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As described in the CY 2019 PFS final rule (83 FR 59765), we established an approach to incrementally remove process measures where prior to removal, consideration will be given to, but will not be limited to the following: Whether the removal of the process measure impacts the number of measures available for a specific specialty

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While increased GH signaling is mechanistically linked to reduced fat mass in other clinical contexts, there is no strong human randomized trial evidence yet showing ipamorelin alone produces meaningful weight loss