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Isn't MD the same in all countries ?
Don't count on it! I'm constantly corrected in non-US forums for taking our language there - tread lightly!
On the coin above, look at the line to the right of the 2. Notice how the "MD" is to the left and above it/ That's why I'm thinking deterioration. Most MD I've seen is a one-time directional event (except in the most extreme die bounce cases).