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The National Association of Medicaid Directors (NAMD) has recommended that Congress grant the Secretary of HHS the authority to develop unified enrollment rules for DSNPs that would require a longer timeframe in which beneficiaries had to remain in a DSNP plan in which they voluntarily enrolled (NAMD, 2013)

However, it is always recommended to consult with a healthcare provider before starting any long-term supplement regimen

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Sample size calculation The sample size was determined using G*Power 3.1.9.4 software in accordance with the methodologies outlined by Faul et al