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10.1111/bjh.18971 85 PortaleF.CarrieroR.IovinoM.KunderfrancoP.PandiniM.MarelliG.et al (2024)

These may include: A confirmed diagnosis: Your healthcare provider must diagnose you with an autoimmune condition that Enbrel is used to treat Proof of medical necessity: Your healthcare provider must demonstrate that Enbrel is necessary for your specific condition and that other treatments are ineffective
Gymnema sylvestre should be used with caution and under close medical supervision if combined with sulfonylurea drugs and insulin, as gymnema may provide synergistic effects

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Campos BLS, Silva TN, Ribeiro SP, et al

Pharmacol Ther 52:287305
