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The male:female ratio was 1:1.5

Authors contributions Study concept and design (AB), acquisition of data (RP, AK), analysis and interpretation of data (DS, NS), drafting of the manuscript (RP, AK), critical revision of the manuscript for important intellectual content (DS, NS), study supervision, administrative, technical, and material support (VA)

Untargeted lipidomics analysis of synovial fluid and serum from RA patients across various clinical stages, ranging from preclinical to active and sustained phases, showed that despite normal erythrocyte sedimentation rate and CRP at pre-clinical stages, the lipidomic profile of preclinical RA joint fluid closely resembled that of active RA (191)

To understand the complexities of chronic Lyme disease, we must first look at the origins of the infection itself

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