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However, it is widely recognised that the World Health Organisation (WHO) definition of overweight and obesity for individuals of Asian ethnicity starts at a lower BMI level of 23 kg/m 2 and 25 kg/m 2 , respectively

Ethical Issues The study was conducted following the Declaration of Helsinki and approved by the Institutional and Regional Ethical Committees of Faculty of Medicine, Tanta University (reference number: 36264PR1087/2/25) and had Clinical trial registration from Pan African Clinical Trial Registry (PACTR202504698770932)

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