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biologic dose reduction based on disease activity resulted in 40% reduction in tnfi and did not seem to cause disease deterioration from the 10 year dress study by n van herwaarden, abst#op00131 #eular2023 
MD PhD Consultant Rheumatologist &Physician,Assoc Medical Director,Digital Health,NASS Trustee, Best Rheum Care,Visiting Fellow Henley Business School,ExecCoach