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I'm not clear on what assumption you are claiming I made. My point was about quality of evidence (see, e.g., [1]). Observational studies are considered lower-quality evidence than randomized trials.

[1] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC428525/



I see. I was under the impression that you were criticising this study in particular - apropos of assumptions.

Sorry.




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