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In particular, the mitochondrial inner membrane is impermeable to fatty acyl-CoA thioesters and, thus, the specialized CS, for transporting fatty acids across mitochondrial membranes has evolved 18

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Other Medical Conditions Consult your doctor before using vitamin B12 supplements if you have or have had kidney disease, infectious disease, liver disease, malabsorption, cancer, gout, or blood disorders such as polycythemia vera