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However, other studies have indicated that HLA-DR antigens, such as DR2 and DR4, may interact with closely linked genes to influence susceptibility to conditions such as pernicious anemia, which can be associated with cobalamin deficiency [154, 155]

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doi:10.1016/j.redox.2020.101500 Subedi BH, Joshi PH, Jones SR, Martin SS, Blaha MJ, Michos ED

Healthcare professionals should approach disclosures of combined peptide use with a non-judgemental but clinically thorough assessment, and provide harm-minimisation advice where appropriate