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An estimate of the final policy that includes the effects of estimated changes in enrollment, utilization, and case-mix based on the FY 2026 Mid-Session review budget approximates the estimated decrease in total payments at $290 million, with Medicare OPPS payments decreasing by $220 million and beneficiary copayments decreasing by $70 million in CY 2026

Some conditions like autoimmune thyroid disease, surgical gland removal, or advanced ovarian failure may limit how far levels normalize, but symptom relief is still often significant

Key nutrients and supplements: BPC-157: Peptide that supports GI healing and reduces inflammation L-Glutamine: Fuel for enterocytes, promotes intestinal repair Curcumin Complex: Reduces inflammation and oxidative stress Zinc Carnosine: Supports mucosal integrity Phase 3: Rebuild and Restore Function This phase focuses on restoring healthy digestion, gut motility, and microbiome diversity

It might have to do with hormonal changes or the bodys response to the peptide in the early stages of use