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DSIP stands for Delta Sleep-Inducing Peptide, named after its discovery in animals entering deep slow-wave (delta) sleep

B12 injections: Not an immediate weight loss medication but can assist with energy metabolism in deficiency situations

doi:10.1016/j.fct.2011.11.003

Chandy thinks the phenomenon occurs because the B12 allows the body to put itself right, and if you have had things wrong for a long time, then theres a lot to put right in a small period of time

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Comment: A few commenters requested that CMS consider either defining exclusion criteria for complex ED encounters (for example, specialized care pathways, specialty consultations, forensic patients, or patients requiring advanced imaging) or adding exclusionary language for each of the numerator components