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According to the provided information, both players have not shown outstanding results in recent Chinese tournaments. However, Paul has shown better results, not losing to top-10 players and having wins under his belt. Meanwhile, Altmeyer suffered a defeat to Lloyd Harris and was only able to win one set against a tired Nishioka. It is also worth noting that the American is in better physical shape and likely has a higher level of skill compared to his opponent. As a result, it is expected that Paul will start in Tokyo with an easy and quick victory in straight sets. Therefore, my prediction is for Paul to win 2-0.