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Patricia Gina Lu Department of General Surgery, Division of Surgical Oncology and Endocrine Surgery, Mayo Clinic in Arizona, Phoenix, Arizona, USA

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Zhi Ven Fong Department of General Surgery, Division of Surgical Oncology and Endocrine Surgery, Mayo Clinic in Arizona, Phoenix, Arizona, USA

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Patrick T Hangge Department of General Surgery, Division of Surgical Oncology and Endocrine Surgery, Mayo Clinic in Arizona, Phoenix, Arizona, USA

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Yu-Hui Chang Department of Quantitative Health Sciences, Mayo Clinic in Arizona, Scottsdale, Arizona, USA

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Elisabeth S Lim Department of Quantitative Health Sciences, Mayo Clinic in Arizona, Scottsdale, Arizona, USA

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Nabil Wasif Department of General Surgery, Division of Surgical Oncology and Endocrine Surgery, Mayo Clinic in Arizona, Phoenix, Arizona, USA

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Patricia A Cronin Department of General Surgery, Division of Surgical Oncology and Endocrine Surgery, Mayo Clinic in Arizona, Phoenix, Arizona, USA

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Chee-Chee Stucky Department of General Surgery, Division of Surgical Oncology and Endocrine Surgery, Mayo Clinic in Arizona, Phoenix, Arizona, USA

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encourage compliance and consistency. Further work into how best to encourage guideline adherence is needed for surgeons and patients alike. Declaration of interest The authors declare that there is no conflict of interest that could be perceived as

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Jose E Nunez Division of Medical Oncology, Odette Cancer Centre, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada

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Sylvia Ng Department of Radiation Oncology, Odette Cancer Centre, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada

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Hanbo Chen Department of Radiation Oncology, Odette Cancer Centre, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada

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Simron Singh Division of Medical Oncology, Odette Cancer Centre, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada

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Julie Hallet Department of Surgery, Odette Cancer Centre, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada

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Calvin Law Department of Surgery, Odette Cancer Centre, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada

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Sten Myrehaug Department of Radiation Oncology, Odette Cancer Centre, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada

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using a shielded infusion pump system. All patients were evaluated by the nuclear medicine radiation safety team to ensure adherence to institutional radiation safety protocols. Stereotactic body radiotherapy SBRT was initiated before or

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Yuko Matsuo Division of Endocrinology and Metabolism, Department of Internal Medicine, Kurume University School of Medicine, Asahi-machi, Kurume, Fukuoka, Japan

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Kenji Ashida Division of Endocrinology and Metabolism, Department of Internal Medicine, Kurume University School of Medicine, Asahi-machi, Kurume, Fukuoka, Japan

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Ayako Nagayama Division of Endocrinology and Metabolism, Department of Internal Medicine, Kurume University School of Medicine, Asahi-machi, Kurume, Fukuoka, Japan

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Kanoko Moritaka Division of Endocrinology and Metabolism, Department of Internal Medicine, Kurume University School of Medicine, Asahi-machi, Kurume, Fukuoka, Japan

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Mizuki Gobaru Division of Endocrinology and Metabolism, Department of Internal Medicine, Kurume University School of Medicine, Asahi-machi, Kurume, Fukuoka, Japan

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Junichi Yasuda Division of Endocrinology and Metabolism, Department of Internal Medicine, Kurume University School of Medicine, Asahi-machi, Kurume, Fukuoka, Japan

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Naoyuki Ogasawara Department of Urology, Kurume University School of Medicine, Asahi-machi, Kurume, Fukuoka, Japan

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Hirofumi Kurose Department of Urology, Kurume University School of Medicine, Asahi-machi, Kurume, Fukuoka, Japan

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Katsuaki Chikui Department of Urology, Kurume University School of Medicine, Asahi-machi, Kurume, Fukuoka, Japan

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Shimpei Iwata Division of Endocrinology and Metabolism, Department of Internal Medicine, Kurume University School of Medicine, Asahi-machi, Kurume, Fukuoka, Japan

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Yukihiro Inoguchi Division of Endocrinology and Metabolism, Department of Internal Medicine, Kurume University School of Medicine, Asahi-machi, Kurume, Fukuoka, Japan

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Nao Hasuzawa Division of Endocrinology and Metabolism, Department of Internal Medicine, Kurume University School of Medicine, Asahi-machi, Kurume, Fukuoka, Japan

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Seiichi Motomura Division of Endocrinology and Metabolism, Department of Internal Medicine, Kurume University School of Medicine, Asahi-machi, Kurume, Fukuoka, Japan

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Tsukasa Igawa Department of Urology, Kurume University School of Medicine, Asahi-machi, Kurume, Fukuoka, Japan

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Masatoshi Nomura Division of Endocrinology and Metabolism, Department of Internal Medicine, Kurume University School of Medicine, Asahi-machi, Kurume, Fukuoka, Japan

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per day. Adherence to αMPT treatment was deemed sufficient (100% overall) during the study in all patients. Measurement of catecholamine metabolites Urinary MN and NMN levels were measured by liquid chromatography/mass spectrometry (SRL, Tokyo

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