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1 Introduction Diabetic nephropathy (DN) is one of the most common and serious complications of diabetes and a leading cause of end-stage renal disease (ESRD) ( Among complementary options, traditional Chinese medicine (TCM) has drawn growing attention, with acupunctureone of its core therapiesproviding a long-standing basis for DN intervention

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Beyond 12 weeks, the likelihood of adaptive resistance or diminishing returns in effect may increase, necessitating careful consideration and justification