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The image segmentation of the HCM-derived spectral phasor distribution was carefully matched with the intracellular melanin spatial mapping in the FLIM phasor segmentation and this yielded several significant observations

The first three enzymes of carnitine endogenous biosynthesis, -N-trimethyllysine hydroxylase, -hydroxy-N--trimethyllysine aldolase, and 4-N-trimethylaminobutyraldehyde dehydrogenase are widely distributed, while butyrobetaine hydroxylase is only present in kidney (highest enzyme activity), liver and brain (lowest measurable enzyme activity)

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Studies suggest it may enhance exercise performance, particularly in those with lower-extremity peripheral artery disease (PAD), by increasing circulation and oxygen delivery to muscles

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