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96 The disruption of normal protein phosphorylation and dephosphorylation processes can have various cellular effects, including alterations in the cytoskeleton, cell cycle progression, and apoptosis

Depending on how fast or slow their body metabolizes the drug, they can also experience some significant side effects

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Another commenter shared their concern that mandating two specific improvement activities for specialists could add significant burden for specialty practices already complying with other MIPS activities