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Weight loss can alter thyroid hormone metabolism, potentially requiring levothyroxine dose adjustments

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This means that processes useful for living longer take a back seat

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At the time the policy was originally promulgated, we stated in the FY 2020 IPPS/LTCH PPS final rule (84 FR 42326 through 42328) our intention that it would be in effect for at least 4 fiscal years beginning October 1, 2019

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