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Acknowledgements The authors acknowledge financial support from the National Institutes of Health (NIH

While there is no approved tirzepatide pill, the injectable version, marketed under names like Zepbound, has shown remarkable weight loss results and is FDA-approved

At her structured 3-month follow-up visit, her CDAI score indicated she had not reached the target of low disease activity, prompting an increase in her methotrexate dosage to the maximum tolerated dose (Cohen & Mikuls, 2025

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