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Another study demonstrated that FKBP51, a crucial modulator of the glucocorticoid receptor (GR) pathway, can bind to clomipramine and impede its interaction with PIAS4

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However, it can be manifested with the classical form of malarial fever, cerebral malaria, or malaria-induced anemia (MIA) and is responsible for one-third of malaria-associated deaths [401]

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This side effect is pretty common and usually goes away on its own