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This includes disorganization of the annular lamellae with decreased proteoglycan content, bifurcation, and interdigitation (Lai et al., 2015)

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Liver fibrosis was present in 68 individuals (70.85%)

Regular blood monitoring, which is already standard practice for methotrexate users, helps identify any emerging issues with liver function, kidney function, or blood counts that might be influenced by the combination of medications or by inadequate nutrition