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In summary, we are proposing that effective for portions of cost reporting periods beginning on or after October 1, 2023, an REH may decide to be a nonprovider site such that if the requirements at 42 CFR 412.105(f)(1)(ii)(E) and 413.78(g) are met, a hospital can include the FTE residents training at the REH in its direct GME and IME FTE counts for Medicare payment purposes, or, the REH may decide to incur direct GME costs and be paid based on reasonable costs for those training costs

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This chronic redox imbalance interferes with mitochondrial biogenesis, ATP synthesis, and redox homeostasis, thereby impairing follicular development and oocyte quality (Yan et al., 2024)

Fluid recommendations should be individualized, particularly for patients with heart failure or kidney disease who may require fluid restrictions

Padillo FJ, Cruz A, Navarrete C, Bujalance I, Briceno J, et al