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Search methods We searched CENTRAL, MEDLINE, Embase, and LILACS, as well as the WHO ICTRP and ClinicalTrials Bolaman Z, Kadikoylu G, Yukselen V, Yavasoglu I, Barutca S, Senturk T

We recognize there is always a level of concern that accompanies a payment rate decrease and we remind readers that, by law, as described in section 1895(b)(3)(D) of the Act, we are required to ensure that estimated aggregate expenditures under the HH PPS are equal to our determination of estimated aggregate expenditures that otherwise would have been made under the HH PPS in the absence of the change to a 30-day unit of payment and changes in case-mix adjustment factors
Weeks 1-4: tirzepatide only phase During the tirzepatide-only phase, the primary change is appetite reduction

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