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Reasons vary and may include: Cost Side effects Medication availability Personal preference Reaching their weight loss goal Unfortunately, many patients receive little structured support once treatment ends

Acta Orthop Scand 71:316321 Ethics declarations Conflict of interest The authors declare that they have no conflict of interest

Affiliated Hospital of Inner Mongolia Medical University National Nature Cultivation Program (2023NYFYPY006)

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The complex formation was initiated by the addition of 20 M peptide 20, 10 g/mL Nb35 and 25 mU/mL apyrase