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Other possible effects include fatigue or transient increases in heart rate during activity

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In addition to evaluating the risk of bias using the RoB 2 tool for RCTs and the ROBINS-I tool for non-randomized studies, we also assessed the overall quality of evidence using the GRADE (Grading of Recommendations, Assessment, Development, and Evaluation) framework

However, there was a high rate of non-attendance of follow-up appointments

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