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It is important to distinguish between side effects directly attributable to the medication's pharmacological action and those arising from the broader context of weight management

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Since services that have global surgery indicators are not applicable in the RHC and FQHC settings, we proposed revisions at § 405.2401(b) to define “Direct Supervision” to mean that the physician (or other supervising practitioner) must be present in the RHC or FQHC and immediately available to furnish assistance and direction throughout the performance of the service