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A.J. Jewell’s death may have been an accident, but it was a preventable one, according to the State of Georgia.

The death of the former fiancé of Real Housewives of Atlanta’s Kandi Burruss has been declared a homicide by Georgia’s Fulton County medical examiner’s office, which confirmed earlier speculation that the street fight Jewell got into on the night of his death in September was exacerbated by his sickle-cell anemia.

“Although Mr. Jewell died of complications of his underlying natural disease conditions, the complications would not have occurred if he had not experienced the extreme exertion that was part of the physical altercation. Due to the active involvement of another person, the manner of death is classified as a homicide,” stated the report, obtained by The Atlanta Journal Constitution.