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Specifically, we finalized a policy to discontinue the requirement that a code combination (that qualifies for a complexity adjustment by satisfying the frequency and cost criteria thresholds described above) also not create a 2 times rule violation in the higher level or receiving APC

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High-protein and low-carbohydrate diets improve satiety, preserve muscle mass, and reduce insulin resistance and hyperandrogenism [15, 16]

It is necessary to enhance the development of integrated treatment strategies, promote interdisciplinary cooperation, and fully investigate the shared pathophysiological mechanisms to improve patient outcomes and quality of life