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The comprehensive APC (C-APC) policy was implemented effective January 1, 2015, with modifications and clarifications in response to public comments received regarding specific provisions of the C-APC policy (79 FR 66798 through 66810)

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If a patient is worried about muscle loss during weight loss, we first need to look at: Protein intake Total calorie intake Rate of weight loss Resistance training Body composition Overall medical health If the patients concern is a tendon or musculoskeletal injury, that is a different clinical conversation

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