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Copper can catalyze oxidation reactions, potentially accelerating the degradation of the peptide it is bound to and even neighboring molecules

[286] Thus, we believe that a complex patient scoring adjustment based on HCC risk scores and dual proportions, as is done in MIPS, would not only reduce inappropriate penalties among ASM participants that disproportionately care for dual eligible, high-risk populations but would also reduce inappropriate payments for ASM participants that care for less complex populations

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Concern and Recommendations: Medically, the major concern right now with BPC 157 is a lack of evidence confirming safety in humans