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And that leads her to the hardest hypothetical of all: "If [USAID] did not withdraw their support," she says, "maybe Purity could be alive today." David Augustine, Kazeem Olawale Nasiru and Lameck Nyagudi are part of The Everyday Projects , a global community of photographers using images to challenge harmful stereotypes

Some therapies like PRP injections, physical rehabilitation, and nutritional support may be complementary and enhance results, while others might require timing adjustments or modifications to avoid interference

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Those in the methotrexate and folic acid group had received a mean (SD) cumulative methotrexate dose of 184 (72) decigrams over 11 (4) years and had a mean (SD) age of 63 (11) years compared to 59 (11) years for patients on other therapies (Table 1)

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