Section 3401(c) of the Affordable Care Act provides for certain adjustments to any annual update to the LTCH PPS standard Federal payment rate and refers to the timeframes associated with such adjustments as a rate year. We note that, because the annual update to the LTCH PPS policies, rates, and factors now occurs on October 1, we adopted the term fiscal year (FY) rather than rate year (RY) under the LTCH PPS beginning October 1, 2010, to conform with the standard definition of the Federal fiscal year (October 1 through September 30) used by other PPSs, such as the IPPS (75 FR 50396 through 50397)
Starting condition: Right shoulder impingement from years of pressing (overhead press hurt, bench press was uncomfortable, even lateral raises caused issues) Post-workout stiffness lasting 48-72 hours minimum Gut problems: bloating after most meals, unpredictable bathroom schedule, general digestive discomfort Training frequency limited by recovery capacity The protocol: One 500mcg capsule first thing in morning (empty stomach) One 500mcg capsule before bed (2+ hours after last meal) Zero other variables changed: same training split, same nutrition, same sleep schedule Tracked shoulder range of motion, post-workout soreness duration, digestive symptoms Week 1: Nothing
And the field of weight-loss treatment is on the verge of even more head-spinning change
Frontiers in Reproductive Health, 7
