We all love cookies, cakes, ice cream, sugary breakfast cereals, but these drive chronic inflammation that leads to or maintains chronic disease such as arthritis. However, the right sugar can improve arthritis. Not berries, pomegranates, acai, or grapes (or wine). It is prolotherapy. What? Prolotherapy is the injection of sugar (dextrose) into a joint or other degenerative area to stimulate healing (proliferant therapy). It has been used since the ‘30s and the name coined in the ‘50s. A recent review (Curr Rheumatol Rep. 2017 Jun) demonstrated benefit in mild-moderate knee arthritis and tendon issues.