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While we did not propose any changes to the methodology finalized in the CY 2023 HH PPS final rule (87 FR 66804), we did receive comments on the CY 2024 HH PPS proposed rule which are summarized in this section

After a cycle, the body sees a prolonged boost in hGH production far beyond their initial dose, thus allowing longer-term maintenance of benefits

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Randomized controlled trials (RCT) are the logical next step which would include these events, and usage of the eFACE Facial Nerve Clinician-Graded Scale would also be helpful in an RCT