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2013 paper (PMID: 23055539) has an Expression of Concern issued by the journal in 2021, and the Benoist et al
T-cell recruitment to the intestinal mucosa
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and joint hypermobility, the authors highlighted issues with foot and hand deformities (including brachydactyly, piezogenic pedal papules, hallux valgus, broad feet), fatigue, and muscle pain and weakness
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