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MediumRheumatologyRheumatoid arthritis - first-line DMARDca-mccqe1ca-ccfpca-rcpsc-im

A 45-year-old woman is diagnosed with seropositive rheumatoid arthritis affecting hands and wrists with morning stiffness of 2 hours. According to Canadian rheumatology guidance, which is the most appropriate initial disease-modifying therapy?

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