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Three authors (MFMS, SB, AAK) assessed the selection bias (randomization and allocation concealment), performance bias (blinding of participant and health personnel), detection bias (blinding of outcome assessment), attrition bias (incomplete outcome data), reporting bias (selective reporting), and other biases (recall bias, transfer bias and etc.) independently

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"I started at 222 pounds in April and now here we are in August and I am down over 40 pounds