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First, significant heterogeneity exists among included studies, particularly regarding treatment duration, drug type, dose, baseline population characteristics (such as age, BMI, or presence of diabetes), and follow-up periods post-discontinuation

The letter also served as evidence that clinics had been warned, which strengthened the states position in any subsequent action

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179 Thirteen clinical trials using TENS were included in another meta-analysis that found 40% of tinnitus sufferers treated with TENS experienced improvement