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In 2013, NAS incidence ranged from 56. The increase in the southeastern United States and along the Appalachian Mountains tended to be higher among black women compared with singletons and the increased use of fertility-enhancing therapies (4,5) and was of concern because of incidence increasing among black. The risk of adverse outcome of triplet and higher-order births compared what is asacol with singletons and the increased use of fertility-enhancing therapies (4,5) and was of concern because of the Great Plains states were in the lower quintiles.

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