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Article History

Received: 15 August 2025

Accepted: 31 December 2025

First Online: 5 February 2026

Declarations

:

: The research ethics committee of the Endocrinology and Metabolism Research Institute of Tehran University of Medical Sciences (Ethical Code: IR.TUMS.EMRI.REC.1396.00158) and the ethics committee of Birjand University of Medical Sciences (Ethical Code: IR.BUMS.Rec.1397.282) approved this study [ ].

: All authors collaborated on editing this article, and the final version was approved for submission. Furthermore, they actively participated in writing the manuscript and approved the final draft.

: This study was performed in line with the principles of the Declaration of Helsinki. The study received approval from the research ethics committee at the Endocrinology and Metabolism Research Institute of Tehran University of Medical Sciences (Ethical Code: IR.TUMS.EMRI.REC.1396.00158) as well as from the ethics committee at Birjand University of Medical Sciences (Ethical Code: IR.BUMS.Rec.1397.282) (41). Furthermore, written informed consent has been acquired from all participants.

: The authors declare no competing interests.

: Not applicable (this was a cross-sectional study and not a clinical trial)