Sir,I wish to comment on the paper “Homeopathy has clinical benefits in rheumatoid arthritis patients that are attributable to the consultation process but not the homeopathic remedy: a randomized controlled clinical trialâ€? by Brien et al.1The purpose of this clinical trial was to assess whether any benefits from adjunctive homeopathic intervention in patients with RA are due to the homeopathic consultation, homeopathic remedies or both. It was a double-blind, randomized placebo-controlled trial in patients with active stable RA receiving conventional therapy. Eighty-three participants were randomized to 24 weeks of treatment with either homeopathic consultation (further randomized to individualized homeopathy, complex homeopathy or placebo) or non-homeopathic consultation (further randomized to complex homeopathy or placebo).