Article History
Received: 28 March 2026
Revised: 21 July 2026
Accepted: 6 August 2026
First Online: 17 August 2026
Ethics
Competing interests: The authors declare no competing interests.
Ethics approval and consent to participate: The institutional Ethics Committee of Symbiosis International University approved the study, with approval number IEC/SIU/781 A. The trial was prospectively registered with the Clinical Trials Registry–India (CTRI) under registration number CTRI/2024/09/073262, dated 3 September 2024. All participants were informed about the research, and written consent was obtained in English and the local language. The study was conducted following the Institute’s guidelines and the principles of the Declaration of Helsinki.