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Iron supplementation should be initiated as soon as possible, because the cardiomyopathy may be driven solely by iron deficiency A complete iron evaluation should include: Ferritin Serum iron TIBC Transferrin saturation CBC Reticulocyte count when needed C-reactive protein, because inflammation can alter ferritin interpretation In gluten-sensitive patients, iron deficiency is a common problem

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Sterile water without benzyl alcohol reverts to single-use status within hours of the first needle puncture

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