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The Real Problem: Cytokine Activation According to the Purser Model, homocysteine is not the primary cause of tissue damage

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of the preamble of this proposed rule, consistent with the IPPS and LTCH PPS ratesettings, our policy principles with regard to the wage index include generally using the most current data and information available, which is usually data on a 4-year lag (for example, for the FY 2023 wage index we used cost report data from FY 2019)