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States could further examine their Medicaid managed care performance measures to ensure that they do not contain language that makes them unnecessarily inconsistent with Medicare measures

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Increased NNMT expression has also been reported in muscle-wasting conditions such as Duchenne Muscular Dystrophy (DMD)

Though it is naturally produced in the body, ageing, poor diet, environmental pollutants, and stress can lower its levels, resulting in increased oxidative stress and hyperpigmentation