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John Ferruolo was racked for minus four by Bob Nellums, however, and put a crimp into that opportunity
Most will be set up for right hand reeling, but this can be reversed
This low survival rate is explained by the poor differentiation of ATC and its tendency for fast growth, high inflammation and early metastasis, which is why ATC is classified as stage IV upon initial diagnosis 3,4
That makes it especially effective when placing small dry flies beneath overhanging branches, into narrow pockets, or along undercut banks
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