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This is a 54-year-old obese male patient who presented to our clinic as a new patient to Dr. Turner complaining of both skin and joint pain. Additionally, he is a business owner without an insurance plan. A plan between doctor and patient was established and the patient began Siliq as part of a case study. Within 4 weeks his skin was almost clean and his joint pain was gone. He continued with this drug two years later without side effects.