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This is a particularly serious problem for MVD-affected dogs, especially those in Stage C -- congestive heart failure -- because the main medication for removing fluid (including sodium in that fluid) from the lungs of these patients is a strong diuretic, such as furosemide or torsemide

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Scott JT, Sesay FR, Massaquoi TA, Idriss BR, Sahr F, Semple MG

When calculating the weighted average growth in demographic risk scores or prospective HCC risk scores, as applicable, the weight applied to the growth in risk scores (expressed as a ratio of the ACO's performance year risk score to the ACO's BY3 risk score) for each Medicare enrollment type is equal to the product of the ACO's historical benchmark expenditures, adjusted in accordance with 425.652(a)(8), for that enrollment type and the ACO's performance year assigned beneficiary person years for that enrollment type

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