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A standard multivitamin and mineral supplement providing approximately 100% of reference nutrient intakes may offer a practical foundation for patients with confirmed poor dietary intake, though individual needs should be assessed based on dietary patterns, symptoms, and blood test results where clinically indicated

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One patient, who experienced thickening of the ventricular septum upon echocardiographic examination, was scheduled for heart valve implantation surgery and discontinued treatment after 30 months

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