“…Benefits from dietary manipulation have been observed with water-only fasts (Hafstrom et al, 1988;Kroker et al, 1984;Panush et al, 1986), vegetable and fruit juice fasts (Lithell et al, 1983;Skoldstam et al, 1979Skoldstam et al, , 1991Sundqvist et al, 1982), lactovegetarian diets (Kjeldsen-Kragh et al, 1991;Skoldstam et al, 1979;Sundqvist et al, 1982), pure vegetarian (vegan) diets (Beri et al, 1988;Darlington et al, 1991;Kjeldsen-Kragh et al, 1991;Nenonen et al, 1998;Parke et al, 1981;Ratner et al, 1985;Seignalet, 1992), and elimination diets (Darlington et al, 1986;Hicklin et al, 1980;Kavanaghi et al, 1995;van de Laar et al, 1992). By their very nature of limited calorie intake, fasts can only be sustained for short periods of time and with return to usual eating, the arthritis symptoms have been shown to return in almost every case.…”