Take this with a hefty grain of salt. This a one-author paper from a MD that got their license suspended by MA's medical board. The author also pushes some anti vax rhetoric on their website.
That does not mean the claims in the paper are incorrect of course. But there are reasons to be skeptical
"i don't agree with you, you think different, you try to explore ideas, you make your own research, you don't just spread the dogma, propaganda doesn't work on you, therefore you are a troll"
Thanks, you remind me of Elon Musk, the covert agent