Just an update. I saw the Rheumatologist who I had seen before. He was good and seemed to think that the progression I have had probably indicated something of the SpA variety was effecting me, but he could not find much in the way of radio-logical evidence in recent imaging I brought along for hips/spine (which included SI joints). He said he had dealt with a number of patients like me who despite a lack of imaging/bloods evidence had been treated as SpA and achieved good response to treatment, and he was willing to try that with me. Unfortunately some of the treatments (biologics) in Australia require evidence I can't provide for government subsidy, so it may involve some $$ from me for a short trial period. But we have NSAIDs and DMARDs to try first, so hopefully they help. Of course if biologics are the only thing tp work well, I will need to find a way to manage that long term..... buy a lotto ticket???
I want to couple this with some diet changes. I have been on a low inflammation diet for a couple of months, but have not tried starch free, so may try that. But would I get a answer to the diet question with fasting and then reintroduction of various foods to see what triggers it. It seems to me that NSD would take a long time to know for sure if it did not help. Can I find out in a much shorter time with fasting. Then if I do that, what timing is best in relation to medications that are being trialled?
On the subject of diet. I see many different diets mentioned to help different people. If you were to choose one type that benefited the most people with SpA, would it be NSD?