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Additional screening toolssuch as the Family-APGAR (Adaptability, Partnership, Growth, Affection, and Resolve) [138] (5 items) or the Body Image Disturbance Questionnaire (BIQLI) [139] (7 items)can offer contextual insights into family strain and body image distress, informing the need for further psychological support

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WY and A-MX contributed to the conception, design, and revision of the manuscript

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Copper is only required in trace amounts by the body, and too much copper buildup could theoretically cause nausea, abdominal pain, tiredness, liver damage, and neurological effects