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However, if you have hit a plateau on tirzepatide, if you have stubborn visceral fat that is not responding, or if you want to maximize the fat-to-lean-mass loss ratio, the addition of AOD 9604 provides a mechanistically sound enhancement

Most of my patients are pleasantly surprised by how quickly these marks fade

That is not a disadvantage

Will be refilling

Response: We note that in the CY 2026 OPPS/ASC proposed rule (90 FR 33775), we proposed to utilize the same file format requirementsthe QRDA standardapplied in the Hospital IQR, OQR, and Medicare Promoting Interoperability Programs (85 FR 58940, 86 FR 42262, and 80 FR 49706, respectively)