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And along with the extra blood is something that can be kind of scary to see: clots

Performance horses and greyhounds can rapidly run out of glycogen as an energy source, but will rarely run out of fats

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doi: 10.1016/j.arr.2020.101198, 53

A few commenters urged CMS to adopt a forward-looking approach to implementation, recommending that the proposed changes, particularly the star cap in 2026 and 1-star reduction in 2027, be delayed until at least 2028 to allow hospitals sufficient time to respond to the new methodology and improve safety performance