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The authors have no conflict of interests to disclose that pertain to the subject of this manuscript or study. Stefan Kertesz attests to ownership in stock from Thermo Fisher Scientific and Zimmer Biomet. He attests to past ownership of stock in CVS Caremark, sold in 2020.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This study was approved by the Birmingham, Hines, and Tuscaloosa Veterans Health Administration Institutional Review Boards. This 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.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical Approval"}},{"value":"All participants provided informed consent for the original randomized controlled trial (RCT). 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