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However, treatment with DMARDs is now recommended as early as possible. This is because it is now known that joint damage occurs within the first onset of symptoms.

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Mr Buckleys feet are cold to the touch and he confirms that he often finds it difficult to keep his feet warm. He admits to having hypertension, for which he is being treated, but also says he has not seen his GP for to arrange this visit to the podiatrist.

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