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Models Mechanisms 6 , 13531363 (2013)

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Here is what the research actually shows

NSAIDs also have harmful effects on the liver, kidneys, GI tract and cardiovascular system, while steroids can affect blood sugar levels and cause weight gain, exacerbating metabolic issues that contribute to knee OA

Weeks 1 to 4: the GI phase During the initial weeks, particularly during the 0.25 mg starting dose and the first escalation to 0.5 mg, GI side effects dominate