Thanks for this great research. Here is more on the embargo policy.
https://www.nejm.org/author-center/embargo-policyPrior to Article Publication
The New England Journal of Medicine (NEJM) employs a media embargo system, which allows journalists time to conduct interviews in the days before an article’s publication.
Weekly print issues of NEJM have Thursday cover dates. Qualified journalists receive embargoed online access to coming issues on the preceding Fridays at 10:00 a.m. ET and may conduct interviews with authors and prepare stories. These reporters agree to neither publish nor broadcast their stories until after the embargo lifts at 5:00 p.m. ET on the Wednesday prior to publication.For articles on standard print publication schedules
Day Time Event Friday 10:00 a.m. ET Access opens for qualified journalists. Authors may provide interviews to qualified journalists who may also share embargoed content with other sources for comment, providing that their sources agree to uphold the embargo. Saturday to Tuesday All day Authors may provide interviews to qualified journalists who may also share embargoed content with other sources for comment, providing that their sources agree to uphold the embargo. Wednesday 5:00 p.m. ET Embargo lifts, news stories may appear on or after this time. Thursday Print issue cover date.
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