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Before you can make treatment choices, you have to determine how active your RA is, which includes your disease burden, says Husni. “We now have many treatment choices in RA, and this allows us to personalize the process for each patient. Although we do not have a cure, we are better at controlling the signs and symptoms to allow patients to return to their normal lives. We still have patients who do not respond to treatments, but this is rare and there is ongoing research to continue to improve RA treatment.”“The three things rheumatologists normally do are a physical exam, some blood tests, and examine X-ray changes in the affected joint," says Husni. "Those are the three pillars that we look at, and based on whatever they show, we can usually categorize you as having mild disease, mild to moderate disease, or moderate to advanced disease.

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