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The absence of an effect on psoriasis vulgaris suggests that SGLT2i may preferentially modulate joint-specific inflammation (enthesitis, synovitis) rather than skin inflammation, possibly through effects on entheseal resident cells or mechanical stress pathways

Id argue it doesnt take that extreme a measure to reach your goals

It's the one that fits your diagnosis, your nervous system, and your daily life well enough that you can stay on it and judge it fairly

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