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The liver and kidney function indicators (ALT, AST, UREA and CREA) were slightly elevated in the RA group, RA + NPs group and RA + MN group, but still did not reach a statistically significant level (Fig

Weight loss rate gradually decreases from peak rates in weeks 8-16, but total progress continues steadily

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emotional limitations 91.725.8 vs 68.841.2, p=0.045) and treatment satisfaction (10.96.2 vs 4.67.6, p=0.021) were significantly better in the intervention group compared to the control group after 3 months

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