Has anyone tried strict diet and exercise and not seen improvement?

Hi clee. Much like with RA medications, different people and their RA react differently to various diets. You ask about not seeing improvement. In this article one of our contributors writes about why diet won't cure RA, but also that it can make a difference in overall and RA health: https://rheumatoidarthritis.net/living/why-diet-wont-cure/. In addition, here is an article from another contributor on trying different diets and discovering that "In the end, I have not found any diet to be a panacea for my RA. Rather, I think I’m at my healthiest when I eat a balanced diet:" https://rheumatoidarthritis.net/living/food-experiments/. Hope this is helpful. Wishing you the best. Richard (RheumatoidArthritis.net Team)