Arre, this ankylosing spondylitis is a tough one — it's that stiff back pain and sacroiliitis they talk about, where your own body fights your joints. They say HLA-B27 gene is a big cause, especially for us Indians. But let me tell you, knowing the cause doesn't fix the problem when the medicine cost is more than my weekly fuel! My cousin has it, and his reports sit in a drawer because the injections are for rich people, not for hill riders like us.
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