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have lower labor costs, looser environmental regulations, and an established drug manufacturing infrastructure that would take years to recreate in the U.S

10.1136/bmjnph-2025-001206 92 MollerhojM

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Mediterranean Diet Mediterranean diet is rich in oleic acid, omega-3 fatty acids, unrefined carbohydrates, and phytochemicals ( Elemental Diet Elemental diet provides food in simplest form consisting of glucose, vitamins, trace elements, and essential amino acids, is hypoallergenic, contains all nutrients for daily requirements, and is thought to be less immunogenic ( Elimination Diet Certain food and food components may worsen the disease conditions in RA ( Treatment of RA includes inhibition of TNF- and IL-1, and these inflammatory mediators are observed to be increased with the intake of allergenic food hence excluding some of these food from RA patients diet may benefit them as well as help them to reduce their requirement of recombinant human IL-1 receptor antagonist and anti-TNF- antibodies ( Individual Food Items in Diet and Their Relevance to RA In an average diet comprising of breakfast, lunch, and dinner, there are several food items which are rich source of some phytochemicals and their efficacy in eradication of diseases has been known and is included under traditional medicines on which 80% of the world population relies ( Dietary Fibers and Whole Grains Most of the staple food consumed all over the world are comprised of dietary fibers and whole grains

doi: 10.1016/j.clnesp.2022.08.020 2 AgrawalH.GuptaN