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The absence of cardiovascular effects, blood sugar impacts, or hormonal disruption means many concerns relevant to older adults are not applicable here

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They require modifier 59 to show that these are distinct procedural services

2 Materials and methods 2.1 Protocol and registration This systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement (Moher et al., 2009) and the guidelines from the Cochrane Handbook for Systematic Reviews of Interventions (Supplementary Table S1