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As always, discuss with your care team, and of course, remember that small tweaks lead to massive peaks

doi: 10.1016/j.peptides.2018.04.008 40 DavidsonIWSalterJMBestCH
Differentiation between osteoarthritis and psoriatic arthritis: implications for pathogenesis and treatment in the biologic therapy era
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Nevertheless, careful patient selection and ongoing monitoring are essential to mitigate potential risks