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The loading phase typically involves 5 mg twice weekly for four weeks to saturate tissues rapidly

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If a patient has not yet received an underlying diagnosis, the biggest hurdle initially is communicating to the rheumatologist just how serious the ocular condition is and getting him or her on board to treat the patient systemically with potentially life-threatening medications. Although systemic immunomodulation is required, some topical measures, such as lubricating the surface, may be helpful, said Dr