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Note that this is considered off label and risks reduced efficacy, fluctuating appetite control, weight regain, glycaemic deterioration and dosing errors
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PMID: 19230029
For RA, physicians should also keep in mind that an anti-TNF- without Fc portion of immunoglobulin (certolizumab pegol) might be more efficacious that other anti-TNF- in patients with high rheumatoid factor levels, as was recently shown [121]
10.2337/diacare.29.01.06.dc05-0776
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