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A few commenters recommended eliminating a tournament scoring model in which the ASM participant's payment adjustment is dependent on whether their performance exceeds the majority of other ASM participants each year

Formation of Homocysteine Homocysteine (Hcy) forms in the body after eating foods high in methionine, like meat, nuts, and oils

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Ethics declarations Ethics approval and informed consent The investigators in this study did not have direct access to individual patient data for this analysis