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Similar to the 2017 letter, the 2025 letter notes that federal DSIP and DSHP funding have appeared to serve primarily as a financing mechanism for states rather than as an integral part of demonstrations

[2] Glucose Pathway Exploration Another area under review is glucose-related activity

It may be used as a diagnostic measure to identify the cause of the fluid accumulation, for example, infection, gout, or rheumatoid arthritis, or as a therapeutic intervention to relieve pressure and discomfort

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It is not appropriate for everyone, and understanding who benefits most helps researchers make informed decisions about whether the added complexity and cost are justified

However, this remains speculative without empirical support