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SSS should consider race/ethnicity- and sex-specific pathways influencing cardiometabolic risk. We investigated the impact of our laboratory's reflex testing process for resolving ERBB2 (HER2) status on breast cancer samples that require additional workup after fluorescence in situ hybridization (FISH), per guideline recommendations published in 2018 by the American Society of Clinical Oncology (ASCO) and the College of American Pathologists (CAP). In total, 500 breast cancer specimens with ERBB2 FISH results in groups 2 through 4 (all

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