Hi Brian ! After my PsA diagnosis, I went to a functional doctor to try to find an alternative to strong medication. We talked bout inflammation and how it affects PsA and I did a blood test to check which food could trigger it. I happen to be sensitive to gluten, oat, dairy and eggs. I started a diet and started getting results after 4 months. Maybe you are ok with gluten but not with dairy. Could be worth having a blood test although those are controversial. Any way, have a beer and explore cutting out dairy for a few months. Better still if you can have a doctor helping you to balance your diet. Good luck !