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Both are observational, the ACR one is a conference abstract, and at least one database study has flagged a possible short-term rise in new-onset RA early in therapy

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2026, millermeeks.house.gov/sites/evo-subsites/millermeeks.house.gov/files/evo-media-document/h.r-8375.pdf
Diet & Exercise: Use in combination with a balanced diet and regular physical activity for optimal results
