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if rheumatoid factor 1gM under ELISA process shows around 320.6 RU/mL and thyroid stimulating hormone TSH at 13.37 and ESR at 60mm/hour ra factor : non reactive 1:2 anti nuclear anti bodies ANA 0.39 (n) pl tell me what would happen to the patient and what precautions are supposed to be taken could you pl guide us as the patient undergoes rigrous unbearable pain

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