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We stated that as under the current cost-based relative weight estimation methodology, the normalization adjustment is intended to help ensure that recalibration by itself neither increases nor decreases total payments under the IPPS, as required by section 1886(d)(4)(C)(iii) of the Act

Take ghrelin for instance, a peptide connected to hunger that will affect sleep and the release of growth hormone

Therefore, the cause of the lower number of patients with GHD in our study may be owing to the lower cutoff value for GHD and not due to obesity

The most appropriate option depends on individual needs

Rely on the facts