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Primary care physicians, emergency departments, and gynecologists all contribute to the delay through various mechanisms including symptom minimization, inadequate examination, and failure to consider endometriosis in the differential diagnosis (Agarwal et al., 2019)

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Because the testing lab carries no commercial stake in the manufacturing outcome, release decisions track the analytical data rather than supplier-side judgement, with acceptance criteria committed in writing before each synthesis run begins

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Do not use in rental and hepatic insufficiency