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The overall effects of adjunctive acupuncture were markedly greater than those of controls (CMs + LI, CMs, and LI) with respect to waist circumference with a mean difference of -5.11 cm (Z = 4.57, p 0.001) and body mass index with a mean difference of -2.54 (Z = 5.38, p 0.001), and improvements were observed in most hyperlipidemia indices and fasting blood glucose. An evidence-based acupuncture regimen was identified as a future treatment strategy for MetS. Acupuncture is beneficial in the treatment of MetS and could serve as an
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