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Only one study suggests that the peptide may upregulate the receptors of the human growth hormone (hGH), particularly in tendon fibroblasts

In its recently released Advance Notice of Methodological Changes for Calendar Year 2018 for Medicare Advantage Capitation Rates and 2018 Call Letter , CMS asked for comments on whether it should establish different provider network standards specifically for DSNPs and whether or how such criteria could better ensure DSNPs meet the health care needs of the populations they enroll (CMS, 2017c)

FIGURE 1 A total of 32 articles were identified and deemed fit according to the inclusion and exclusion criteria

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