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Finally, packaging may reduce the importance of refining service-specific payments because packaged payments include costs associated with higher cost cases requiring many ancillary items and services and lower cost cases requiring fewer ancillary items and services

IRS Notice 2008-59: Q-32

Most importantly, keep systemic use in perspective

Mas sob a superfcie do marketing e das fantasias de fitness esconde-se uma verdade muito mais preocupante: muitas destas substncias operam numa rea cinza da medicina, com riscos a longo prazo desconhecidos, padres de fabricao questionveis e, em alguns casos, efeitos secundrios potencialmente fatais