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Most cases (~90%) have no previous family history and hence are termed sporadic ALS (sALS). Specific environmental factors may increase the risk of developing ALS, including smoking, air pollution, agricultural and industrial pollutants, -N-methyl amino-L-alanine (BMAA) toxicity, and physical activity

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In addition to any general annual deductible that may apply, 68% of covered workers have coinsurance and 12% have a copayment that apply to inpatient hospital admissions

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