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Sesso and Manson received investigator-initiated grants from Mars Edge, a segment of Mars Incorporated dedicated to nutrition research and products, for infrastructure support and donation of COSMOS study pills and packaging, and Pfizer Consumer Healthcare (now Haleon) for donation of COSMOS study pills and packaging during the conduct of the study. Dr. Sesso additionally reported receiving investigator-initiated grants from Pure Encapsulations and honoraria and\/or travel for lectures from the Council for Responsible Nutrition, BASF, and NIH during the conduct of the study. Dr. Hamaya is a co-founder and CEO of Everyone Cohort Inc. No other authors reported any conflicts of interests for this study.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}}]}}