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Metabolic cardiomyopathy is characterized by abnormalities within cardiomyocytes, such as excessive triacylglycerol accumulation and lipid toxicity injury, which can lead to diastolic dysfunction [218]

We recruited a larger sample size (n = 19) for a 25% loss follow-up

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Persistent unexplained elevation alongside an abnormal CBC or differential, constitutional symptoms such as unexplained weight loss, night sweats, or persistent fever, or organ-specific findings all raise the need for referral