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Tesamorelin GH Secretagogue with a Visceral Fat Bonus Tesamorelin is an FDA-approved GHRH analog (originally approved for HIV-associated lipodystrophy) with well-documented effects on visceral fat reduction and lean body mass preservation

Respiratory Issues Inhalation of mycotoxin-laden spores can irritate the respiratory tract, leading to symptoms such as: - Chronic cough - Wheezing - Asthma exacerbations - Chronic sinusitis Cancer Certain mycotoxins, like aflatoxins produced by *Aspergillus* species, are classified as carcinogenic

Beginning with validation affecting the FY 2024 payment determination and subsequent years, we finalized a policy to incorporate eCQMs into the existing validation process for chart-abstracted measures such that there would be one pool of hospitals selected through random selection and one pool of hospitals selected using targeting criteria, for both chart-abstracted measures and eCQMs (85 FR 58942 through 58953)