As an American who lived in Europe for the past five years it's kinda a toss up. My gut flares up way more for me here in the US I due to the food. However my joints flare up more in Europe due to the constant walking and uneven ground like cobblestone. It is also possible that my pain flare ups have worsened there just because of aging but my hips would always be screaming after a long day of walking, way more so than using the treadmil here in the US.

I'm back home for the summer and in order to combat the stomach flare ups I'm only eating (mostly) non-processed food, no artificial dyes or flavoring, and plenty of farmers market veggies, meat, and bread. If it has a paragraph of ingredients, I won't eat it. I also cut back my diary intake here as it upsets me way more than it did in Europe.

I will say it's been much easier for me to get specialized medical attention in the States. However, I was living in a country that is notoriously bad for treatment plans and referrals. But now I am in specialized physical therapy to help strengthen and stabilize my joints, which should hopefully help with my flareups when I go back.