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However, shifts in plasma volume play a pivotal role, as the presence of ascites, lower mean arterial pressure, and higher plasma renin activity have been identified as key predictors of muscle cramps (29)

[13] Common Side Effects: The most commonly reported side effects of ALA are mild gastrointestinal and constitutional symptoms

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CMS states that the Center for Medicaid and CHIP Services (CMCS) will conduct direct outreach to states to confirm the end date for current DSHP or DSIP authority.