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This means that the policy process may look different for each tribe, and it is important to engage and partner with tribal leaders to best understand the process for a particular reservation

The long-term biological effects of use are still unknown, the authors said

In addition, the results were obtained with adjustment for a wide variety of potential confounding factors, including age, physical activity, alcohol intake, body mass index, estimated glomerular filtration rate, diabetes, hypertension, and dyslipidemia

Today the device is sold in correctional facilities nationwide, because of its well-designed, safe construction and popularity