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Ethics declarations Conflict of interest The Authors Rosaria Maddalena Ruggeri, Camilla Virili, Edoardo Mocini, Marco Centanni, Salvatore Cannav, Mario Rotondi, Laura Croce, Silvia Migliaccio, declare no conflicts of interest

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Rheumatologists and dermatologists are encouraged to co-manage GLP-1 RA prescribing in appropriate psoriasis patients, particularly in the context of psoriatic arthritis with metabolic comorbidity, while awaiting the RCT evidence that will definitively establish their role in psoriasis-specific treatment algorithms

Track progress using body composition analysis (DEXA, InBody) and metabolic breath analysis