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However, some people, including those who are pregnant, should consider talking with a doctor about supplementation.

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Finally, regarding a commenter's suggestion to implement a peer review or appeals process before applying the 4-star cap or 1-star reduction, we do not believe a peer review or an appeals process is necessary since hospitals can use preview periods to review the methodology and their results, as well as reach out with questions

doi:10.3945/an.117.015628

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