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Goal intensity Aggressive goals justify more intensive protocols

Blood work confirms whether estrogen is actually elevated or symptoms have other causes

Regarding the suggestion for reducing the ASM risk level for small practices, we believe that the small practice scoring adjustment, as discussed in section III.C.2.e.(4) of this final rule, will support ASM participants in small practices to have a higher final score and increase the likelihood of receiving a positive ASM payment adjustment factor

Once opened, use according to best practice sterile handling guidelines

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