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Step 13: Using the specialty specific indirect PE/HR data, calculate specialty specific aggregate pools of indirect PE for all PFS services for that specialty by adding the product of the indirect PE/HR for the specialty, the work time for the service, and the specialty's utilization for the service across all services furnished by the specialty

Metagenomic analyses further suggest that butyrate can also be generated via the lysine fermentation pathway from protein substrates [42]

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