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Increase to 0.5 mg for at least another four weeks

For compounds requiring BSA carrier protein , including HGH 191AA, EPO, and GLP-1 and add BSA to the Bacteriostatic Water reconstitution volume before addition to the lyophilised compound to ensure the carrier protein is present from the point of dissolution

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Response: We note that the two SDOH measures went through the rigorous measure development lifecycle outlined at the CMS Measures Management System website [269] which includes measure testing and reliability analysis