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Metabolic disruption increases the risk of menstrual irregularity, ovulatory infertility, and adverse pregnancy outcomes

Comment: Many commenters supported the proposal to modify the benchmarking methodology for administrative claims-based quality measures to align with the benchmarking methodology used for cost measures, starting with the CY 2025 performance period/2027 MIPS payment year

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Our testing process is part of a larger quality-control system that includes supplier accountability, batch-level review, internal QA, professional storage, and in-house fulfillment

The COA should report benzyl alcohol concentration as a measured value (e.g., 0.9% or 9.0 mg/mL), not as "present" or "passes." The concentration is the critical parameter presence alone does not confirm that the preservative is at functional levels