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Once activated, the acyl CoA is carpal tunnel syndrome transported into the mitochondrial matrix. This occurs via a series of similar steps: Acyl CoA is conjugated to carnitine by carnitine plamitoyltransferase I Acyl carnitine is carpal tunnel syndrome shuttled inside by Carnitine acyltranslocase Acyl carnitine is converted to acyl CoA by carnitine palmitoyltransferase II [edit] β-Oxidation Once inside the mitochondria, the β-oxidation of fatty acids occurs via four recurring steps: Oxidation by FAD Hydration Oxidation by NAD+ Thiolysis [edit] Oxidation by FAD The first step is carpal tunnel syndrome the oxidation of the fatty acid by FAD. The following reaction is catalyzed by acyl CoA dehydrogenase: The enzyme catalyzes the formation of a double bond between the C-2 and C-3. The end product is trans-Δ2-enoyl-CoA. [edit] Hydration The next step is the hydration of the bond between C-2 and C-3. This reaction is catalyzed by enoyl CoA hydratase. The reaction is stereospecific, forming only the L isomer.
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