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This reaction takes place in the mitochondrial matrix and is catalyzed by carnitine acyltransferase 2 (also called carnitine palmitoyltransferase 2, CPT2), which is located on the inner face of the inner mitochondrial membrane
The most consistently documented symptoms include acne-like skin eruptions and rosacea flare-ups, particularly with high-dose hydroxocobalamin injections
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