Thriving with Arthritis and Autoimmune Diseases -with Dr. Diana Girnita

By Dr. Diana Girnita MD, PhDMedicine Health & Fitness Education

Thriving with Arthritis and Autoimmune Diseases -with Dr. Diana Girnita episodes

March 14Why Doctors Kept Dismissing My Joint Pain — And How I Got Diagnosed With Psoriatic Arthritis at 26
Can you get arthritis in your 20s? The answer is yes — and Ayda's story proves it.
In this powerful episode of THRIVING WITH ARTHRITIS, Dr. Diana Girnita sits down with Ayda, who was diagnosed with psoriatic arthritis at age 26 after months of severe joint pain, swollen fingers, and dismissive medical encounters. If you're a young adult experiencing unexplained joint pain, fatigue, or skin symptoms — this episode was made for you.
Ayda opens up about the moment she knew something was deeply wrong, the frustration of being told "you're too young for arthritis," and the long road to finally receiving a proper diagnosis.
Together, she and Dr. Girnita unpack what psoriatic arthritis really looks like in young adults, why it's so often missed, and what you can do right now to advocate for yourself.
In this episode, you'll learn:
What the early warning signs of psoriatic arthritis look like in your 20s and 30s
Why blood tests alone can't diagnose autoimmune arthritis — and what a clinical exam actually reveals
How to talk to your doctor when you feel dismissed or unheard
The truth about biologic medications, injections, and long-term side effects
Whether telemedicine or telehealth can effectively assess joint disease (spoiler: yes)
How diet, lifestyle, and anti-inflammatory habits can reduce flares
What happened when Ayda finally started the right treatment — and got her life back
This episode is essential listening for anyone navigating a new autoimmune diagnosis, struggling with chronic joint pain, psoriasis or wondering whether their symptoms could be more than just stress or overuse.
Whether you've been recently diagnosed with psoriatic arthritis, rheumatoid arthritis, or are still searching for answers — you are not alone, and help is available.
Subscribe for upcoming episodes on living well with arthritis and autoimmune disease.
💬 Leave a comment — have you experienced dismissal from doctors? Share your story below.
Support the show
More info about Dr. Diana Girnita, MD PhD
Website: https://rheumatologistoncall.com/
Email: [email protected]
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
34 min
February 04Evidence Based Tips to Reduce Inflammation in Rheumatoid Arthritis
In this episode, Melissa Schenkman, MPH, MSJ, Founder of YMyHealth, and Dr. Diana Girnita discuss a real-life roadmap for people with chronic illnesses like Rheumatoid arthritis (RA). They are also discussing Dr. Girnita's new book “Thriving with Rheumatoid Arthritis” and the science behind lifestyle medicine: how the gut microbiome communicates with your immune system, why fiber and short-chain fatty acids matter, and how sugar, salt, and even certain vegetables can influence inflammation in sensitive people. We also cover conditions that can mimic Rheumatoid arthritis (RA), like celiac disease, and why “Dr. Google” can increase fear instead of clarity.
If you want practical, evidence-based steps—without the overwhelm—this conversation will leave you feeling informed, empowered, and hopeful.
Key points discussed in the episode
Why Dr. Girnita wrote “Thriving with Rheumatoid Arthritis” after ~20 years in practice: moving from purely textbook science to patient-centered insights, patterns, and real-world outcomes
The core message: thriving vs. surviving: RA is a chronic condition, but it doesn’t have to define your life or identity
Patients are different: response to treatment and lifestyle changes varies widely—personalization matters
Gut microbiome + immune system connection: the gut contains trillions of bacteria; a large portion of the immune system sits near the gut lining, so gut signals can drive systemic inflammation
Fiber as an anti-inflammatory tool: fiber supports beneficial gut bacteria and leads to the production of short-chain fatty acids (SCFAs) that help “calm” immune overreactivity
What SCFAs do (in plain language): they act like immune messengers that reduce overactivation and may lower systemic inflammation
Sugar and inflammation: excess added sugar can increase pro-inflammatory pathways and may shift gut bacteria toward patterns associated with more inflammation
Salt and immune activation: high salt intake may push immune cells toward a more pro-inflammatory state; practical advice includes removing the salt shaker and using spices (garlic, turmeric, rosemary, thyme) instead
Nightshade vegetables: in some people (not everyone), foods like tomatoes/eggplant/peppers may worsen symptoms
Celiac disease can mimic RA: joint pain and small-joint symptoms can resemble RA
Viruses as potential triggers: EBV (mono) and COVID were discussed as possible immune triggers in genetically predisposed people
The “Dr. Google” warning: online information can mislead, catastrophize, and amplify fear—use curated, reputable medical sources and avoid absorbing others’ worst-case experiences as your future.
Bigger takeaway: genetics load the gun, but lifestyle pulls (or doesn’t pull) the trigger—food, sleep, stress, and movement can meaningfully influence inflammation and symptom control
Website https://www.ymyhealth.com/
Podcast episode also published here: https://share.transistor.fm/s/3fad1b02

Support the show
More info about Dr. Diana Girnita, MD PhD
Website: https://rheumatologistoncall.com/
Email: [email protected]
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
50 min
January 26How Rheumatoid Arthritis Speeds Aging—and How to Push Back
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: [email protected]
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
51 min
January 21Why Psoriatic Arthritis Goes Misdiagnosed for Years | GLP-1 Medications & Inflammation Breakthrough
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: [email protected]
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
1 hr 4 min
November 14, 2025Autoimmune Diseases: Signs, Myths, Realities, New Treatments and the AI challenges
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: [email protected]
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
56 min
April 07, 2025Living with Sjogren’s Syndrome: Dr. Girnita's approach in treating a complex autoimmune disease
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: [email protected]
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
45 min
March 31, 2025From Diagnosis to Empowerment: Sona’s Story of Thriving with Rheumatoid Arthritis
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: [email protected]
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
19 min
March 24, 2025Thriving with Rheumatoid Arthritis: Lifestyle Strategies, Science & Hope with Dr. Diana Girnita
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: [email protected]
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
49 min
December 11, 2024How to manage Rheumatoid Arthritis during winter time?
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: [email protected]
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
22 min
October 30, 2024Hand Exercises and Virtual Occupational Therapy with Hannah Pugh
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: [email protected]
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
30 min

About Thriving with Arthritis and Autoimmune Diseases -with Dr. Diana Girnita

From the publisher's feed

Thriving with Arthritis and Autoimmune Diseases is an evidence-based podcast dedicated to helping people understand, manage, and live well with arthritis and autoimmune diseases. Hosted by…