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This is a cap, approximately a quarter of the length of the device body, and a shaft housing element underneath it

Piano MR, Benowitz NL, Fitzgerald GA et al

Integrating in vitro data and physiologically based kinetic modeling-facilitated reverse dosimetry to predict human cardiotoxicity of methadone
Plug 14.12.3
This prevalence is higher in a similar study conducted in India, where 25% of students experienced GERD symptoms