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Vincents Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea 5 Division of Endocrinology and Metabolism, Department of Internal Medicine, Seoul Metropolitan Government Seoul National University Boramae Medical Center, Seoul, Korea 6 Division of Endocrinology and Metabolism, Department of Internal Medicine, Yeouido St

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NICE Guideline NG193 recommends exercise therapy, psychological interventions such as CBT, patient education, and consideration of acupuncture as first-line treatments