Q: What else can I possibly replace!?

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My van is stuttering at idle. When you accelerate it hasn't done it yet. The headlights and dome lights also flicker. I have replaced the ECM, the alternator twice, the battery twice, the coil packs, and had the fuel injectors cleaned. I am at a loss as to what the problem could be. It has been to five mechanics, including the local nissan dealer, and they have still not been able to fix the issue.

My car has 135000 miles.
My car has an automatic transmission.

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