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When your body metabolizes NAD+ precursors, it burns through SAMe, one of your biggest methyl donors, to clear the byproduct nicotinamide
Applying this reporting ratio to the OPPS payment amounts results in reduced national unadjusted payment rates that are mathematically equivalent to the reduced national unadjusted payment rates that would result if we multiplied the scaled OPPS relative payment weights by the reduced conversion factor
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