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When the deficiency becomes chronic, it may lead to more serious problems such as depression, cognitive decline, or balance issues

MoCA, MMSE, the Modified Barthel Index (MBI), the Self-rating Depression Scale (SDS), Activities of Daily Living Scale (ADL), Hamilton Depression Rating Scale (HAMD), Hamilton Anxiety Rating Scale (HAMA), Pittsburgh Sleep Quality Index (PSQI), Loewenstein Occupational Therapy Cognition Assessment (LOTCA) and dementia quality of life questionnaire (DEMQOL) are the main tools for evaluating the efficacy of acupuncture

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