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The components in WS, mainly withanolide glycosides exert their immunomodulatory action by mobilizing and activating macrophages and inducing proliferation in murine splenocytes [58]

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of this Appendix, the impact analysis of the payment rates and factors presented in this proposed rule under the LTCH PPS is projected to result in a decrease in estimated aggregate LTCH PPS payments in FY 2024 relative to FY 2023 of approximately $24 million based on the data for 333 LTCHs in our database that are subject to payment under the LTCH PPS