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If you are within the stability window and still experiencing a plateau, it may be time to evaluate other factors like diet, sleep, and exercise

Comment: A few commenters recommended that we apply OPPS geographic reclassifications and wage index floor policies to ASCs to further harmonize payment systems and mitigate the impact of inadequate wage indices on rural ASCs, noting that hospitals can seek geographic reclassifications and receive wage index floors of 1.0 in frontier States while ASCs are excluded from these protections, despite competing in the same labor markets

Potential Anti-Aging Effects Nicotinamide N-methyltransferase (NNMT) plays a role in cellular aging, and inhibiting it may support longevity

Response: We appreciate commenters' concerns regarding the use of extensions for ECE requests