie *************
I told my partner to try 2 x 1500 mg glucosamine per day and after about a month it had really quietened down now it seems to be under control. This was about 6 months ago and it was mostly in her hands. Hope this helps your gf my friend
Mike ********
ORIGINAL POSTER@Bernie ************
Thanks,.Reply to
Mike ********
Reply
Arron *********
Queen Siriket hospital is great. Satahip
Maii *****
Arthritis is linked to body inflammation which is linked to fungal over growth/yeast infections n so on which is linked to having the bad parasites in ur body
Therefore perhaps consider a deep liver cleanse! Along w raw juicing of beets_celery and vitamins... zero sugar! Fix the diet eat really clean n raw! VitD sunshine n loads of VitC
Parasite cleanse too with praziqantel n fenbendazole or such oral medications!
A cleanse can take 1.5yrs to clear the deeper issues!
That's just my take, look into what causes types of arthritis! And look up deep cleanse for arthritis
Goodluck🙏❤
Therefore perhaps consider a deep liver cleanse! Along w raw juicing of beets_celery and vitamins... zero sugar! Fix the diet eat really clean n raw! VitD sunshine n loads of VitC
Parasite cleanse too with praziqantel n fenbendazole or such oral medications!
A cleanse can take 1.5yrs to clear the deeper issues!
That's just my take, look into what causes types of arthritis! And look up deep cleanse for arthritis
Goodluck🙏❤
Mike ********
ORIGINAL POSTER@Maii ****
Thanks,,Reply to
Mike ********
Reply
James *******
Why would you say she needs a knee replacement rather than the doctors, what are your qualifications to do that? What do the xrays say in terms of the damage etc?
Mike ********
ORIGINAL POSTER@James ******
I’m just a passenger in all this, I’m in uk she’s in thailand, I go back to TH in the next couple of months long term, it’s between her and the doctors, I have no say in the matter, maybe I’m not getting the full medical picture, what I do know this problem has been getting allot worse over the last year or two,. She’s been admitted to hospital several times and still no solution/ treatment for the problem,.ok I may be guessing/ hoping that a knee replacement would do the trick as that is the main issue,.James *******
@Mike *******
Ah ok. The rock Thai beds might be a factor (but probably not for a Thai) as they screw up my knees due to pressure being put on them from body weight. A softer mattress might help her a bit.Mike ********
ORIGINAL POSTER@James ******
Oh yes, I agree with you there, a soft mattress topper is on the shopping list,.Reply to
Mike ********
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Wal *********
Just join a private health fund for hospital cover and knee replacement cover pay for 12 months waiting period and you are covered i did this with NIB
Micheal ********
Check a treatment called benipal ?
Bob **********
If your in pattaya go to Loma clinic in Naklua
Aaron *******
I have arthritis in my hips. Received positive results at Zen Medical Center in Pratmanuk. Received Stem Cell Treatment and the previously mentioned PRP, and some other treatments. Private clinic so probably not covered under Thai medical coverage.
Seillan **********
Paracetamol et anti inflammatoire c'est la réponse
Deb ********
Please pm me with an email address it could be an inflammatory issue which is easy to try. A friend had it bad and this helped him by 90%. He gave me the 38 page information on each food and it's inflammatory rating. I don't have arthritis but it definitely helped me with other issues. The other out of the box idea is frequency music. You can find this on you tube, search for "frequency music for arthritis". She needs to use headphones and allow 2 hours for the first session, then followed by a 1 hour session before bed and another when she wakes up. If that hasn't worked then play around with different frequencies. There are frequency apps too. This has worked for me on sore throat, I use it instead of anti biotics. That being said I don't know if it works for others, but what has she got to lose trying it?
Mike ********
ORIGINAL POSTER@Deb *******
Thanks for the reply, but there is no way she would/ could apply this “cure”,.Deb ********
@Mike *******
All good, I just thought I'd pass it on, do with it what you will or won't. I hope you find something to help her.Reply to
Deb ********
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Stephen *********
My father has cortisone injections. Seems to work for a few months.
John *********
You said she is against the need correction for the problem, knee replacement. You have done all you can do.
Tulip ********
it doesn't cost a fortune to get an independent view from a top surgeon in BKK. Pay for that then decide
Sasi ************
PRP, Stem cells as above comment s are good alternative, worth looking into.
I can understand that the doctors are not recommending the replacement. You may need to consult an Orthopedic surgeon which most large government hospitals have. There are best surgeons and specialists, I personally knew one , he is working for Thai hockey team but unfortunately living and working in Udonthani, my hometown.
I can understand that the doctors are not recommending the replacement. You may need to consult an Orthopedic surgeon which most large government hospitals have. There are best surgeons and specialists, I personally knew one , he is working for Thai hockey team but unfortunately living and working in Udonthani, my hometown.
Steve **********
@Sasi ***********
Maharaj in Chiang mai has exceptional Orthopedic Dr's, they are also Prof at CMUSasi ************
@Steve *********
Of course, that’s one of the well known institutions. Another best surgeon is also in Udonthani; extremely busy, only see patients twice a week but his operation schedule was 6-7 months in advance. These surgeons can’t even retired even they are well aged qualified.Steve **********
@Sasi ***********
agree, heard about the one in Udon, Thailand has very good medical care with exceptional nursing staff.I'm in Chiangmai and am totally pleased with Med care. No insur, but Costs minimal.
Reply to
Steve **********
Reply
Nicholas *******
Stem cells
Ken *********
I see another comment suggesting CBD.
I've used CBD for about 6-7 years.
Arthritis in my shoulder was debilitating. Seriously.
CBD has basically eliminated pain from my shoulder, but it does nothing for the arthritis in my wrist. Try it, you will know in a few weeks if it does get any good. 🙏🙏🙏
I've used CBD for about 6-7 years.
Arthritis in my shoulder was debilitating. Seriously.
CBD has basically eliminated pain from my shoulder, but it does nothing for the arthritis in my wrist. Try it, you will know in a few weeks if it does get any good. 🙏🙏🙏
Ken *********
BTW, I'm 75 years old and will return to Thailand in a month. I look forward to the 300 step stairway at Huai Luang Waterfall!
Reply to
Ken *********
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Scott *******
Start lifting heavy weights
David ********
@Scott ******
stupid answer.i need both knees and hip replaced.losing weight lessens pain .Scott *******
@David *******
I had to take up weightlifting to help me cure my arthritis because I was a bit too sedentary… Apologies, my advice for me does not work with everyone…Reply to
Scott *******
Reply
Mike ********
ORIGINAL POSTERScott *******
@Mike *******
Weight training will help to strengthen and get rid of arthritis and other thingsReply to
Scott *******
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Steve **********
Why is everyone selling their solution thru diet, replacement, proto?, and bee serum etc.
The guys asking for advice ( foolishly thru fb ) ,
Go to a good hospital, talk to a good Ortho Dr, and ask them for options, not the predators selling snake oil
The guys asking for advice ( foolishly thru fb ) ,
Go to a good hospital, talk to a good Ortho Dr, and ask them for options, not the predators selling snake oil
Mike *******
You have to see a good orthopedic doctor in a good hospital. As Steve said. Ask the doctor questions and decide from there. Depending on what’s causing the medical issues, other specialist might have to become involved.
I realize you are trying to get peoples opinions. But they are just guessing also.
I realize you are trying to get peoples opinions. But they are just guessing also.
Steve **********
@Mike ******
Many Med Univ here have Ortho Professors as Ortho Surgeons as affil HospitalReply to
Steve **********
Reply
Cam ********
@Steve *********
champ, if a doctor prescribes you something without asking your diet, you have a drug dealer. Not a physician. Plain and simpleRancy *******
@Cam *******
seems to be we have unlimited drug dealers!Steve **********
@Cam *******
champ ?Reply to
Steve **********
Reply
Mike ********
ORIGINAL POSTER@Steve *********
We’ve been to many different hospitals and clinics and tried all the snake oils under the sun, just trying to find out other peoples experiences as fed up with being fobbed off by the Thai doctors,.Steve **********
@Mike *******
What Province are you in MikeReply to
Steve **********
Reply
Mark *******
PRP
Worked great for my knees
Worked great for my knees
Mike ********
ORIGINAL POSTER@Mark ******
What’s PRP ?Yoni *******
@Mike *******
PRP is the more aggressive approach compared to prolotherapy. Also sometimes 10x more expensive. And doubt insurance will pay for either. Search PRP vs Prolotherapy for her condition.
Mark *******
@Mike *******
got PRP at surecell PratumnakYoni *******
@Mark ******
what was cost. Curious?Mark *******
@Yoni ******
3 jabs in each knee over 3 weeks 20,000 bahtReply to
Mark *******
Reply
Mark *******
Mark *******
@Mike *******
*****************************************************
Reply to
Mark *******
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Paul *********
My wife has had both knees replaced. She has minimal pain now (right knee only), which could yet improve because it's not yet a year since it was done.
After she had her first knee replaced, they asked about her second knee, and she had no hesitation at all. Which tells you all you need to know.
After she had her first knee replaced, they asked about her second knee, and she had no hesitation at all. Which tells you all you need to know.
Mike ********
ORIGINAL POSTER@Paul ********
Great comment, good to hear, she has one knee 100% number 8 in pain threshold, and other knee seems manageable at the moment,.Paul *********
@Mike *******
It's all fine talking about diet etc, etc, but she's the one in pain. We went through the injections. In the end they just speed up the break down of the knee by masking the problem, and allowing the joint to wear faster.
In the end it's your partner's pain, you should really do what she wants or requires.
Reply to
Paul *********
Reply
Paul *****************
A knee replacement in a public thai hospital dream on. It provides basic care and certainly not treatments you’d expect in Western countries.
Sylvia ********
@Paul ****************
thai mother in law has had 2 knee replacements in Roi Et government hospital since Covid, just said extra for a private room. She's over 70 and both successful, pain free at lastMike ********
ORIGINAL POSTER@Paul ****************
I know, she only goes there for acupuncture or sticking a plaster on the problem and some pain relief,Reply to
Mike ********
Reply
John ********
Maybe they are refusing for another reason like osteoporosis. ? Have they said why ? Have you seen xrays , or used xrays for second opinion ?
Mike ********
ORIGINAL POSTER@John *******
Had loads of x rays, I’ve not seen them, if it’s osteoporosis and not osteoarthritis what’s the difference ?John ********
@Mike *******
osteoporosis is crumbling of the bone . It won't stand a knee replacement . You can suffer both conditions at the same time !Reply to
John ********
Reply
Lynnette *******
Knee replacement is fine when the cartilage is worn and bones are grinding together. Unfortunately once the joint is sworn away like that diet is unlikely to help. It does help with inflammation in the early days but not much help with bone loss.
Mike ********
ORIGINAL POSTER@Lynnette ******
That’s the main issue, it’s bone on bone, cartilage is worn away,,Lynnette *******
@Mike *******
I suffered that for years. My knee bent outward so when they did surgery had to make sure legs were same length. I had to fight to get the surgery in UK. But got it done and got 2 straight legs!Reply to
Lynnette *******
Reply
Yoni *******
There is only one thing other than serious diet changes to remove all inflammatory molecules from the diet. And yes that includes rice.
But only ONE medical therapy that will do anything for her.
PROLOTHERAPY. That's all.
For diet research Dr. Terry Wahls
For prolotherapy. There are lots of clinics in Thailand
But only ONE medical therapy that will do anything for her.
PROLOTHERAPY. That's all.
For diet research Dr. Terry Wahls
For prolotherapy. There are lots of clinics in Thailand
Barry ***********
Rub bee venom onto the knees
Mike ********
ORIGINAL POSTER@Barry **********
Just bought some of that a few weeks ago and some gels,.Reply to
Mike ********
Reply
Andy **********
My understanding of the health care system that Thai people receive from the government hospitals, (they pay a ฿30 contribution in there home Provence) I wouldn't have thought they would do a knee replacement, under that government treatment plan, if they did, I would have thought it would only be a case of if that person was going to actually loose the knee, you say she has had injections?? In my home country, people regularly have cortisone injections, is it something you have already tried?? I don't know if it's relevant to your wife's situation.
Mike ********
ORIGINAL POSTER@Andy *********
She’s just had 5 treatments of cortisone at the “health clinic” in Bangkok costing *****
bht and it didn’t make any difference,.acupuncture, creams,lotions,massage,stick on patches etc ,.Reply to
Mike ********
Reply
John **********
It's normal for doctors to shy away from replacement surgery unless it's absolutely essential as the replacement has a life of maybe 15-20 years and as i understand it a limit of 2.
Sylvia ********
@John *********
my Thai mother in law in Roi Et has had 2 successful knee replacement since Covid and she's over 70John **********
@Sylvia *******
yes the older you are the happier they are to do it due to the lifespan of the replacementsReply to
John **********
Reply
Gary *******
Seems you not love your wife or you would pay for her to have the operation to be pain free and let her wait till it too late for a Thai hospital to do it very cheap
Deb ********
@Gary ******
What a terrible thing to say, who stuck the pineapple up your ar..?Gary *******
@Deb *******
the truth hurts I see with youDeb ********
@Gary ******
Nothing wrong with the truth. It's the way you articulate it that counts....you don't remember what people say. But you always remember how they make you feel.....Reply to
Deb ********
Reply
Mike ********
ORIGINAL POSTER@Gary ******
Love has got nothing to do with it, the doctors/ hospitals are not willing to do a knee replacement, my g/f of 15 years is scarred of having the operation, I’m not made of money but I’ve spent thousands of baht over the last 15 years and still have the same problem,.Gary *******
@Mike *******
new knee in uk is only £8000Reply to
Gary *******
Reply
Galenus ******
59 is old age in Thailand. C'est la vie
Robert **********
Hi I would say the last thing she needs is a replacement I had similar issues and had arthroscopic surgery but I did this privately through insurance, I believe the cost at the time was around 100k THB but certainly worth looking round
Kevin **********
@Robert *********
I would say a knee replacement exactly what she needs. She's bone on bone and is keeping her body in a constant state of accelerated inflammationReply to
Kevin **********
Reply
Phil ********
I use Arcoxia.
You can get them in any pharmacy.
Also try CBD oil from places like Bloom Express.
You can get them in any pharmacy.
Also try CBD oil from places like Bloom Express.
Tree *******
@Phil *******
I have pretty advanced osteoarthritis and I so wish CBD helped but it doesn’t. I was in the cannabis industry in the US for many years and tried many different products but unfortunately none worked to help my knee pain. But it’s great for so many other pain, especially when paired with THC.Phil ********
@Tree ******
If you need something for knee pain I highly recommend these knee patches from Lazada. I used to have the feeling of broken glass in my knees when i kneeled down and now after using these it's gone.
Reply to
Phil ********
Reply
Crystle ********
I wonder if there’s a way to force the issue through public as she’s entitled to it? I assume that’s what you’re asking also.
Mike ********
ORIGINAL POSTER@Crystle *******
I’m just a passenger in this problem, I can’t wade in as a farang and dictate/demand what treatment she receives, she can stand up for herself (no pun intended),.Reply to
Mike ********
Reply
Peter **********
its a standard op for osstearthristic, might cost a few hundred thousand if you go private
Tree *******
@Peter *********
When it says 2 side does that mean cost for both knees? Or just one?Peter **********
Tree Plant I'd say 2 as it does say 2 sides
Reply to
Peter **********
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Lone **********
Go and see Dr Gerhard Melcher in Phuket. He is world class ortho surgeon.
********************************************************************************************
Robert **********
Has she been to petcharavej hospital ?
Mike ********
ORIGINAL POSTER@Robert *********
Google reviews not great,.Robert **********
Ignore the reviews. The hospital is awesome. I recommend you try it.
Reply to
Robert **********
Reply
Mike ********
ORIGINAL POSTER@Robert *********
No just a couple of big hospitals in pattaya and in home town of Kamphaengphet and local small hospitals and clinics,. Where’s the hospital you mention at ?Reply to
Mike ********
Reply
Frank **********
Of they refuse to do the surgery then you probably do not have much choice but to pay for it at a private hospital. Either way good luck and hope you find a solution.
Cam ********
People are going to turn their nose up at this comment but oh well.
Look into carnivore diet. I personally know someone with horrific arthritis that has cured, I mean CURED it entirely within 3 months eating carnivore.
Once you start a deep dive though, hold on. Throw away the traditional food pyramid way of eating as that’s proven to have been created in the 60’s by the grain industry.
Just try it. 3 months. Can only tell me it’s stupid if you’ve tried it and it doesn’t work.
Look into carnivore diet. I personally know someone with horrific arthritis that has cured, I mean CURED it entirely within 3 months eating carnivore.
Once you start a deep dive though, hold on. Throw away the traditional food pyramid way of eating as that’s proven to have been created in the 60’s by the grain industry.
Just try it. 3 months. Can only tell me it’s stupid if you’ve tried it and it doesn’t work.
Deb ********
@Cam *******
probably more to do with inflammatory and non inflammatory foods rather than the carnivore diet.James *********
@Cam *******
Alternately, the Tequila diet has worked for Billy Brown for many years....Rick *********
@Cam *******
totally agree my friend I have Crohn’s which is also an auto immune disease and although I don’t stick to the carnivore diet I try to and it helps keep me off medication and keeps the flair ups at bay 👍Jeff ******
@Cam *******
I'm living proof of the keto diet at 59 if you want to hear how it changed my life just ask. P.S. my blood work is perfect.Tree *******
@Cam *******
I’m one that believes changing your diet and what you consume can definitely have a positive outcome on your physical health. However, I do not understand how carnivore or any diet can “cure” osteoarthritis, which is what I have and maybe what the OP’s gf has as well. I think if it’s caught early on, it could be somewhat reversed but I just have a hard time believing if someone who is almost 60 and has had years of knee pain can have it cured by any diet. I have a good understanding of carnivore and several other diets such as keto that can be great for curing many physical ailments. So I don’t discount your statement entirely.Mike ********
ORIGINAL POSTER@Tree ******
Shes suffered with it from 2009 and it’s got progressively worse,.Tree *******
@Mike *******
I can sympathize. Both my knees are in need of replacement but I’m going to see if PRP treatment can help in the meantime until I can get the surgery. We moved to Pattaya recently and will be seeing an orthopedist next week to get an assessment. I hope you find a solution for your gf.Reply to
Tree *******
Reply
Cam ********
I see you’re one of those fools hey
Believe that cholesterol is bad for you? Even though it’s literally almost everything an infant consumes? Even though it’s what our brain needs to function? Even though statin medication has killed more people while outselling nearly all other medications world wide?
Come on man. If you’re gonna laugh back it up with why you’re being ignorant. 🤦♂️ 😆
@John *******
? Believe that cholesterol is bad for you? Even though it’s literally almost everything an infant consumes? Even though it’s what our brain needs to function? Even though statin medication has killed more people while outselling nearly all other medications world wide?
Come on man. If you’re gonna laugh back it up with why you’re being ignorant. 🤦♂️ 😆
John ********
@Cam *******
I don’t need medical advice from bogansCam ********
@John *******
what a retort Johnny! Come up with that all by yourself?I’ve worn that crown many times fella. My mates call me the upper class bogan. Probably because I’m well educated, run my own extremely profitable business and own multiple properties, but aren’t enough of a prima donna to worry about pretending to be someone I’m not.
But hey, if you need some kook in a white coat, who’s been trained (indoctrination) exactly the way big-pharma wants them trained, then I’m not going to stop you.
You obviously haven’t the level of critical thinking needed to make your own educated decisions.
Best of luck with you fists of pills that are shortening your life.
Reply to
Cam ********
Reply
Charlie ********
@Cam *******
I would agree with this. Remove all processed food groups from diet and that includes rice , grain and anything in a tin or a packet. A diet of protein with some leafy greens is likely to drastically reduce inflammation, maybe even banish it altogether.Reply to
Charlie ********
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