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It serves as a stabilizer, helping the tirzepatide peptide maintain its structure and potency during storage

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doi:10.1007/s00441-019-03016-8 [2] Deek SA

Instead of adjusting the ASM participant's risk level, we believe it would be preferable for ASM participants not to receive a final score, which would result in an automatic neutral payment adjustment

Comment: A commenter supports the policy where any future changes to the Promoting Interoperability ASM performance category should be made through a notice and comment rulemaking process