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While gastroparesis raises concerns, no confirmed increased aspiration risk has been established

As described in the CY 2026 PFS proposed rule (90 FR 32609), we believe that first aligning with the MIPS 9 percent maximum penalty would be appropriate because MIPS payment adjustments are on Part B FFS payments and many ASM participants would already be familiar with this level of risk if they participate in MIPS

Start with manageable activity levels and gradually increase intensity or duration as your energy improves

[DOI] [PubMed] [Google Scholar] 58.Bona E., Hagberg H., Lberg E.M., Bgenholm R., Thoresen M

Zinc stimulates glucose consumption by modulating the insulin signaling pathway in L6 myotubes: essential roles of Akt-GLUT4, GSK3beta and mTOR-S6K1