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* * * * * ( (5) The MDPP supplier's records must include an attestation from the MDPP supplier that, as applicable, the MDPP beneficiary for which it is submitting a claim (i) Has achieved the required minimum 5-percent weight loss as measured in accordance with 410.79(e)(3)(iii) of this chapter during a core session or core maintenance session furnished by that supplier, if the claim submitted is for a performance payment under 414.84(b)(1) of this chapter

This process, known as oxidative stress, triggers inflammation and paves the way for conditions like liver fibrosis (scarring) and cirrhosis

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Wei Y, Pan T, Zhao Y, Chen Z, Wu L, Fang S, et al