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I think of a patient from Arizona who was already maxed out on a DMARD and a biologic together, yet still having multiple flares a month, exhausted and in pain

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But with a brain fixated on food, I thought I could never go 16 or 18 hours without eating, she recalls

Most patients had comorbid pathology [hypertension, cerebrovascular diseases (CVDs), cardiovascular disease, and diabetes] and had been mentally ill for many years/decades (Table 1)