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For the dietary intervention studies (Table 2, n = 6 publications representing 5 independent trials), data extraction included study design and quality indicators, sample characteristics and diagnostic criteria, details of the intervention such as diet type, duration, and adherence monitoring, outcome measures including opioid peptide levels and behavioral assessments, and reported results along with effect sizes

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Clinical photographs of the patient at her first visit (A, B) and 1 year after discharge (C, D)

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