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The decision to escalate should be based on weight loss trajectory, appetite control , and side effect profile

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But for young women, they also carry a particular set of unknowns: How safe are they during pregnancy

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Table 12 of the CY 2026 OPPS/ASC proposed rule (90 FR 33537) listed the APCs for which we proposed to make an exception under the 2 times rule for CY 2026 based on the criteria cited above and claims data submitted between January 1, 2024, and December 31, 2024, and CCRs, if available

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