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Staresinic M et al

J Clin Gastroenterol 2009

When calculating the SNI, the following circumstances may be encountered: new hospitals (for example, hospitals that begin participation in Medicare program after the available audited cost report data), hospital mergers, hospitals with multiple cost reports and/or cost reporting periods that are shorter or longer than 365 days, cost reporting periods that span fiscal years, and potentially aberrant data

This protocol requires the full escalation through 2mg, 4mg, 8mg, and 12mg over 12 to 24 weeks depending on the schedule chosen

Products marketed as for research only are a red flag for personal medical use unless they are part of a legitimate research study through a legitimate research institute