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When participants did look at the face, they fixated the mouth at a higher proportion of the time in the pre-recorded condition versus the real-time condition. These findings suggest that people engage in avoidance of potentially useful speech-directed fixations when they believe their fixations are being observed and demonstrate that social factors play a significant role in fixation behavior during speech encoding.BACKGROUND AND OBJECTIVE Little is known about the economic burden to patients and families with neuroendocrine tumours (NETs) for medi