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PMID: 25730455

Center SA, Harte J, Watrous D, Reynolds A, Watson TD, Markwell PJ: The clinical and metabolic effects of rapid weight loss in obese pet cats and the influence of supplemental oral L-carnitine

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It becomes a requirement when: a partner or payor mandates it when you need ONC certification to bill Medicare or Medicaid when manual clinical workflows (like charting) start bogging you down Just make sure every tool in your stack (intake, scheduling, messaging, payments, storage) is HIPAA-compliant with a signed BAA from the start