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The BALANCE (Better Approaches to Lifestyle and Nutrition for Comprehensive hEalth) Model a CMS voluntary demonstration for both Medicare and Medicaid opened to state Medicaid agency participation beginning in May 2026

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Positive trials are needed before botulin toxin can be recommended for the management of pylorospasm in gastroparesis [5, 12], and the 2013 ACG recommendations on gastroparesis strongly advises against using botox for the treatment this condition [4]

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