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The journey of urate is intricately orchestrated within the renal landscape: initially freely filtered at the renal glomerulus, followed by reabsorption in the S1 segment of the proximal tubule, and subsequent secretion, potentially accompanied by reabsorption, in the S2-S3 segments of the proximal tubule [50]

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HHS has authorized states to access federal Medicaid matching funds for certain types of state-funded health programs in waivers pre-dating the first Trump administration