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Some people notice gradual smell loss over time, while others experience temporary reductions during periods of increased inflammation or infection

The river has shifted its course over the decades, but the official border remains in the middle of the main channel as it existed during the original surveys

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This approach of requiring manufacturers to report such information would be consistent with CMS' understanding of the provisions of section 1860D-14B of the Act requiring CMS to establish the payment amount benchmark period at the dosage form and strength level, and with CMS' authority under sections 1102(a) and 1871(a)(1) of the Act to make rules and regulations as necessary for the efficient administration of programs, including the Medicare Part D Drug Inflation Rebate Program