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The same as in secondary endpoints and related outcomes 17, but considering subjects treated with ALCAR 1.5 g/day compared to not treated subjects

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Methotrexate, by contrast, suppresses immune cell proliferation and reduces inflammatory moleculesa mechanism used for rheumatoid arthritis, lupus, and other autoimmune conditions

Mochis care model emphasizes safe titration, active monitoring, and clear guidance on pharmacy and coverage pathways to keep therapy sustainable

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