Bunuel wrote:
The latest treatment for gout is twice or more than twice as effective at lowering the levels of uric acid as the current standard drug, and is the first new medicine for treating gout in 40 years.
A. twice or more than twice as effective at lowering the levels of uric acid as the current standard drug, and is
twice and more is wordy and akward at least better conveys the meaning
B. at least twice, or even more than twice, as effective at lowering the levels of uric acid as the current standard drug, and is
at least twice logically opens up the possibility of more than twice therefore out
C. at least twice as effective at lowering the levels of uric acid as the current standard drug, this being
what is this refering to , is not well answered therefore out
D. at least twice as effective at lowering the levels of uric acid as the current standard drug, and is
This is better and the meaning is conveyed without redudancy therefore let us hang on to it
E. at least twice as effective at lowering uric acid levels as the current standard drug, it being
it in the end is a problem since we don't know what it's refering to therefore out
Therefore IMO D