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She said she had paid to see a consultant in Bristol who believed it was an "auto-immune issue" but could not be certain without a biopsy.
Hence the comparison of cases with retrospective controls probably underestimates the incremental benefit of the service, although we cannot be certain without a randomised study.
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Just months after its service launched, Sirius warned shareholders that bankruptcy was certain without an injection of cash.
It is thus possible to be in a state of knowledge without being certain and to be certain without having knowledge.
Is a new well point needed? A. I think not, although it is hard to be certain without checking everything.
Whoever recognizes an opportunity, one thing is certain: Without the involvement of a profit-seeking corporation, no program is likely to go far.
One thing is certain, without Mikey Likes It Ice Cream, the world would not be as sweet a place.
But one thing is certain: without shared responsibility, there will be no shared land.
Popper stressed that, regardless of the amount of confirming evidence, we can never be certain that a hypothesis is true without committing the fallacy of affirming the consequent.
Nor would it do to make the unpronounced modal operator in bare conditionals "probably"; for one can be certain that it is probable that if A, C, without being certain that if A, C.
The attorney general said the undertakings to witnesses would hasten the start of the inquiry: "It was certain that without such an undertaking being given, potential witnesses would be inhibited from providing Lord Cullen with full assistance.
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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