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Combination: Synergistic effects suggested when used together, though direct clinical studies on blends are limited

We note that this estimate is an increase of 115 ASCs from our estimate of 4,475 provided in the CY 2025 OPPS/ASC final rule with comment period (89 FR 94563) due to more recent data analysis regarding numbers of eligible ASCs

For example, octreotide (used in acromegaly or certain tumors) or other drugs that increase somatostatin activity may blunt the GH rise from sermorelin