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They have no symptoms so it would be a waste of NHS funds to test for low B12

Prolonged, excessive GH exposure can, in principle, produce features associated with GH excesssoft-tissue overgrowth, joint problems, cardiac strain, and metabolic disturbance

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487 Neutrophil extracellular traps (NETs), which are implicated in SLE pathogenesis, contain lower levels of polyubiquitinated proteins in SLE patients