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Yes, a COA is available on request for each batch, confirming identity and purity for research documentation purposes

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doi: 10.3390/nu15082009

The commenter also indicated that although Medicare Advantage is not a market-based system, the proposal would create an opportunity for negotiations to reflect market dynamics even if the immediate impact of the proposal is minimal due to the current extremely close correlation between the MS-DRG relative weights and the MA rates