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119-21 includes massive changes to Medicaid and the Affordable Care Act (ACA) insurance Marketplaces, which indirectly affect many low-income seniors and people with disabilities (including those also on Medicare)

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34 Fat volume depletion in BS-MWL results from anatomical changes that restrict calorie intake and reduce nutrient absorption and through hormonal shifts and alterations in the gut microbiome that affect appetite, metabolism, and energy expenditure rather than adipocyte cell count depletion