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Providers may slow titration, hold a dose steady, or step back temporarily depending on symptoms and response

Others argue that as long as high-cost drugs exist, utilization management (UM) is necessary, and ePA is the ethical approach to implement UM transparently and fairly

Regular L-Carnitine use combined with exercise may result in better fat metabolism, helping reduce overall body fat percentage

Applying sunscreen and staying away from direct sunlight is also vital for lupus sufferers, as exposure to the sun's UV light can trigger a butterfly rash and a variety of symptoms in people who are predisposed to lupus