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That said, the process to transfer enrollees to the GIC requires direct negotiation with the local PEC either through coalition bargaining (MGL Chapter 32B, section 19) or by adopting MGL Chapter 32, sections 21-23 which also requires a demonstrated savings of at least 5% to force enrollment in the GIC

While -3 PUFAs are considered to have beneficial effects 40 , consumption of PUFAs has also been linked with more severe ALD in humans and experimental animals 41

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Reserve purely systemic injection for situations where local access is difficult or when addressing multiple widespread issues