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The Biden administration made changes to Section 1115 budget neutrality policies that provided greater flexibility for states to design and implement 1115 demonstration programs, including HRSN initiatives (such as not requiring offsetting savings for HRSN services)

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Can DSIP dosing be titrated upward if nothing happens

Studies have documented increased nocturnal growth hormone release following DSIP administration, potentially explaining some of the peptide's restorative effects given GH's critical role in tissue repair and metabolic regulation during sleep