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Causes of acquired dilated cardiomyopathy can include damage to the valves that control the flow of blood through the heart and damage to the cardiac muscle that is caused by a heart attack, infections, or certain medications

It arises most frequently in the second decade, usually on the trunk, particularly the back

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Niacin (vitamin B3) plays a crucial role in energy metabolism, helping to convert nutrients into usable energy and reduce feelings of fatigue