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Furthermore, the metabolic stress associated with the KD, such as caloric restriction, weight loss, or increased cortisol, can increase rT3 levels, which antagonize T3 at its receptor and blunt metabolic activity
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Under this proposal, an attestation of “no” would result in the eligible hospital or CAH not meeting the measure and not satisfying the definition of a meaningful EHR user under 42 CFR 495.4, which would subject the eligible hospital or CAH to a downward payment adjustment
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