Hi, Jay:
I advocate aggressive supplementation also, and especially find minerals and EFA oils the most helpful: Calcium, magnesium, copper, zinc, and EVOliveOil along with Bcomplex. To get out of flares, I strongly suggest borage seed oil--and a lot per treatment like six capsules evening before retiring. Then some wheatgrass juice during the day on empty stomach--6oz would be very sufficient. These things should help eliminate the residual packets of inflammation and it can take many months of strict diet to return a joint with fibrosis to normal. Professor Ebringer said we might be able to turn the clock back about two years by addressing this fibrosis which means very strict diet.
If You post what You are eating, it will be helpful. There are sources of bad dietary starches we too often are unaware of like mangoes which are not fully ripened and many other fruits.
Also, healing the gut will require enough vitD, lysine, vitC, niacinamide, and vitE.
The approach that is sometimes difficult is to both heal the tract and avoid getting too much starch in the diet.
I ensured the reduction of the nemesis germy by using antibiotics, and my protocol is available as a guideline for everyone who is interested in this approach--I think we have discussed this before but not just for Your benefit in my signature are some links to dropbox write-ups.
Just be mindful of the diet and Carol Sinclair's book is very helpful in this regard, also keep a diary of how You react to meals and whether one thing affects You more than another. Andrea's site, Forest and Fauna, has some recipes for NSD breads and comfort foods.
HEALTH,
John