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As with any supplement, its important that all options are discussed with qualified practitioners and that all possible risks involved are disclosed

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Based on our understanding of congressional intent with respect to the expansion exception process, we do not believe that the Congress anticipated, much less intended, that a hospital willing to expand its number of operating rooms, procedure rooms, and beds in a community in which there is a clear need for additional capacity would be foreclosed from doing so if one or more of the other hospitals in that community did not participate in Medicare or if Medicaid inpatient admissions data was otherwise unavailable for all hospitals in the county in which the requesting hospital is located

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Thyroid: Off J Am Thyroid Assoc (2007) 17(7):60912