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Description

Individuals who are receiving immunosuppressive or immunomodulating biological therapy including, but not limited to, anti-TNF, alemtuzumab, ofatumumab, rituximab Patients receiving protein kinase inhibitors or PARP inhibitors, and Individuals treated with steroid sparing agents such as cyclophosphamide and mycophenolate mofetil Individuals treated with or likely to be treated with systemic steroids for more than a month at a dose equivalent to prednisolone at 20mg or more per day for adults Anyone with a history of haematological malignancy, including leukaemia, lymphoma, and myeloma and those with systemic lupus erythematosus and rheumatoid arthritis, and psoriasis who may require long term immunosuppressive treatments

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[129] [130] Later steps, especially the incorporation of the additional methyl groups of its structure, were investigated using 13 C methyl-labelled S-adenosyl methionine

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