London & Online

Learn how I can help you with Rheumatoid Arthritis


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I suffer from a chronic immune disease. I came to Milena interested in how a change in diet could further improve my symptoms plus my overall health. The advice given by Milena has helped improve my symptoms and also increased my energy throughout the day. The benefits have been so noticeable that it has been easy to persevere with the changes to my diet.



Rheumatoid arthritis (RA) is a chronic autoimmune disease that primarily affects the joints. It is characterized by inflammation of the synovium, the lining of the membranes that surround the joints. This inflammation can lead to pain, swelling, stiffness, and eventually joint damage and deformities.

In rheumatoid arthritis, the immune system mistakenly attacks the synovium, causing an inflammatory response. This chronic inflammation can affect other parts of the body as well, such as the heart, lungs, and blood vessels. 

My Approach

As a Nutritionist and Nutritional Therapist, when working with patients in my clinic in Harley Street, London, and online, I take a holistic approach. Rather than suppressing the symptoms I work on finding the root cause of rheumatoid arthritis and restoring the balance using diet, supplements and lifestyle.

The gastrointestinal system, especially the gut, houses a significant portion of the immune system. Approximately 70% of the body’s immune cells are found in the gut-associated lymphoid tissue (GALT). This high concentration of immune cells in the gut is essential for monitoring and responding to potential threats from ingested microorganisms and antigens.

The interaction between the gut and the immune system is complex, involving a balance between protecting the body from harmful pathogens and tolerating beneficial substances.

Changes in this balance, such as disruptions in the gut microbiota or increased permeability of the intestinal lining, have been suggested to play a role in the development or exacerbation of autoimmune diseases.

My 5R Approach 


Remove allergic/intolerant foods, parasites, bad bacteria, yeast. This may include an ‘elimination diet’ to find out what foods are causing the symptoms.


Replace digestive secretions, such as hydrochloric acid, digestive enzymes or bile salts, that are required for proper digestion and that may be compromised by diet, drugs, diseases, ageing, and other factors.


Populate your gut with probiotics and prebiotics.


Help the lining of the gut repair itself by supplying the key nutrients.


Address the lifestyle factors that may affect your gut function.


Working with a Nutritionist can be transformative if you suffer from rheumatoid arthritis and are facing challenges. If you are struggling despite your best efforts, it may be time to seek professional help. You can get assistance from your Nutritionist in developing a personalised nutrition plan, identifying nutrient deficiencies, and addressing any other underlying medical issues that might be adversely affecting your situation.

Your Nutritionist can work with you to create a personalised nutrition plan tailored to your unique needs and goals related to rheumatoid arthritis. They can also provide guidance on suitable supplements and recommend lifestyle adjustments that may impact your well-being, such as ensuring adequate sleep and managing stress.

Book an appointment today if you feel like you need more assistance or direction to reach your goals.

Online consultation with a Nutritionist is available for clients who live outside the London area or who are unable to come to my London office. You can enjoy the online consultation from the comfort of your home or office and you will be given the same level of personal attention and care that you would experience coming to see the Nutritionist in person.



Rheumatoid arthritis (RA) can present with a variety of symptoms, and the severity and combination of symptoms can vary from person to person. Common symptoms of rheumatoid arthritis include:

  • Joint Pain and Swelling
    Persistent pain and swelling in multiple joints, often affecting both sides of the body. Commonly affected joints include those in the hands, wrists, knees, and feet.
  • Morning Stiffness
    Stiffness in the joints, especially in the morning or after prolonged periods of inactivity. This stiffness may last for a few hours.
  • Joint Warmth and Redness
    Inflammation in the joints can lead to warmth, redness, and a feeling of heat around affected areas.
  • Fatigue
    A general feeling of tiredness and lack of energy, which may be disproportionate to the level of physical activity.
  • Fever
    Some patients may experience low-grade fevers, especially during periods of active inflammation.
  • Loss of Joint Function
    As the disease progresses, joint damage can lead to a loss of joint function and deformities, impacting mobility and daily activities.
  • Symmetrical Joint Involvement
    Rheumatoid arthritis often affects joints on both sides of the body simultaneously. For example, if one wrist is affected, the other is likely to be affected as well.
  • Systemic Symptoms
    Rheumatoid arthritis is considered a systemic disease, meaning it can affect other organs and systems in the body. This can lead to complications such as cardiovascular issues, lung problems, and anemia.

It’s important to note that the symptoms of rheumatoid arthritis can develop gradually, and they may come and go in episodes known as flares.


Milena Kaler is a is a qualified London Nutritionist, autoimmune disease, digestive health, as well as stubborn weight loss (including PCOS, Hashimoto’s thyroiditis and hypothyroidism) and sports nutrition specialist. She is trained in the principles of Functional Medicine and practices from her clinic in Central London, Harley Street, as well as providing online consultations.

Milena has helped thousands of people to lose weight and keep it off. Scientific and holistic in approach Milena looks at all aspects of a client’s health. She embraces a systems-oriented approach aiming to get to the root cause of health and weight issues instead of simply focusing on the symptoms.

Milena’s expertise has been sought by celebrities, and she has been featured as a nutrition expert in reputable magazines including Women’s Health, Elle, Harper’s Bazaar, GQ, Cosmopolitan, Glamour, Women’s Fitness, Peak Brain Training, and Metro.

As a full member of the British Association for Applied Nutrition and Nutritional Therapy (BANT), and the Complementary and Natural Healthcare Council (CNHC), the only register for Nutritional Therapy recognised by the government and NHS, Milena is committed to upholding their strict Code of Ethics. Additionally, Milena is a member of the Primary Care Society for Gastroenterology (PCSG).

Milena sees patients with chronic health conditions, as well as clients looking for support to optimise their health. Some of the areas Milena can help with include: weight loss, digestive, and hormonal health.

Milena sees every person as an individual with different problems and different goals. She takes time to listen to her clients’ specific concerns to develop customised nutrition and lifestyle plans, based on laboratory test results. Having overcome her own chronic health and weight loss issues, Milena really understands how it is to feel overwhelmed by poor health and can relate to her clients when they first come to see her.


Rheumatoid Arthritis Nutrition Consultations in Harley Street, Central London and Online

Rheumatoid Arthritis Nutritionist in Harley Street, Central London W1

10 Harley Street

Rheumatoid Arthritis Nutritionist in Teddington, South West London TW11

Orange Tree Clinic
23A Broad Street
TW11 8QZ

An online consultation is available for clients who live outside the London area or who are unable to come to my office in Harley Street, Central London.