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Check whether a product is labeled RUO before purchase Understand that RUO labeling is not the same as FDA approval Ask your provider about safer, regulated wellness alternatives Avoid assuming online marketing claims reflect legal accuracy Discuss any peptide interest directly with a licensed clinician Why This Confuses Consumers The wellness market moves quickly, and marketing language can be misleading

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Comment: A commenter is concerned that if it wishes to join the Shared Savings Program and has fewer than 5,000 beneficiaries in BY1, BY2, or both, that it will not be allowed to participate under the BASIC track as CMS proposed, given its experience with performance-based risk Medicare ACO initiatives, which subsequently require its participation in the Shared Savings Program under the ENHANCED track, and thus will not be able to participate ( in the Shared Savings Program at all