Conflict of interest statement
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Acknowledgments
The authors wish to thank the staff for the cooperation during data collection. We also extend our sincere appreciation to Prodia Laboratory Banda Aceh for their technical support in TNF-α assay processing. Special thanks to all study participants for their valuable contributions and commitment throughout the study period.
Funding
This research received no external funding.
Authors’ contributions
All authors contributed to the study's conceptualization. Meutia Handiny, Cut Meurah Yeni, Yusra Septivera, Hasanuddin, and Niken Asri Utami were involved in the investigation. The study was designed by Meutia Handiny, Cut Meurah Yeni, Yusra Septivera, Hasanuddin, and Niken Asri Utami. The manuscript was written by Meutia Handiny, Cut Meurah Yeni, Yusra Septivera, Hasanuddin, and Niken Asri Utami.
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