This paper reports on our effort in modeling realistic astrophysical neutron star binaries in general relativity. We analyze under what conditions the conformally flat quasiequilibrium (CFQE) approach can generate ``astrophysically relevant initial data, by developing an analysis that determines the violation of the CFQE approximation in the evolution of the binary described by the full Einstein theory. We show that the CFQE assumptions significantly violate the Einstein field equations for corotating neutron stars at orbital separations nearly double that of the innermost stable circular orbit (ISCO) separation, thus calling into question the astrophysical relevance of the ISCO determined in the CFQE approach. With the need to start numerical simulations at large orbital separation in mind, we push for stable and long term integrations of the full Einstein equations for the binary neutron star system. We demonstrate the stability of our numerical treatment and analyze the stringent requirements on resolution and size of the computational domain for an accurate simulation of the system.
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