A 43-year-old woman is hospitalized with diarrhea, failure to thrive, and ongoing weight loss. She had a bilio-pancreatic diversion procedure done for obesity 9 years prior. Her post-surgical anatomy is reversed by EUS-guided LAMS placement with good clinical effect. Patients with bilio-pancreatic diversion are at risk for trace mineral deficiency. Deficiency of which of the following trace minerals can lead to skeletal muscle dysfunction and cardiomyopathy?
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