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Going forward, it will be necessary to assess additional aspects of this relationship, including (1) whether DCM patients with B 12 deficiency present differently on clinical exam, (2) whether patients with B 12 deficiency and DCM have suboptimal surgical outcomes, (3) whether patients with deficiency who are supplemented with B 12 achieve optimal outcomes, and (4) whether increasing B 12 levels in patients with no deficiency improves surgical outcomes more than otherwise expected

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