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Medicare Advantage beneficiaries are also less likely to receive newer antihyperglycemic therapies with proven outcome benefits in high-risk individuals. They added that these findings reinforce the need for surveillance of long-term outcomes under various Medicare plan structures and for program evaluation to ensure that indicated but more costly care is not stinted among at-risk beneficiaries under managed care approaches

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In addition, the peripheral deiodination of T4-to-T3 is also reduced in the setting of nonthyroidal illness 76 and specific medications (i.e., glucocorticoids)

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control 8.3 0.21%