Hi welcome to HCM I have gone thru your query regarding RA and hypothyriodism for your mom . Hypothyroidism (underactive thyroid) is a condition in which your thyroid gland doesn t produce enough of certain important hormones. Hypothyroidism can cause a number of health problems, such as obesity, joint pain, infertility and heart disease . Hypothyroidism upsets the normal balance of chemical reactions and derails the immune system of your body cause other health problems . The immune system attacks joint tissues for unknown reasons. White blood cells travel to the joint . This assault causes chronic inflammation, stiffness, and pain. To get rid all these problem and overall health , you have to take into account the quality of diet and life style . It should include all essential nutrients -main diet of fibers ,fruit, veges vitamins & minerals , all antioxidants- raw ginger, garlic , lemon juice with water , bitter gourd juice 20-25 ml Aloe vera juice 25 ml + Amla juice 2 spoons , fenu greek powder 1 spoon with water ,turmeric powder a level spoon with cup of hot milk at bed time , Avoid fried , fast foods tea ,coffee ,alcohol ,smoking ,mental stress ,worry anxiety and most important is to clear you bowls . as constipation is mother of all ills . Last but not the least for proper blood crculation , regular walk , exercise , yoga pranayam-deep breathing proper rest & sound sleep , helps in detoxifying and strengthening the immune system to enhace resistance from diseases and pave way for healthy , hapipy ,disease free life . Condition is regularity . Mind it Gulping on medicine only ,will not help unless you follow above regimen ,having no side effects , goes with any therapy , side by side with medication , if at all you need . If your health is fine ,everything falls in line automatically Hope this helps solve your query .Take care .All the best , Don t hesitate to come back for any further query