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casei might help alleviate RA symptoms and suppress pro-inflammatory cytokines in individuals undergoing treatment with disease-modifying anti-rheumatic drugs (DMARDs), which suggests a positive synergistic effect between DMARDs and probiotics on arthritis ( These findings suggest that the administration of probiotic bacteria may have a beneficial effect on the inflammatory activity of RA, through the regulation of cytokine production, improvement of the intestinal barrier function, and its positive synergistic effect with DMARDs

10.1038/s41433-020-0770-y 171 SheetsK