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In addition, Table 4A associated with this proposed rule, List of Counties Eligible for the Out-Migration Adjustment under Section 1886(d)(13) of the Act (also available via the internet on the CMS website), consists of the following: A list of counties that are eligible for the out-migration adjustment for FY 2024 identified by FIPS county code, the proposed FY 2024 out-migration adjustment, and the number of years the adjustment will be in effect

Some of the species present in our microbiome also produce ammonia when they break down amino acids