the number of livebirths in 36 months per 1000 couples, 16 versus 25), when compared to a general infertility cohort
References 1 AllagnatF.FukayaM.NogueiraT
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Do not use during pregnancy and in children or otherwise for prolonged periods without seeking medical advice
Another commenter expressed concern that less publicized extraordinary circumstances will not prompt CMS to issue an ECE without request, and that the process to submit an ECE request via the HQR portal, email, or secure fax may be unavailable if an emergency event severely disrupts operations for months
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