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However, only 22% of the variation in MMA levels was explained by vitamin B12, estimated glomerular filtration rate, age, sex, and socioeconomic status, suggesting that other underlying disease was likely the reason for elevated MMA levels

There is also inflammatory arthritis such as rheumatoid arthritis and ankylosing spondylitis that are autoimmune conditions
Role of sphingosine 1-phosphate and lysophosphatidic acid in fibrosis

TRIUMPH-4: Osteoarthritis pain signal Because TRIUMPH-4 specifically enrolled participants with symptomatic knee osteoarthritis, it also collected WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index) pain data
