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Moderate changes of the K m app values in combination with the altered k cat app values resulted in decreased apparent catalytic efficiencies of E170A/K for both substrates as compared with the wild-type enzyme and E170D (Fig

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This makes L-carnitine fumarate an exceptionally synergistic pairing for supporting heart muscle energy, optimizing systemic ATP synthesis, and improving metabolic flexibility in patients dealing with the overlapping complexities of Long COVID and diabetes

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