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Core principles of autoimmune disease management: Early diagnosis and treatment initiation to prevent irreversible organ damage Regular monitoring of disease activity and treatment response Multidisciplinary care coordination Patient education regarding medication adherence and potential adverse effects Lifestyle modifications including smoking cessation, appropriate exercise, and stress management Patients with autoimmune diseases and concurrent metabolic conditions such as type 2 diabetes or obesity should receive appropriate treatment for both conditions using evidence-based therapies

Some of it may have to do with access and expense, and another may be expectation, said Dr