Is there a role for a kidney biopsy in patients diagnosed with Fabry disease through genetic testing?

Is there a role for kidney biopsy in patients diagnosed with Fabry disease through genetic testing is not straightforward. However, there is utility most of the time if you are asking:

1. Should you start therapy?
2. When should you start therapy?
3. Could it be something other than Fabry?

If the patient ...

I couldn't think of one. Then, I googled it and found this:

Kim et al., PMID 34922431

I think the question is better answered by someone who has a Fabry clinic and a lot of experience with enzyme replacement therapy.