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      "text": "you can push it up to about 50%...the problem is that the fat doesn't transplant well, but if you can re-perfuse it and let the organ calm down on the TransMedics pump...then all that fat washes out over the next couple of weeks.",
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      "text": "Increasingly using for fatty livers in addition to those with diabetes and metabolic syndrome",
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      "text": "High volume user putting livers with ~50% steatotis on pump despite stating >20% is worrisome",
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      "text": "Predictably, the third area where high-volume TransMedics users blatantly and openly disregard the FDA label for the pump is the off-label misuse of highly fatty/steatotic livers...",
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      "text": "a lot of centers are using it...the livers are fatty, metabolic syndrome, type 2 diabetes...the livers get replaced with fat...if it stays greater than 20% fat...then the liver doesn't tolerate the transplant very well. — Transplant surgeon and surgical director at a high-volume academic center in Utah",
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      "text": "Source: Scorpion Capital consultation calls with experts",
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