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Treatment Options Addressing Underlying Causes Treating low iron with supplements or infusions Adjusting or switching medications Managing chronic illnesses like kidney disease or diabetes Medications (if needed) Dopamine agonists (e.g., pramipexole, ropinirole) Anti-seizure drugs (e.g., gabapentin or pregabalin) Sleep aids or muscle relaxers in select cases We only prescribe meds when necessary and start with the lowest effective dose

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Additional proposed mechanisms include improved myocardial energetics, reduced inflammation, and attenuation of cardiac remodeling, although the relative contribution of each pathway remains uncertain [33,34,35]

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