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This pattern is not unique to tirzepatide but reflects the biology of obesity and metabolic adaptation

Details about the diffusion of the intervention into current health care practices in Ontario add an important dimension to the review

Molecular Metabolism , 49

The commenters stated MDHs are rural hospitals and suggested CMS perform another study to look at the costs that MDHs incur, and opined that CMS has the authority to extend the adjustment to MDHs and urban SCHs without legislation