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This could probably be explained by the fact that genotypes 1 and 4 are prevalent in Cameroon compared to genotype 2 [1, 24]

The following variables were associated with declining for waitlisting due to psychosocial reasons: ALD (OR 2.43, 95% CI 1.20-4.93), Black race (1.76, 95% CI 1.10-2.82), Medicaid insurance (OR 2.09, 95% CI 1.31-3.31), and a high risk SIPAT score (OR 6.21, 95% CI 4.08-9.45)

doi: 10.1002/etc.1995

"In the US, all nasal sprays or inhalation solutions are classified as drugs, which means they need to go through a New Drug Application process in order to legally be able to sell in the U.S.," says Koestline, who notes that dihydroxy methylchromonyl palmitate has not been approved for inhalation