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Importantly, GLP-1RAs do not exert direct immunosuppressive effects but instead modulate inflammatory pathways indirectly through metabolic and cellular mechanisms, supporting a favourable safety profile when used alongside bDMARDs

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Rationale for Enoxaparin and Warfarin Transition: Enoxaparin, a low-molecular-weight heparin, is initially chosen for its rapid onset and predictable pharmacokinetics, enabling immediate anticoagulation

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Slightly different results were obtained by Chaurasiya and colleagues (40)

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