How we make this
Why this site can be trusted, and how it is kept accurate. Written for patients and clinicians alike.
Each clinical topic is a single reviewed record. That one record renders two pages: a plain-language page for patients and a sourced page for clinicians. Because both come from the same record, the two audiences can never be shown contradictory facts.
Clinical statements are checked against primary guidelines and studies, read line by line, not written from memory. Where guidelines disagree, we show each position (ACR, EULAR, BSR) and flag the divergence rather than quietly picking one. Medication guidance is never stated in categorical "safe" or "unsafe" terms; it is framed by phase and always defers to the treating team.
Verification status
Guideline positions checked verbatim against the primary source tables.
Part of the record is confirmed against primary text; the rest is flagged for review.
Drafted from standard references and not yet checked against primary text. Published only where it is useful, and always carrying this label so you can see how far it has been checked.
Dr. Mahendira is the sole clinical authority for this site. Clinical content is reviewed by her before publication, and the verification label on each page records how far the underlying sources have been checked. Every record carries a dated changelog, and where a guideline position is contested the divergence is shown rather than resolved silently.
We track the guideline update cycle (ACR, EULAR, BSR) and the relevant trial pipeline, and refresh the fast-moving pages on a schedule. When a source moves, the record moves, and both the patient and clinician pages update together.
Methodology page · Last reviewed 2026-07-09