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Kempf E, Vogel M, Vogel T, Kratzsch J, Landgraf K, Khnapfel A, Gausche R, Grfe D, Sergeyev E, Pfffle R, Kiess W

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Response: In response to comments outside of the scope of the proposed rule regarding MDPP payment rates for in-person and distance learning compared to DSMT and IBT, we clarify that MDPP payment rates do not provide a direct comparison to these programs due to fundamental differences in program structure, requirements, and delivery methods, which justify MDPP's payment methodology

Evidence of thermal stress experiment on primary myocytes indicates that astaxanthin resists thermal stress by enhancing the activity of antioxidant enzymes, heat shock proteins and activating the antioxidant gene Nrf2