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Levels of these metabolites may not normalize until our blood levels get up to around 400 mol/L

In accordance with section 1848(q)(6)(D)(i) of the Act, we proposed in the CY 2025 PFS proposed rule to continue using the mean of the final scores for all MIPS eligible clinicians to compute the performance threshold for the 2027, 2028, and 2029 MIPS payment years (89 FR 62089 through 62091)