To the Editor:
We are pleased that Lemmey and colleagues1 applaud our bringing attention to rheumatoid cachexia. We appreciate their clarifications and emendations of our editorial2 (which we know they and others will understand had certain publication constraints and was not intended to be a comprehensive review article). We respectfully acknowledge their valuable contributions to our understanding of cachexia in rheumatoid arthritis. We all agree this is an important topic deserving more recognition and attention. We all agree that high intensity resistance training to improve muscle strength in these patients is of value. We all agree that salutary effects of other therapeutic approaches to ameliorate the manifestations of cachexia remain uncertain; we clearly qualified our statements about these. We all agree that rheumatoid cachexia is an important topic deserving of more attention and further study.
