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Quality assessment The methodological quality of the included studies was evaluated using the Newcastle-Ottawa Scale (NOS) [24], which assesses three domains: selection of study participants, comparability between groups, and the ascertainment of exposure or outcomes, with a maximum achievable score of 9 points

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Look ARG, Wing RR, Bolin P, et al

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Some individuals may benefit from sessions once a week, while others experiencing more severe or frequent side effects might need treatment multiple times a week