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VA/DoD 2025 Obesity Guidelines Annals of Internal Medicine has published the updated 2025 U.S. Department of Veterans Affairs and U.S. Department of Defense Clinical Practice Guidelines on adult Overweight and Obesity management. This effort involved a multidisciplinary panel https://t.co/ukuKGCHhOf
Dr. John Cush @RheumNow ( View Tweet )
26 minutes ago
Amgen announced topline results from the Phase 3 OASIZ 301 study showing the efficacy of dazodalibep in Sjögren's dz, w/ signif ESSDAI improvements at wek 48. DAZO is a CD40L antagonist fusion protein https://t.co/5QPBdZivxC https://t.co/VfV873Lire
Dr. John Cush @RheumNow ( View Tweet )
1 hour 57 minutes ago
Obesity as a Risk Factor for Rheumatic Diseases https://t.co/zTEHDbTGjb https://t.co/1JuGAfL5oK
Dr. John Cush @RheumNow ( View Tweet )
3 hours 54 minutes ago
The Need for Weight Loss and Weight Gain in the ILD Clinic https://t.co/UaKW9GPJTN https://t.co/QGYblSxbfP
Dr. John Cush @RheumNow ( View Tweet )
5 hours 54 minutes ago
Beyond Disease Modification: Palliative Care in Rheumatology Palliative care is often mistakenly equated to hospice and end of life care. While this is an important subset of the field, it does not capture its broader impacts and tenets. https://t.co/VcP1x1nKqp https://t.co/DnkdsmgG1x
Dr. John Cush @RheumNow ( View Tweet )
7 hours 25 minutes ago
Metanalysis of Metabolic syndrome (MetS) in #SLE (65 articles, 11K pts). MetS prevalence 27% (higher in males (36 vs 27%). HCQ assoc w/ signif less MetS (OR 0.66), but more w/ CTX (1.39), AZA (1.25), MMF (1.13), but not steroids or MTX. MetS pts were older, obese, w/ high Chol & https://t.co/qSXZkyYTmZ
Dr. John Cush @RheumNow ( View Tweet )
8 hours 54 minutes ago
Retrospective study from India on 157 juvenile dermatomyositis (JDM) pts - 44 (28%) had calcinosis. They had a long Dx delay (12 mos), were NXP2+ in 41%, & high risk for Lipodystrophy (39% vs 5%). 39% improved while 61% had static/progressive Dz https://t.co/z5gvqzZV6C https://t.co/9WlzPDZ74w
Dr. John Cush @RheumNow ( View Tweet )
22 hours 55 minutes ago
Lifestyle and Incretin Therapy Advice for Rheumatologists As GLP-1/GIP receptor agonists become standard co-management tools for obese patients with RA, PsA, axSpA, and gout, this JAMA Insights perspective by Kushner, et al. reframes lifestyle counseling as an adjunct to https://t.co/9dfmKLuJF7
Dr. John Cush @RheumNow ( View Tweet )
1 day ago
BMJ reports TriNetX EHR study showing GLP-1 RA use in knee OA pts was assoc w/ significantly lower cumulative TKA incidence (p<0.001).  1 year any GLP-1 RA (HR 0.90) or 3 yrs exposure (HR 0.72) signif lowered TKA 8 yrs later https://t.co/RGQJJHgLFv https://t.co/BoSgFoOyNN
Dr. John Cush @RheumNow ( View Tweet )
1 day ago
52 VEXAS pts Rx w/ IL‐1i, IL‐6i, or JAKi therapy judged as compl Resp (CR), partial (PR), Failure (TF). @ 6mos: 3/19 IL‐6i had CR, 4/19 PR, 7/19 TF. JAKi had 2/17 CR, 3/17 PR, 6/17 TF. No CR w/ IL‐1i or TNFαi, only 1/5 IL‐1i patients experienced PR. Only IL‐6i & JAKi had https://t.co/wqogmfeAru
Dr. John Cush @RheumNow ( View Tweet )
1 day ago
Systematic review of 21 papers (23K RA pts) finds 12% w/ difficult-to-treat RA. Risk factors -- smoking (OR 1·16), obesity (1·38), FM (2·20) & depression (1·74). No assoc w/ current smoking or anxiety. https://t.co/BHxyEbSg8Y

Dr. John Cush @RheumNow ( View Tweet )

1 day 5 hours ago
Upadacitinib is now approved in European Union to treat active polyarticular juvenile idiopathic arthritis (pJIA) ages > 2yrs for those not responding to 1+ DMARDs. In the USA, UPA is approved for pJIA & juvenile PsA https://t.co/Vhx717rw5T https://t.co/OBMdjsegIq
Dr. John Cush @RheumNow ( View Tweet )
1 day 6 hours ago
Cluster analysis of Spanish RELES #SLE SLE cohort reveals 3 groups. C1 (n 168) was younger, w/ lupus nephritis, low C3, intensive Rx, high infx & damage. C2 (175) w/ cytopenias, serositis, APL & dsDNA(+). C3 (452) mild skin-Jts, less serologic activity & complications https://t.co/OYTXD4KV6O
Dr. John Cush @RheumNow ( View Tweet )
1 day 22 hours ago
Long-term F/U of T2T Artic trial. 230 DMARD naive pts, 84% ACPA+ 179 (82%) in 10 yr F/U & 82% were in DAS < 1.6 remission 10 yrs later w/ only 17% w/ Xray progression. ~50% on csDMARDs, 30% on bDMARDs. Early aggressive works! https://t.co/ASRrIZqfS5 https://t.co/SykEI4QjPa
Dr. John Cush @RheumNow ( View Tweet )
1 day 23 hours ago
Residual steroids doesnt preserve remission. Japan FRANK #RA registry 411/3,863 were in Boolean remission - 130 on GC vs 231 non-GC (1/3 on b/tsDMARDs). Roughly 1/3 flared to LDA @12 mos. Outcomes same for GC vs non-GC Rx pts. https://t.co/xPctEjFCLT https://t.co/YIHFaQkzeO
Dr. John Cush @RheumNow ( View Tweet )
2 days ago
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