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Firstly, while results from the multivariable MR analysis conceptually help obtain a marginal estimate of the effect size between an exposure of interest and the outcome by conditioning competing risk factors, the model can potentially over-correct true associations as the underlying model does not distinguish between horizontal (independent of causality) and vertical (in line with causality) pleiotropy

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As of July 1, 2017, South Carolina offers a standard set of tobacco cessation services without co-payment or prior authorization to all full-benefit South Carolina Medicaid enrollees in fee-for-service or managed care settings

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