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Tetrahydrobiopterin is a cofactor necessary for the synthesis of tyrosine hydroxylase, a rate-limiting enzyme in dopamine production [134, 135]

On the contrary, the catalytic activity measured with PNP-butyrate is quite low for both enzymes (100 M 1 s 1 ) due to a lower affinity for the substrate and a lower turnover number

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He serves as the Chief of Family Medicine and Residency Director at North Caddo Medical Center where he has built his thriving practice over the last 15 years

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