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Similarly, a randomised control trial in older adults with median age 73 years reported that supplementation of 500 mcg vitamin B12, 400 mcg folic acid and 15 mcg vitamin D3 for two years resulted in an average reduction of homocysteine by approximately -4.2 micro mol/L compared to the placebo group (De Koning et al, 2016)

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3 Treatment Although an extensive discussion of the treatment of atrial fibrillation is beyond the scope of this article, the following sections briefly present the management of common arrhythmic causes of palpitations in patients in the primary care setting

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