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. 2024 Apr 2;14(4):e079374. doi: 10.1136/bmjopen-2023-079374

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© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

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Flow of participants through the trial. DXA, dual X-ray absorptiometry; KOOS, Knee injury and Osteoarthritis Outcome Score. Optional qualitative interview for process evaluation at 6 months.