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Synchronous rectification is usually used in lower voltage applications because the efficiency with a diode that drops even 0.5v is comparable to the output voltage. In higher voltage supplies the diode voltage drop is much less significant because the ratio of the diode drop to the output voltage is very small.
For example, for a 5v output supply the approximate efficiency loss is 0.5/5 which is 0.1 or 10 percent, which is a lot keeping in mind this is just because of the diode alone.
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