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In the CY 2026 OPPS/ASC proposed rule, we proposed an additional change to encourage faster resolution of HPT civil monetary penalties (CMPs) and to reduce the amount of a CMP, under certain conditions, when the hospital waives its right to an administrative law judge (ALJ) hearing

However, individuals who are pregnant, nursing, taking medication, or have medical conditions should consult their healthcare provider before use

Most sources recommend using reconstituted DSIP within 4 to 6 weeks, though some conservative guidelines suggest 2 to 4 weeks for optimal potency

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In an additional study from 2025, Gu and colleagues measured three additional breastfeeding mothers who had 64 units of Botox injected