Wow, the MDs I know's heads would explode on page one of 59 of that document, and they would ask me what it says LOL
They still have no solutions, just 59 pages of how bad it is... and how many symptoms there are...
They need to hire some RA specialists (and MS/Lupus, et al specialists) that have dealt with this kind of chronic immune system problem, all the symptoms it causes already. Problem is they all work in their own bubbles and few of them know how to navigate such massive data and information across the specialty fields.
Googles AI is likely way ahead of them (I saw evidence of it 2 years ago, but nothing since), and Google is not in the FDA/MD medical field yet..
The medical field is still focused on one dimension, one variable analysis in a world that has infinite variables..., which is why so much of the junk drugs do as much or more damage than they fix... They were designed to reduce one problem, for profit... and never mind the other problems they cause....over time..
50 years ago, I gave up on car stealerships for car repairs, they always broke stuff and never fixed what I took in to get fixed.... I have done all my own family vehicle repairs for decades now. And I mean all of it...That way I know it is fixed..
Rant over... for now. I need another nickle please , LOL