What if rheumatoid arthritis doesn’t just cause joint pain—but quietly speeds up how fast your entire body ages? In this episode of Thriving with Arthritis, Dr. Diana Girnita sits down with Dr. Neha Bhanusali, from the University of Central Florida, with additional training in lifestyle medicine and culinary medicine, to explore the powerful and often overlooked connection between chronic inflammation, biological aging, and rheumatoid arthritis. In this conversation, we move beyond trends and misinformation to focus on what actually matters for patients living with Rheumatoid arthritis (RA) and other autoimmune diseases.

Key Chapters & Takeaways

• RA and accelerated aging (“inflammaging”): chronic inflammation can accelerate biological aging—even in relatively young patients.
• Chronological age vs biological age: Why many RA patients feel older than their peers
• Why labs don’t always match symptoms
• The truth about methylation tests and anti-aging supplements
• Medications plus lifestyle—not one or the other
• Movement when you’re in pain
• Why muscle matters in RA
• Nutrition without perfection
• Gut health, fiber, and fermented foods
• Supplements: what’s reasonable and what’s risky
• Weight, inflammation, and GLP-1 medications
• Menopause and autoimmune disease
• Chronic stress, sleep, and immune aging
• The top 3 lifestyle pillars for RA and healthy aging

Neha Bhanusali is a board-certified rheumatologist with advanced training in lifestyle and culinary medicine. She also shares practical, plant-forward education on her YouTube channel @PlantForwardMD.

https://www.youtube.com/@PlantForwardMD

If you want evidence-based guidance that helps you live better—not just treat labs, subscribe to Thriving with Arthritis.

Support the show

More info about Dr. Diana Girnita, MD PhD

• Website: https://rheumatologistoncall.com/
• Email: Contact@rheumatologistoncall.com
• Youtube: https://www.youtube.com/@rheumatologistoncall
• LinkedIn: https://www.linkedin.com/in/diana-girnita-md-phd-07b57810/
• Instagram: https://www.instagram.com/rheumatologistoncall/
• Facebook Page: https://www.facebook.com/RheumatologistOncall/
• Facebook Group: https://www.facebook.com/groups/3685130571554200

Psoriatic arthritis (PsA) is the most commonly misdiagnosed form of inflammatory arthritis—and it's costing patients years of their lives. In this episode of Thriving with Arthritis, Dr. Diana Girnita and Dr. Vishnuteja Devalla explain why psoriatic arthritis symptoms are often mistaken for fibromyalgia, osteoarthritis, and other conditions, leading to diagnostic delays.

Discover the red flags doctors miss, the latest biologic treatments revolutionizing Psoriatic arthritis (PsA) care, and the groundbreaking connection between GLP-1 medications (like Tirzepatide, Zepbound, Mounjaro, Ozempic, and Wegovy) and reduced inflammation in autoimmune disease.

Could these diabetes and weight-loss drugs be a game-changer for patients with inflammatory arthritis?

What You'll Learn:

• Why does psoriatic arthritis take an average of 5-7 years to diagnose correctly
• The subtle signs, symptoms, and the connection with other parts of the body like eyes, tendons, and the gut
• How insurance companied dictate care in choosing your treatment
• Cutting-edge biologic therapies
• The emerging science behind GLP-1 receptor agonists and systemic inflammation reduction
• Why traditional healthcare models fail chronic disease patients—and what we're doing differently

Keywords: psoriatic arthritis diagnosis, PsA symptoms, GLP-1 inflammation, GLP-1 autoimmune disease, rheumatoid arthritis vs psoriatic arthritis, biologic treatment psoriatic arthritis, inflammatory arthritis misdiagnosis, telehealth rheumatology, chronic inflammation treatment.

Support the show

More info about Dr. Diana Girnita, MD PhD

• Website: https://rheumatologistoncall.com/
• Email: Contact@rheumatologistoncall.com
• Youtube: https://www.youtube.com/@rheumatologistoncall
• LinkedIn: https://www.linkedin.com/in/diana-girnita-md-phd-07b57810/
• Instagram: https://www.instagram.com/rheumatologistoncall/
• Facebook Page: https://www.facebook.com/RheumatologistOncall/
• Facebook Group: https://www.facebook.com/groups/3685130571554200

In this episode, Dr. Diana Girnita and Dr. Vishnu Devala explore the complexities of autoimmune diseases, discussing their causes, symptoms, and the latest treatments. They delve into the role of gut health, environmental triggers, and the potential of AI in transforming diagnosis and treatment. The conversation also addresses common myths and misconceptions, offering insights into managing these conditions effectively.

Takeaways

• Autoimmune diseases can affect various body systems, not just joints.
• AI has potential but cannot replace rheumatologists.
• Gut health plays a significant role in autoimmune conditions.
• Vaccines do not increase the risk of autoimmune diseases.
• Lifestyle changes can significantly impact autoimmune disease management.
• CAR T cell therapy shows promise for autoimmune treatment.
• Genetic testing for autoimmune diseases is not recommended for everyone.
• Environmental triggers can influence autoimmune disease onset.
• Women are more prone to autoimmune diseases due to biological factors.
• Misinformation about autoimmune diseases is widespread and harmful.

Chapters

• 00:00:00 Introduction to Autoimmune Diseases
• 00:03:00 Role of AI in Medicine
• 00:06:00 Gut Health and Autoimmunity
• 00:09:00 Vaccines and Autoimmune Diseases
• 00:12:00 Lifestyle Changes and Management
• 00:15:00 New Treatments and CAR T Cell Therapy
• 00:18:00 Genetics and Autoimmune Diseases
• 00:21:00 Environmental Triggers
• 00:24:00 Women and Autoimmune Diseases
• 00:27:00 Combating Misinformation

Support the show

More info about Dr. Diana Girnita, MD PhD

• Website: https://rheumatologistoncall.com/
• Email: Contact@rheumatologistoncall.com
• Youtube: https://www.youtube.com/@rheumatologistoncall
• LinkedIn: https://www.linkedin.com/in/diana-girnita-md-phd-07b57810/
• Instagram: https://www.instagram.com/rheumatologistoncall/
• Facebook Page: https://www.facebook.com/RheumatologistOncall/
• Facebook Group: https://www.facebook.com/groups/3685130571554200

In this inspiring episode of Thriving with Arthritis, Dr. Diana Girnita, board-certified rheumatologist and founder of Rheumatologist OnCall, is interviewed by Raha Saber—a courageous woman navigating life with Sjogren’s Syndrome. Raha shares her powerful journey through years of misdiagnosis, and how she ultimately found answers, support, and strength. Raha reached out to Dr. Girnita after years of following her content on Youtube and Instagram and asked her to share her approach on treating this complex autoimmune disease.

Dr. Girnita breaks down what Sjogren’s Syndrome really is, why it’s often misunderstood or overlooked, and how a comprehensive, holistic approach can make a meaningful difference in managing this autoimmune disease.

The conversation blends medical expertise with real-life experience to shed light on integrative treatments, nutrition, supplements, and mindset shifts that can help patients thrive.

Whether you’re living with Sjogren’s, caring for someone who is, or simply seeking expert guidance on autoimmune health, this episode delivers education, empowerment, and encouragement.

What You’ll Learn:

• The real-life challenges of living with Sjogren’s Syndrome
• Common signs, symptoms, how is Sjogren's disease diagnosed
• Why diagnosis is often delayed
• The role of anti-inflammatory diets, supplements, and stress management
• How to advocate for yourself as a patient
• Expert advice from a top expert rheumatologist on managing Sjogren’s holistically

Check out Dr. Girnita's Youtube channel to learn more about Sjogren's Disease.

https://www.youtube.com/playlist?list=PLnLTV1sl8cpyrIZmRfZ6hHt897QLYJwel

Support the show

More info about Dr. Diana Girnita, MD PhD

• Website: https://rheumatologistoncall.com/
• Email: Contact@rheumatologistoncall.com
• Youtube: https://www.youtube.com/@rheumatologistoncall
• LinkedIn: https://www.linkedin.com/in/diana-girnita-md-phd-07b57810/
• Instagram: https://www.instagram.com/rheumatologistoncall/
• Facebook Page: https://www.facebook.com/RheumatologistOncall/
• Facebook Group: https://www.facebook.com/groups/3685130571554200

Welcome to another inspiring episode of Thriving With Arthritis, hosted by Dr. Diana Girnita—rheumatologist, immunologist, and founder of Rheumatologist OnCall. In this heartfelt conversation, Dr. Girnita is joined by Ms. Sona, a courageous patient who shares her personal journey from pain, frustration, and delayed Rheumatoid arthritis diagnosis to healing, hope, and empowerment through a holistic and personalized care approach.

If you’ve ever felt lost in the healthcare system, uncertain about medications, or afraid of your autoimmune diagnosis, this episode will speak directly to you. Ms. Sona opens up about her experience navigating months of undiagnosed rheumatoid arthritis, her struggle to find relief within a traditional insurance-based model, and how discovering direct specialty care and a telemedicine-based practice changed everything.

Together, they discuss:

• The challenges of getting a timely RA diagnosis
• Why traditional healthcare often fails autoimmune patients
• The power of personalized, holistic care—including lifestyle changes, anti-inflammatory diets, and supplements
• How Rheumatoid arthritis (RA) medications can be safely introduced when paired with patient education and support
• The emotional toll of chronic illness—and how to reclaim your identity beyond the disease

Whether you're newly diagnosed or have been living with rheumatoid arthritis for years, this episode will offer insight, inspiration, and real-world strategies to help you thrive—not just survive—with autoimmune disease.

📚 Mentioned in this episode:
Dr. Girnita’s book Thriving with Rheumatoid Arthritis—a holistic roadmap that bridges cutting-edge treatments with lifestyle medicine. Now available on amazon.com: https://amzn.to/3ZVmKpX

🎧 Listen to discover:

• Real RA symptoms and early warning signs
• The benefits of telemedicine in autoimmune care
• Why standard RA treatment should be personalized
• How to implement holistic practices without fear or confusion
• Hopeful, science-backed strategies for reducing inflammation naturally

Support the show

More info about Dr. Diana Girnita, MD PhD

• Website: https://rheumatologistoncall.com/
• Email: Contact@rheumatologistoncall.com
• Youtube: https://www.youtube.com/@rheumatologistoncall
• LinkedIn: https://www.linkedin.com/in/diana-girnita-md-phd-07b57810/
• Instagram: https://www.instagram.com/rheumatologistoncall/
• Facebook Page: https://www.facebook.com/RheumatologistOncall/
• Facebook Group: https://www.facebook.com/groups/3685130571554200

In this special episode, Dr. Diana Girnita joined Melissa Schenkman, Founder of YMyHealth Podcast, to discuss Rheumatoid arthritis (RA). Dr. Girnita shares insights from her new book, Thriving with Rheumatoid Arthritis, a must-read guide for anyone navigating this complex autoimmune condition.

Together, they explore how millennials diagnosed with Rheumatoid arthritis (RA) can take control of their health through holistic lifestyle changes, including anti-inflammatory nutrition, gut health, sleep optimization, exercise, and stress reduction.

Dr. Girnita breaks down the science behind RA, the role of the microbiome, short-chain fatty acids, and why certain foods might be triggering flare-ups.

This episode is packed with science-backed tips, and hopeful insights for anyone living with or supporting someone with an autoimmune disease.

🎧 Listen to learn about:

• Early signs and symptoms of RA in millennials
• The power of lifestyle medicine in managing inflammation
• What foods can help—or hurt—your autoimmune journey
• Real patient stories that inspire
• Dr. Girnita’s mission to revolutionize autoimmune care

Whether you're newly diagnosed, managing Rheumatoid arthritis (RA) long-term, or simply seeking guidance on chronic inflammation, this episode will give you the tools and hope to thrive—not just survive—with rheumatoid arthritis.

Don’t forget to check out Dr. Girnita’s book Thriving with Rheumatoid Arthritis on Amazon https://amzn.to/3ZVmKpX

and visit her YouTube channel @RheumatologistOnCall for more expert videos!

Support the show

More info about Dr. Diana Girnita, MD PhD

• Website: https://rheumatologistoncall.com/
• Email: Contact@rheumatologistoncall.com
• Youtube: https://www.youtube.com/@rheumatologistoncall
• LinkedIn: https://www.linkedin.com/in/diana-girnita-md-phd-07b57810/
• Instagram: https://www.instagram.com/rheumatologistoncall/
• Facebook Page: https://www.facebook.com/RheumatologistOncall/
• Facebook Group: https://www.facebook.com/groups/3685130571554200

In this episode of 'Thriving with Arthritis,' hosted by Dr. Diana Girnita, a rheumatologist, you will learn invaluable strategies for managing rheumatoid arthritis during cold weather.

Dr. Girnita explains how cold weather affects joints and offers practical tips. She also highlights the importance of anti-inflammatory nutrition, regular exercise, even in winter, and mindfulness techniques to manage stress and sleep. Plus, you will learn about emergency tips for flare-ups!
This episode is a comprehensive guide to help arthritis patients navigate cold weather challenges effectively.

Resources:
Dr Girnita's Book:
THRIVING WITH RHEUMATOID ARTHRITIS: Your Science-Backed Guide to Conquering RA https://amzn.to/4g2rNdY

Paraffin Wax Machine for Hand and Feet: https://amzn.to/49ziArm

Support the show

More info about Dr. Diana Girnita, MD PhD

• Website: https://rheumatologistoncall.com/
• Email: Contact@rheumatologistoncall.com
• Youtube: https://www.youtube.com/@rheumatologistoncall
• LinkedIn: https://www.linkedin.com/in/diana-girnita-md-phd-07b57810/
• Instagram: https://www.instagram.com/rheumatologistoncall/
• Facebook Page: https://www.facebook.com/RheumatologistOncall/
• Facebook Group: https://www.facebook.com/groups/3685130571554200

In this episode of "Thriving with Arthritis," host Dr. Diana Girnita welcomes Hannah Pugh, an experienced occupational therapist from Reactiv, to discuss innovative approaches to managing rheumatoid arthritis and other joint conditions.

Episode Highlights:
1. Learn five essential hand exercises for arthritis patients, demonstrated step-by-step.

2. Telehealth Revolution: Discover the benefits of virtual occupational therapy for chronic conditions like arthritis.

3. Digital Tools for Recovery: Explore gamified exercise apps for arthritis management.

4. Debunking Exercise Myths: Understand why movement is crucial, even with inflamed joints.

5. The advantages of telehealth for busy lifestyles and limited mobility.

Hannah Pugh shares her expertise on integrating technology with occupational therapy, offering invaluable insights for anyone managing arthritis. From simple daily exercises to innovative digital solutions, this episode provides practical strategies for improving joint health and overall quality of life.

Hannah Pugh website: https://reactivrehab.com/

Support the show

More info about Dr. Diana Girnita, MD PhD

• Website: https://rheumatologistoncall.com/
• Email: Contact@rheumatologistoncall.com
• Youtube: https://www.youtube.com/@rheumatologistoncall
• LinkedIn: https://www.linkedin.com/in/diana-girnita-md-phd-07b57810/
• Instagram: https://www.instagram.com/rheumatologistoncall/
• Facebook Page: https://www.facebook.com/RheumatologistOncall/
• Facebook Group: https://www.facebook.com/groups/3685130571554200