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The characteristic image of MC is granular or reticular brownish pigmentation distributed in part or the whole colonic mucosa under endoscope ( There are no individual symptoms or physical signs in patients with MC

L-carnitine is a chemical combination of the two amino acids lysine and methionine, which has an essential role in the energy metabolism in the transport of fatty acids

The fumarate component contributes to the Krebs cycle (citric acid cycle), potentially enhancing ATP production beyond that of other carnitine forms

Some macules may darken slightly over years with continued sun exposure, but they do not lighten without an active corrective approach

Phospholipids contain both hydrophobic hydrocarbon chains and polar head groups, making them amphipathic and capable of forming uniquely functional large scale structures