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The growth hormone receptor: mechanism of activation and clinical implications | Nature Reviews Endocrinology

Fluctuating or incorrect dosages can lead to symptoms of hypothyroidism, such as fatigue, weight gain, and depression, or hyperthyroidism, such as weight loss, anxiety, and palpitations

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Furthermore, unlike the eCQM/MIPS CQM reporting incentive, the health equity adjustment does not guarantee that ACOs will meet the quality performance standard and be eligible to receive maximum shared savings and avoid maximum shared losses (if applicable)