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Interventions All patients received 100 mg of sertraline (Tehran-Daru Pharmaceutical Company, Iran) daily along with either 1000 mg carnitine (Vana-Darougostar Pharmaceutical Company, Iran) or placebo (cooking starch), prepared in identical capsules

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Use a portable cooling case with frozen gel packs during flights to maintain this temperature range, and never expose the medication to direct sunlight or cabin heat sources that can degrade the medication within hours