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Lifestyle treatment rates increased over the 4-year study period, but Wright and colleagues did not find a significant difference in how often providers referred patients for nutrition counseling before or after the guidelines were published

A few commenters expressed that this creates volatility, as a hospital's placement could shift between quartiles based on small changes in peer performance rather than meaningful changes in its own outcomes

Insulin blunts GH release

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While TFA is not currently regulated, its environmental presence is concerning

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