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The research protocol received official ethical approval from the Eski\u015fehir Osmangazi University Clinical Research Ethics Committee (03.10.2024\/ E-25403353-050.04-240202394). In addition, institutional permission was obtained before starting the study. All participants gave informed written consent before enrollment. The study was officially registered in the Clinical Trials.gov database with the identifier NCT06779903 to ensure transparency and compliance with international research standards.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"1449"}}