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We believe this approach to estimate MVP submissions as a function of historic traditional MIPS and MVP submissions, and not just MVP submissions from a given year, is appropriate to estimate future reporting behaviors because we expect increased adoption due to the annual expansion of and updates to the MVP inventory as summarized in section IV.A.4.a

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Sengers syndrome Sengers syndrome is another autosomal recessive mitochondrial disease, characterized by hypertrophic cardiomyopathy, myopathy, lactic acidosis, and congenital cataracts