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Monitoring The study monitor will conduct monitoring visits at each site according to the following schedule: the Study Initiation Visit will occur at each site after obtaining all regulatory approvals (REB, NOL, etc.) but prior to enrolment of the first research participant

It depends on quantity

Still, the apparent effect makes sense, as does the difference between men and women in the study

The communities include Amherst, Brookline, Belchertown, Chelsea, Concord, Conway, Dover, Easthampton, Hardwick, Hopkinton, Leverett, Malden, Manchester-by-the-Sea, Medfield, Melrose, Needham, Newton, Northampton, Pelham, Reading, Rockport, Somerville, Stoneham, South Hadley, Wakefield, and Winchester

Completely understandable if this is happening in a resource constrained regional or remote settings, but not in a metropolitan settings