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Comment: A few commenters suggested that hospitals with greater patient volumes scored on more Safety of Care measures (particularly larger facilities such as teaching hospitals or VHA hospitals) may have higher potential for score reductions, not because of poor quality, but because they are more exposed to scoring variation

People with certain other health conditions, such as a history of pancreatitis, severe gastrointestinal disease, or diabetic retinopathy, should discuss the risks carefully with their provider

Taking more than the recommended amount will not improve results and may cause adverse reactions

Regulation and Claims It is important to heed FTC warnings regarding deceptive health claims

Hospital Outpatient Pharmacies: An underutilized resource

In these reactions, NADP + acts like NAD + in other enzymes as an oxidizing agent