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We acknowledged the Hospital Recommendation Group's concerns and noted that multiple TEPs and interested parties supported the inclusion of more than one numerator component as a strategy for internally balancing the measure and that the time thresholds for patient boarding time and ED LOS are based on more than a decade of consensus work

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Furthermore, the GM metabolite, choline showed a weak muscarinic receptor agonistic effect that seems to activate acetylcholine-dependent potassium channels at high concentrations, thereby shortening ERP [18]

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