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Or it might be any number of nutritional deficiencies, a combination of those deficiencies, or countless other possible contributing factors

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A condition known as dumping syndrome can occur when the smaller stomach pouch rapidly empties contents into the small intestine

If we determine that the payment model no longer satisfies the requirements of section 1899(i)(3) of the Act (for example if the payment model results in net program costs), we would undertake additional notice and comment rulemaking to adjust our payment methodology to assure continued compliance with the statutory requirements

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