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Real members of myRAteam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
A myRAteam Member asked a question 💭

I started doing daily pilates shortly before my diagnosis. But my pain and swelling became debilitating. I started to get back down to my pre-birth weight of 182. When I was diagnosed in July I was 269, now I am 225. I lost the weight without really trying. Between changing my diet, drinking only water, and all my meds I'm not sure what the main contributor is or how much I will continue to lose. My rheumatologist says losing weight is a good thing but the pain is getting worse as I lose. Im… read more

November 26, 2025 (edited)
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myRAteam

How much weight loss is too much with rheumatoid arthritis?

You've lost 44 pounds since July, which is significant. While your rheumatologist is right that weight loss can help RA, unintentional rapid weight loss can be concerning—especially since your pain is worsening.

Unintentional weight loss with RA can be a sign of Show Full Answer

How much weight loss is too much with rheumatoid arthritis?

You've lost 44 pounds since July, which is significant. While your rheumatologist is right that weight loss can help RA, unintentional rapid weight loss can be concerning—especially since your pain is worsening.

Unintentional weight loss with RA can be a sign of:
* Metabolic hyperactivity from chronic inflammation
* Rheumatoid cachexia (muscle wasting)
* Medication side effects
* Loss of muscle mass being replaced by fat

The fact that your pain is increasing as you lose weight is a red flag that needs attention. What you should do:

Talk to your rheumatologist right away about your worsening pain and rapid weight loss. They need to determine if you're losing muscle mass instead of just fat, which can happen with RA.

Your doctor may need to:
* Evaluate if your current medications are working effectively
* Check for rheumatoid sarcopenia or cachexia
* Adjust your treatment plan
* Refer you to a dietitian or physical therapist

Some myRAteam members have experienced similar weight loss. One shared they lost 12-13 pounds unintentionally and didn't want to lose weight. This can lead to muscle wasting and weakness if not addressed.

The combination of diet changes, medications, and RA inflammation could all be contributing to your weight loss. Don't wait—get evaluated to ensure you're losing weight safely.

November 26, 2025
A myRAteam Member

It is good on your joints that you are losing weight. Make sure that your muscles are staying toned. Eat healthy. I went through the same thing. Try to walk and lift light weights. Talk to the doctor about your medications

November 26, 2025

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