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"Why Are Dietary Interventions Still Not Mainstream?

Celiac.com Sponsor (A13):
While there is greater knowledge of the effects of pharmaceutical therapies for arthritis, there is less knowledge of the effects of many nutrients. And even though there is evidence that physician discussions of diet make a positive influence on patient dietary selections, these conversations are not common in clinical practice. There is a global deficiency of nutrition education in physician training, including the use of nutrients to manage chronic diseases and methods for providing advice to their patients [164, 165]. A recent review highlighted the lack of nutrition knowledge and confidence in counseling among medical students worldwide. Most schools perform less than 25 h of nutrition education over 5 or 6 years of medical training. Trainees often learn about nutrition in biochemistry lectures that are not necessarily relevant to everyday practice [166]. The interest in nutrition among medical students is high. However, it decreases by the time they graduate, since they do not see nutrition substantively incorporated into their curriculum and do not observe clinical mentors incorporating nutritional interventions into their care plans [167]. In fact, a recent study showed that only 36.0% of general practitioners had positive attitudes toward nutrition and nutrition care [168].

This, as well as the data gaps, lack of regulated nutritional supplements with standardized quantities, insufficient or complete lack of insurance coverage for nutritionist or dietician consultations, and lack of dietary programs directed toward arthritis patients result in a lack of confidence in nutrition as a treatment among clinicians. Without adequate nutrition education, it is reasonable to assume that doctors are not able to provide the highest quality care to patients [167]."

Micronutrients: Essential Treatment for Inflammatory Arthritis?

https://pmc.ncbi.nlm.nih.gov/articles/PMC8078476/#R166