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In addition, one or both of these trials could include investigation of whether adding a high dose of folic acid would improve outcomes

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However, a time adjustment of 33 percent is made only for medical direction of two to four cases since that is the only situation where a single practitioner is involved with multiple beneficiaries concurrently, so that counting each service without regard to the overlap with other services would overstate the amount of time spent by the practitioner furnishing these services

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This location corresponds to the watershed zone where blood supply is naturally poorest