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The mechanisms behind insulin resistance are not completely understood and seems to be a multifactorial result of a variety of genetic, cellular and environmental causes [ 6].
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Postpartum haemorrhage is a multifactorial event that could be assumed to result from an underlying continuous liability to bleed, where only those who reach a certain threshold will experience the event (and be diagnosed).
Essential hypertension is considered to be a multifactorial trait resulting from the combined influence of environmental and genetic determinants.
Parkinson disease (PD), a chronic neurodegenerative disease, has been proposed to be a multifactorial disorder resulting from a combination of environmental mechanisms (chemical, infectious, and traumatic), aging, and genetic deficits.
The orthodontic movement is a multifactorial issue.
It is considered to be a multifactorial condition that results from four primary pathophysiologic processes: abnormal follicular keratinization that leads to ductal obstruction increased and altered sebum production that is androgen-induced follicular colonization and proliferation of Propionibacterium acnes altered adaptive immune response and inflammation.
The end result would be a multifactorial response leading to 5FU resistance.
AA formation is thought to be a multifactorial and predominantly degenerative process that results from a complex interplay between biological processes in the arterial wall and the hemodynamic stimuli on the wall [ 5– 9].
Osteoarthritis (OA) is a multifactorial disease, resulting in diarthrodial joint wear and eventually destruction.
Diet-induced milk fat depression (MFD) is a multifactorial condition resulting from the interaction of numerous risk factors, including diet fermentability and unsaturated fatty acids concentration, feed additives, and individual cow effects.
Cancer is a multifactorial disease resulting from complex interactions between environmental and genetic factors.
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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