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The article says these effects are rare at FDA-approved dosing but become significantly more likely when doses are doubled or tripled without medical supervision

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Assets far from it (particularly those low on both access and efficacy) face structural commercial headwinds regardless of scientific novelty

To enroll in Part C, a person must first be entitled to Part A and enrolled in Part B, and must reside in a plans service area (most people join during their initial Medicare enrollment at 65 or during annual enrollment periods)