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In PMOS, they may be used when the clinical picture fits, especially when higher weight or metabolic risk is part of the case

Merchant TE, Conklin HM, Wu S, Lustig RH, Xiong X: Late effects of conformal radiation therapy for pediatric patients with low-grade glioma: prospective evaluation of cognitive, endocrine and hearing deficits

(iii) and [serve] primarily as a financing mechanism for states, resulting in increased federal expenditures. Despite the safeguards implemented in the post-2022 approvals of DSHP, CMS has renewed concerns about the same issues originally identified in 2017, the letter states