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Policy changes, such as the Medicare Hospital Readmissions Reduction Program, have led to a decrease in readmission rates for both principal and secondary heart failure hospitalizations

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Practical protocols typically employ 12-16 week cycles aligned with focused body composition phases, followed by maintenance periods or off-cycles

Exclusion criteria were the following: any known systemic infection or disease, pregnancy or lactation, alcoholism, tobacco smoking, use of antibiotics, antioxidants (e.g., vitamins C, E) or anti-inflammatory drugs within the last 6 months, periodontal disease, presence of an oral mucosal inflammatory condition (e.g