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Change in intestinal microbial balance after initiation of TNFi or MTX. Dot‐plot showing change in the Dysbiosis Index Score in patients starting treatment with either TNFi or MTX at 3 months follow‐up. An improvement of the Dysbiosis Index Score was more common in patients starting TNFi than MTX. MTX, methotrexate; TNFi, tumor necrosis factor inhibitor.
