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Conflict of interest form

Manuscript title

As the corresponding author, I declare the following information regarding the specific conflicts of interest of authors of our manuscript.

Examples of conflicts of interest include the source of funding, being a paid consultant to the sponsor, being a study investigator funded by the sponsor, being an employee of the sponsor, having board membership with the sponsor, being a stockholder for the mentioned product, having any financial relationship with competitors of the mentioned product, and others (please specify).

Author No conflict involved Conflict (specify)
     
     
     
     
     
     
I accept the responsibility for completing this document and attest to its validity on behalf of all co-authors.
Corresponding author
Name Signature Date
     
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