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On the one hand, TMAO levels are dynamically changing in human circulation (this physiological concentration range is also controversial) and are strictly regulated by factors such as age, diet, gut microbiota composition, hepatic enzyme activity, as well as liver and kidney function

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[97] They help ensure that the beneficiary receives necessary follow up, particularly if the patient is referred to the ED, and follow up after an ED visit is required under the element of Management of Care Transitions. Accordingly, the meaningful use of CEHRT or remote access to the care plan is fundamental to providing the APCM service elements of 24/7 Access to Care, Continuity of Care, and Management of Care Transitions under an advanced primary care delivery model

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