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5.2.2 Mitochondrial trifunctional protein (MTP) deficiency/long-chain 3-Hydroxyacyl-CoA dehydrogenase (LCHAD) deficiency/long-chain 3-Ketoacyl-CoA Thiolase (LCKAT) deficiency Clinical presentation MTP is a multi-enzyme complex, consisting of three enzymes, in which different enzyme deficiencies can occur