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It can also be spread from adult to adult through body secretions or feces

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Clinicians should stagger dosing or seek alternative agents when clinically feasible

For systemic effects such as gut healing, systemic anti-inflammation, or neurological support, subcutaneous injection into the abdominal area is typically preferred

( Response: We acknowledge the complexity of the HEBA and refer readers to the discussion in the proposed rule (89 FR 61888) detailing how the HEBA is calculated and applied as well as to the Shared Savings Program's Program Guidance & Specifications web page, [573] where we anticipate publishing details on the HEBA calculation in a future version of the Shared Savings and Losses, Assignment and Quality Performance Standard Methodology Specifications