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The primary cause of the renal disease is the absence of a clinical manifestation in the early stages and the fact that routinely evaluated indicators of renal function are only significantly diminished during the advanced stages of the disease (Tonelli and Dickinson 2020)

Boyce JA, Assaad A, Burks AW, Jones SM, Sampson HA, Panel NI-SE et al (2010) Guidelines for the diagnosis and management of food allergy in the United States: report of the NIAID-sponsored expert panel

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But that evidence is almost entirely Russian, largely pre-dates 2024, and has essentially no large Western randomized confirmation