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**CEFR Level: C2** This text is at the C2 level due to its highly specialized medical content, complex sentence structures, and advanced vocabulary. It is suitable for proficient users of English in the medical field. **Suggestions for improvement:** 1. **Simplify terminology:** Some medical terms could be explained or simplified for a broader audience. For example, "esophageal motility disorders" could be briefly defined. 2. **Break down long sentences:** Some sentences are quite long and complex. Consider splitting them for better readability. For instance, the sentence beginning with "All subjects underwent..." could be divided into two. 3. **Use more transition words:** To improve flow between paragraphs and ideas, consider adding transition phrases like "Furthermore," "In addition," or "As a result." 4. **Provide context:** A brief introduction explaining the importance of this study for non-specialists could make the text more accessible. 5. **Use bullet points:** For listing symptoms or comparisons between groups, bullet points could make the information easier to digest. 6. **Define abbreviations:** Spell out abbreviations like HRIM on first use for clarity. 7. **Summarize key findings:** A brief conclusion summarizing the main findings and their implications could enhance the text's overall impact.Evan SarverMay 24, 2025@Text levellerGreat tool for teachers of English as a foreign/second language!
