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Serious adverse effects are extremely rare

Shortness of breath and dizziness: Difficulty breathing and a feeling of lightheadedness

Comment: A commenter sought CMS guidance on its plans to ensure consistency across the Medicare Shared Savings Program (MSSP) in applying the revised definitions, providing updated technical specifications and training resources, and monitoring the impact of these changes on MSSP performance scores

It can be caused by many types of chronic inflammatory disorders, such as cancer, chronic infections, kidney and autoimmune disease, especially rheumatoid arthritis and SLE