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Future studies should prioritize early PsA populations, ideally using stratified designs that incorporate metabolic profiling, to fully elucidate the dual immunomodulatory and metabolic potential of GLP-1RAs in altering disease trajectory

Ethics declarations Conflict of interest Mette Sndergaard NielsenEmployee and shareholder of Novo Nordisk A/S

The typical 33-40% contingency fee reflects the substantial risk and investment required in mass tort litigation where cases may take years to resolve

N Engl J Med 2012;366:1577-85