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its a lot of work and if you fall apart anywhere along this titration plan then um get out your pin because youre probably going to rewrite that a new type of distribution um so this is from milton packer and he sort of put together a hybrid of what you propose with a cluster scheme and compare it to the conventional sequence so like you said conventional sequencing you start a drug you start the next one you slowly titrate over time it typically takes months or more to get there he was suggesting everybody should start with beta blocker and sglt2 inhibitor up front as the first drug and then alternate rna and mra in terms of where you start it and then titrate drugs but the goal of getting everything titrated within three months up to goldos but starting everything within four weeks uh this is uh from stephen green um and working put together with greg von roe and this is a bit more similar to what weve proposed with the cluster scheme where you put everything in a silo and you tr