I am interested in comparing mean protein levels between 4 groups (Control, Stages 1-3), after controlling for age, gender and a genetic risk factor. My pre-specified comparisons are : Control vs Stage 1, Control vs Stage 2, Control vs Stage 3, and Stage 1 vs Stage 2. I attached a picture to help explain my goal.

I plan on running this analysis for 45 proteins, which have been specifically chosen. Therefore, each protein will have 4 p-values. Ideally, I am interested in adjusting the p-values by using the FDR Benjamini-Hochberg Procedure. Should I adjust each type of comparison (i.e. control vs stage 1, within a column) by 45 tests? A recent suggestion was to adjust the p-values for a given protein by 4 tests (within a row). Finally, I believe adjusting for the total number of tests 45*4 = 180 would be too conservative.

Any suggestions would be appreciated. Thanks !

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