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A volunteer medic's flak jacket is stained with blood at a field clinic on the outskirts of Mosul. As Iraqi forces struggle to secure gains against the Islamic State group, casualties are spiking. U.S. troop levels — and their roles in Iraq and Syria — have "been a key factor in our considerations going forward," said Pentagon spokesman Peter Cook.

A volunteer medic's flak jacket is stained with blood at a field clinic on the outskirts of Mosul. As Iraqi forces struggle to secure gains against the Islamic State group, casualties are spiking. U.S. troop levels — and their roles in Iraq and Syria — have "been a key factor in our considerations going forward," said Pentagon spokesman Peter Cook.

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