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There are a number of reasons for this. The last reason is perhaps the most common. However, this was not always the case, for several reasons. For this reason, the use of an antagonist is unnecessary. A physician was permitted to overrule these recommendations by providing the reason at the bottom of the sheet.
You can talk about a person's reason for doing something. One of his reasons for coming to England was to make money. You can also talk about the reason why something happens or is done. There are several reasons why we can't do that. However, if you are actually stating the reason, don't use 'why'. Instead you use a that -clause.
Explanatory reasons are explanations of why things happened. For example, the reason the patient is in pain is that her nerves are sending signals from her tissues to her brain. A reason, in many cases, is brought up by the question "why?", and answered following the word because.
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