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Katsumata R, Manabe N, Fujita M, Ayaki M, Sunago A, Kamada T, Monobe Y, Kawamoto H, Haruma K (2021) Colorectal neoplasms in melanosis coli: a survey in Japan and a worldwide meta-analysis

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In practice, because the FDA governs drug approvals in the United States and most Western countries follow similar regulatory frameworks, the 27 threshold remains the functional standard for clinical practice