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James Grant of Michigan BCBS summarized the frustration: "We were wasting millions of dollars, and people did not even see true benefit." From an actuarial perspective, the math was devastating

While overall exposure (AUC) was broadly comparable across sites, peak concentrations (Cmax) were modestly lower with thigh and upperarm injections compared with abdomen
In addition, he serves on the scientific advisory board for Ria Health

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We coordinate this testing for patients beginning chemotherapy or long antibiotic courses
