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Hardening/tightening of skin/tissues: Pain, swelling of hands and feet, skin rash, and weight loss in a 70-year-old patient receiving combination therapy with carbidopa and 5-HTP

At 2.5mg, rounding from 16.7 to 17 units gives you approximately 2.55mg instead of 2.5mg

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Comment: One commenter supported our technical revisions to 424.24(c) to specifically include occupational therapy services under the certification requirements and to add the services of an occupational therapist, in addition to physical therapists and speech-language pathologists, as these revisions more clearly identify that the certification requirements outlined in 424.24(c) apply to the outpatient therapy services furnished by OTs