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In the second step, the thiol group of a cytosolic coenzyme A attacks the acyl-adenylate, displacing AMP to form thioester fatty acyl-CoA

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Metabolism on-line - the virtual tutorial room copyright 2008 - 2015 David A Bender An unconscious child with hyperammonaemia and keto-acidosis At the age of 28 weeks Angela was admitted to the Emergency Department at her local hospital in a coma, having suffered a convulsion after feeding