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(c) have echocardiographic evidence of advanced MVD consisting of characteristic valvular lesions of the mitral valve, regurgitation through the mitral valve (MR) on the color Doppler echocardiogram, and have echocardiographic evidence of left atrial and left ventricular dilatation

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Vitamin B12 is used when there are cases of Fatigue, exhaustion, a feeling of laziness, lethargy, and drowsiness