By Santorio, Inspired by Dr. Joseph Pizzorno (PMC10186451)
Discover how PAH exposure—independent of smoking—may increase RA risk and how Santorio’s functional medicine platform offers proactive, personalized solutions.
Rheumatoid arthritis (RA) is often viewed as a disease of genetic misfortune, but mounting evidence suggests that environmental toxins may play a larger role than previously thought. Could exposure to common air pollutants be a hidden culprit?
At Santorio, we’re committed to exploring the root causes of chronic illness through the lens of functional medicine and data-driven insight. Our AI health platform helps identify patterns in toxin exposure and chronic disease risk, empowering users to take informed steps toward long-term wellness.
This article explores how a recent study on polycyclic aromatic hydrocarbons (PAHs) and RA aligns with our mission to deliver proactive, personalized health strategies rooted in both scientific evidence and naturopathic wisdom.
Spotlight on Dr. Joseph Pizzorno
Dr. Joseph Pizzorno is a pioneering force in naturopathic medicine, known for advancing the concept of toxic load as a major driver of chronic disease. As a founding member of Bastyr University and author of numerous publications on environmental toxins, Dr. Pizzorno has been instrumental in shaping how functional medicine approaches disease prevention and treatment.
At Santorio, we draw on Dr. Pizzorno’s extensive body of work to inform our diagnostic models and personalized wellness protocols. His research into the role of toxins, such as PAHs, in systemic inflammation and immune dysregulation supports our integrative framework.
Key Insights from the Research
The study published in PubMed Central (PMC10186451) reveals a striking connection between PAH exposure and rheumatoid arthritis. Individuals with the highest PAH body burden had more than double the odds of having RA compared to those in the lowest exposure group (OR: 2.2; 95% CI: 1.09–4.2; p = 0.028).
Perhaps even more compelling is the finding that PAHs mediate nearly 89% of the relationship between smoking and RA. This suggests that it’s not just the act of smoking—but specifically the inhalation of PAHs—that drives autoimmune risk. Notably, the association held true even for non-smokers, highlighting the widespread nature of environmental exposure.
Interestingly, other common pollutants like phthalates (PHTHTEs) and volatile organic compounds (VOCs) did not show a significant correlation with RA in fully adjusted models, underscoring the unique risk profile of PAHs.
Santorio’s Approach & Application
At Santorio, these findings reinforce the critical importance of tracking environmental toxin exposure as part of our health algorithms. Our AI health platform integrates biomarkers, behavioral patterns, and exposure history to identify individuals at elevated risk of autoimmune and inflammatory conditions like RA.
For instance, our system monitors patterns of oxidative stress and inflammation—often detectable through markers like GGT and 8-OHdG—that correlate with toxic load. By linking these biological signals to known environmental exposures, we help users understand their personal risk landscape and take targeted action.
Moreover, our protocols support evidence-based interventions such as increasing dietary fiber to aid PAH excretion, filtering indoor air, and reducing exposure to traffic-related pollutants. These interventions are tailored based on user-specific risk factors and genetic predispositions, ensuring a personalized roadmap to resilience.
Practical Takeaways
- Minimize PAH exposure: Avoid charred foods, limit time near heavy traffic, and use HEPA air purifiers at home.
- Increase detox-supportive nutrients: Incorporate cruciferous vegetables and high-fiber foods to support toxin elimination.
- Support liver function: Consider functional foods and supplements that enhance phase II detox pathways, such as N-acetylcysteine (NAC).
- Reduce smoking-related exposures: Even secondhand smoke may elevate PAH body burden; avoid enclosed smoking areas.
- Monitor exposure biomarkers: Work with functional health practitioners to assess 8-OHdG and other toxin-related markers.
Final Takeaway
This study offers compelling evidence that environmental toxins—especially PAHs—play a pivotal role in autoimmune conditions like RA, independent of smoking status. These insights echo the work of Dr. Joseph Pizzorno and affirm Santorio’s commitment to identifying and addressing root causes of chronic disease.
By combining advanced AI with the holistic principles of functional medicine, Santorio empowers individuals to reclaim agency over their health and prevent disease before it starts.


