Remission of palindromic rheumatism through ketogenic and carnivore diets: A case report

Journal of Metabolic Health (previously Journal of Insulin Resistance)

 
 
Field Value
 
Title Remission of palindromic rheumatism through ketogenic and carnivore diets: A case report
 
Creator Westman, Eric C. Fischer, Jessica Berger, Amy
 
Subject — palindromic rheumatism; rheumatoid arthritis; ketogenic diet; carnivore diet; low-carbohydrate diet; autoimmune disease; anti-inflammatory diet; case report
Description The low-carbohydrate ketogenic diet (LCKD), developed a century ago to treat epilepsy, is now commonly used as a therapeutic intervention for obesity, type 2 diabetes and other conditions associated with insulin resistance. A growing body of literature supports the use of LCKDs for conditions associated with autoimmunity and inflammation. Here we present the case report of a 61-year-old man diagnosed with palindromic rheumatism (PR) – often a precursor to rheumatoid arthritis – whose condition was considered to be in remission after he adopted an LCKD and subsequently transitioned to an even lower-carbohydrate ‘carnivore’ diet. The patient was able to discontinue all arthritis-related medications, and currently, 7 years after initially starting the LCKD, he continues to follow a carnivore diet and reports no daily pain while remaining active in endeavours that require manual dexterity, such as woodworking and playing the guitar. Through anti-inflammatory effects and the removal of dietary irritants, dietary carbohydrate restriction may have potential therapeutic benefits for PR, a condition for which effective treatments and disease-modifying strategies remain elusive.
 
Publisher AOSIS
 
Contributor —
Date 2026-04-28
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — —
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/jmh.v9i1.123
 
Source Journal of Metabolic Health; Vol 9, No 1 (2026); 5 pages 2960-0391 3105-4323
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://journalofmetabolichealth.org/index.php/jmh/article/view/123/461 https://journalofmetabolichealth.org/index.php/jmh/article/view/123/462 https://journalofmetabolichealth.org/index.php/jmh/article/view/123/463 https://journalofmetabolichealth.org/index.php/jmh/article/view/123/464
 
Coverage — — —
Rights Copyright (c) 2026 Eric C. Westman, Jessica Fischer, Amy Berger https://creativecommons.org/licenses/by/4.0
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