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In addition, the commenter had several recommendations for CMS to implement in the interim to improve the accuracy of ratesetting: Issue sub-regulatory guidance encouraging hospitals to map cardiac MRI charges to cardiac/stress imaging cost centers rather than generic MRI

Instead, little guys are making the money selling fake and harmful products while preying on unsuspecting customers (lab rats)

The compounds low oral bioavailability and limited ability to cross the blood-brain barrier are challenges that still need to be addressed

The panic feels a little more performative

See the full evidence review for a study-by-study breakdown

Additionally, if you notice reduced effects at a dose that previously worked well, degradation is a possible cause