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/api/stream is a Server-Sent Events stream: on connection you receive a snapshot of the board, then each change is pushed (no polling). Since EventSource doesn’t allow a custom header, pass the key in the query: ?key=YOUR_KEY.
Node.js

Event types

Each events element carries the event_id, the teams, the live_status and the main odds (moneyline/spread/totals).
The stream opens a long-lived connection and counts as 1 request at the moment of connection.