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The denominator is the total number of HH episodes in the measure target period (four rolling quarters) that do not meet the measure exclusion criteria
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Sources ClinicalTrials.gov

Dual glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide-1 (GLP-1) receptor agonist, which means it mimics the action of these incretin hormones to enhance insulin secretion, suppress glucagon release, and slow gastric emptying

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