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Acknowledgements This project was completed by the Laboratory of Thoracic Surgery, The First Affiliated Hospital of Soochow University

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The outer skin may be pulled away from the muscle tissue to ensure the needle does not pierce the muscle

Decreases in LCAs and MCAs in E4s may reflect poor mitochondrial FAO capacity or alternatively increased cellular reliance on FAs to support bioenergetics in the cerebrovasculature

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