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It's a world of grueling training schedules, relentless competition, and the constant, burning desire to perform at peak potential

When that framework is missing, even the best-researched combination can underperform or create unnecessary frustration

The next best option is very low disease activity, or what David Borenstein, MD, a rheumatologist and professor of medicine at The George Washington University Medical Center in Washington, D.C., calls basically normal. For most people, the best way to reach those goals is with a combination of physical therapy (PT), exercise and medication

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