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2006 May 6;27(3):358-64

K., Kopatsis, K., Morin, N., & Wagner, C
Medium-chain triglycerides as a therapy for intractable childhood epilepsy

The overall pathway for EPA and DHA synthesis involves three endoplasmic reticulum (ER) fatty acid elongation enzyme systems, three desaturation reactions involving two different desaturases, and a peroxisomal -oxidation step as the final step in DHA synthesis as outlined in the Figure below

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