Ultrasound Assessment of Rheumatoid Arthritis Patients Who Changed Diet

Inclusion Criteria: 1. Patient must meet 1987 ACR (American College of Rheumatology) criteria 2. Age \> 18 years of age 3. Baseline DAS28/ESR\>3.2 (ESR-erythrocyte sedimentation rate) 4. Stable DMARDs or biologic therapy for at least 12 weeks, or stable off RA therapy 12 weeks. 5. Willingness to participate in a weight loss program 6. BMI \> 30 7. Prednisone ≤ 10 mg 8. Patient has provided informed consent Exclusion Criteria: 1. Major surgery (including joint surgery) within 8 weeks prior to baseline or planned major surgery within 3 months after baseline 2. Evidence of serious uncontrolled concomitant cardiovascular, nervous system, pulmonary, renal, hepatic, endocrine, or gastrointestinal disease 3. Known active current or history of recurrent bacterial, viral, fungal, mycobacterial or other infections (as this may falsely elevate biomarkers) 4. Any major episode of infection requiring hospitalization or treatment with IV antibiotics within 4 weeks of baseline or oral antibiotics within 2 weeks prior to baseline 5. Pregnant women or nursing (breast feeding) mothers 6. Neuropathies or other conditions that might interfere with pain evaluation unless related to primary disease under investigation 7. History of an eating disorder 8. History of bariatric surgery 9. EKG results deeming patient to unsafe for study intervention 10. Allergy to study intervention