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For the cases in which genetic abnormalities have not been found it is very likely that MD is acquired

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It has been speculated that the use of HIF activators in clinical practice may improve the local hypoxic microenvironment and regulate B cell-related AIDs

View at Publisher | View at Google Scholar Hogan AE et al

And I also thought that was interesting what you said about infection and these post-infectious things that can happen that people with hypermobility are at increased risk

These are areas of ongoing research, not reasons a healthy person should self-prescribe injections theyre decisions for a physician managing a specific condition