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In the event of a denial, guidance on possible next steps will be provided to help address any issues and facilitate future submissions

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Increased Risk of Infectious Diseases : Engaging in high-risk behaviors, such as sharing needles, elevates the risk of contracting diseases like HIV and hepatitis

Ethical approval and informed consent The study protocol was evaluated by the medical ethics committee of the Helsinki and Uusimaa Hospital District and obtained a favourable opinion (Number 148/13/03/00/2013)