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But they do lack Allies of Skins stamp of approval, so to speak, from a respected third-party with strict testing requirements

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doi: 10.1001/jama.264.1.48 146 LevinePHJacobsonSPocinkiAGCheneyPPetersonDConnellyRRet al

Response: We remind commenters that the functional levels are set so that roughly a third of periods within each clinical group are assigned to low, medium, and high to ensure that the case-mix system pays appropriately for differences in functional impairment level