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Similar content being viewed by others 1 Introduction Rheumatoid arthritis (RA) is a chronic systemic autoimmune disease which is characterized by clinical symptoms of chronic, symmetric, multiple arthritis and extra-articular lesions [1, 2]

Instead of focusing solely on the mechanical aspects of joint problems, it recognizes the importance of overall metabolic health in patients surgical and long-term outcomes

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It is widely accepted that diabetes is not mutagenic but may be mitogenic, likely due to factors such as hyperglycemia, hyperinsulinemia, or the confounding effects of adiposity

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