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These changes increase arrhythmic susceptibility, particularly atrial fibrillation, and accelerate the progression of heart failure [1619]

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Niacin is crucial for the biochemistry of the nervous system, playing a significant role in energy metabolism, antioxidant activities, and the synthesis of essential molecules for neuronal function, such as acting in dopamine synthesis (1315)

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Statistical analyses were performed using IBM SPSS software, with significance set at p 0.05)

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