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However, after consideration of public comments, discussed in an earlier section of this final rule with comment period, we are finalizing, effective January 1, 2026, our proposal to supplant the existing affirmation requirement with the proposed attestation statement at new ( 180.50(3)(iii), with a modification to add to the following phrase to the beginning of the attestation: To the best of its knowledge and belief,

Eligibility criteria include defined BMI thresholds and the presence of at least one weight-related comorbidity

Users often inject it near the site of injury or inflammation

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