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Description
What is the treatment
Patient 4 flared when ibuprofen was added despite being on etanercept
Oral supplementation with CoQ10 is reported to improve fatigue and physical performance

Haugen M, Brantsaeter AL, Alexander J, Meltzer HM
It binds to insulin which then initiates a cascading pathway of metabolic events through the action of the enzyme phosphatidylinositol-3-kinase and the activation of insulin-1 receptor substrate
