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An alternative route may occur, namely, reduction of the cysteine S -conjugate of E -2-hexenal to the cysteine S -conjugate of 2-hexenol, followed by a cysteine S -conjugate -lyase-catalyzed elimination to yield directly 3-mercaptohexenol

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When unusual acylcarnitines are identified in biological fluids in patients at much higher concentrations than in healthy individuals, the chain lengths can be indicative of certain enzymic disorders in the oxidation pathway and enable recognition of the disease involved

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This can provide new references and guidance for the future diagnosis and treatment of PHC