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Koike K, Ishigami A, Sato Y, et al

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Ultimately they have limited reserves, which could be threatened if they continue to sustain multi-year, hundreds-of-millions-of-dollar losses. The strength of the Massachusetts insurance landscape is dependent on having multiple financially sustainable nonprofit insurers, Hattis said, rather than setting up insurers as targets for acquisition or merger with for-profit plans

[42], suggest that the rapid decrease in ghrelin secretion in the short term is primarily attributed to the rapid weight loss post-surgery and the effects of gastric partial resection on ghrelin secretion