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The phrase "almost no alterations" is correct and usable in written English.
It can be used to describe a situation where very few changes have been made to something, indicating that it remains largely the same.
Example: "The final draft of the report had almost no alterations from the original version."
Alternatives: "barely any changes" or "hardly any modifications".
Exact(3)
Almost no alterations in vegetative growth behavior were detectable, when measuring the growth rate under ambient air conditions (Figure 6).
On the other hand, OLETF females showed almost no alterations in adiposity but were affected by the strain of the dams in parameters related to the metabolic syndrome.
Surprisingly, in the cohort engrafted with PBMC with no atopic history almost no alterations were visible (oxazolone n=9, ethanol n=9).
Similar(57)
There is almost no alteration occurred in the cyclic voltammetry measurements for BN-C/ND before and after 5000 cycles.
A further attribute of the proposed structure is its high stability against galvanostatic charging-discharging cycling at high current densities, with almost no alteration to performance after 500 cycles.
However, almost no alteration of pigment was observed in the previous work [ 11].
Second order stencils can be implemented with almost no algorithmic alterations, thereby increasing accuracy further.
We found that the C18 1 (oleic acid) relative proportion gradually increased from 10 DAF (34.37% ± 1.57%) to 70 DAF (67.41% ± 2.35%) with a remarkable elevated degree at 40 to 50 DAF, and the percentage of C18 2 (linoleic acid) exhibited a peak value (50.07% ± 2.87%) only at 30 DAF, but almost no significant alteration (23.29% to 38.45%) for the other different developing periods.
This concerted action of Shh may explain why even though the somitogenesis clock was delayed almost 3 hours no alterations in A-P somite length were detected [ 92].
Although ECM provides an environment for the molecular exchanges needed for chondrocyte survival, and plays an important role in physiological activities for the regulation of chondrocyte function, intimate communications between cells and alterations of metabolism, almost no studies have examined the diffusion behaviors of particular molecules from synovial fluid through the ECM of cartilage.
No alterations, no changes.
More suggestions(3)
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com