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doi: 10.1136/emj.20.6.560 [PubMed] 17766009 Sirianni AJ, Osterhoudt KC, Calello DP, Muller AA, Waterhouse MR, Goodkin MB, Weinberg GL, Henretig FM

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Its become a coveted luxury in middle- and low-income countries, with high prices being the main barrier to usage the cost is $95 a month in Brazil and $115 in South Africa, compared with about $350 in the US