Alessandria M, Berrino F, Malatesta GM, Donzelli A. Reply to the letter to the editor by Manzoli, Acuti Martelucci and Flacco (doi: 10.17179/excli2025-9176). EXCLI J. [Internet]. 2026 Apr. 15 [cited 2026 Sep. 9];25:476-8. Available from: https://excli.de/excli/article/view/9442