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Common side effects include mild injection site reactions (such as pain, redness, or swelling), headache, flushing, dizziness, and nausea
Garey LJ, Ong WY, Patel TS, Kanani M, Davis A, Mortimer AM et al (1998)
Mild nausea is a common initial side effect that typically subsides within 3-5 days as your body adjusts to the medication's signaling effects
A composite example from my practice: Ive cared for a patient maximized on both a DMARD and a biologic, still flaring several times a month, exhausted, in pain
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