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Acknowledgements The authors would like to thank all participants who participated and are still participating in the respective studies

The traditional shade-grown cultivation method, while beneficial for biodiversity and product quality, naturally constrains scalability because it is less intensive and more land-dependent than industrial agricultural models

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Concomitant diseases included heart failure (23%), hypertension (91%), previous ischemic stroke (12%), previous MI (40%), and peripheral artery disease (16%)