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The authors are solely responsible for the content and writing of the paper. The authors have no affiliation with or involvement in any organization or entity with any financial or non-financial interest in the subject matter or materials discussed in this manuscript.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This randomized clinical trial was approved by the Institutional Ethical Committee of SRM Medical College Hospital and Research Centre with reference number (SRMIEC-ST0923-707) with approval dated 28\/10\/2023. The authors certify that the study was performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards. The trial was submitted for registration in the Clinical Trial Registry of India (CTRI) in October 2023 prior to participant enrollment; however, the formal registration number was issued on 30\/12\/2024 (CTRI\/2024\/12\/078719), resulting in retrospective registration. Written informed consent was obtained from all the participants. The study complied with the CONSORT guidelines. The details of randomization and participant allocation are provided in the CONSORT flow diagram.","order":2,"name":"Ethics","label":"Ethical approval and informed consent","group":{"name":"EthicsHeading","label":"Declarations"}}]}}