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Plexus is an MLM (multi-level marketing) supplement company with no scientific research on the safety of its products.32 And certain Plexus products, such as Plexus Slim, have been linked to adverse health effects, like immune thrombocytopenic purpura (a blood disorder).33 34 This makes us a bit skeptical of any potential benefits of the relationship between Puritans Pride and the Council for Responsible Nutrition

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Comment: One commenter pointed to the significant methodological changes to individual measures finalized in the Fiscal Year (FY) 2026 Inpatient Prospective Payment System (IPPS) final rule (90 FR 36997 through 37027), such as the use of Medicare Advantage (MA) data, changes in risk adjustment models, removal of COVID-19 vaccination measures, and re-baselining of HAI measures, and urged CMS to delay implementation of Stage 2 for a year after updated data is publicly available and after conducting a comprehensive analysis of the combined effects before finalizing further penalties

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