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The phrase "as the main cause" is correct and usable in written English.
It can be used to identify or emphasize the primary reason for a particular outcome or situation.
Example: "The researchers concluded that climate change was identified as the main cause of the drastic changes in weather patterns."
Alternatives: "as the primary reason" or "as the chief factor".
Exact(60)
From the beginning, prosecutors depicted Mr. Rodriguez as the main cause of the child's death.
Those young men see outsiders as the main cause of their troubles.
Childhood adversity is emerging as the main cause of mental illness, along with wider social factors.
You cite ideology as the main cause for violence in the 20th century.
EXTERNAL barriers, like housing discrimination based on race, are still viewed as the main cause of black-white segregation.
"In every downgrade of the Cypriot economy, the exposure of our banks to Greece is portrayed as the main cause".
A failure by commanders to fill out paperwork promptly was described as the main cause of the delay.
He described "rampant corruption" as the "main cause of poverty in Ukraine".
To Greenwood, the results eliminate hybridization as the main cause of extinction.
The authors suggested sinus barotrauma as the main cause of the headache.
Therefore, strain-induced roughness is probably viewed as the main cause of abnormal PL spectra.
More suggestions(16)
as the main etiology
as the main motivation
as the main issue
as the foremost cause
as the prominent cause
as the great cause
as the main contributor
as the overriding cause
as the main consequence
as the main reason
as the principal cause
as the fundamental cause
as the predominant cause
as the main culprit
as the main damage
as the core cause
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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