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By ensuring these rate-limiting enzymes have the necessary cofactors to function, ALA facilitates the smooth transition of metabolic substrates (derived from carbohydrates and fats) into the mitochondria for ATP synthesis

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Keywords: Cutaneous lupus, systemic lupus erythematosus, screening, rheumatology, quality improvement, biologics Introduction Cutaneous lupus erythematosus (CLE) is a chronic autoimmune skin disease that encompasses a heterogeneous array of clinical subtypes classified as acute, subacute, or chronic