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Some inject once at bedtime, and some break doses morning and evening

PMID: 9094650 [Para 239] Herzenberg, L

Negative ANA : While antinuclear antibodies (ANA) can occasionally be present in up to a third of RA patients, a negative result is clinically useful in ruling out other systemic rheumatic diseases, such as systemic lupus erythematosus (SLE) or mixed connective tissue disease, which can present with similar early joint symptoms but are characterized by specific autoantibodies (Baker, 2026