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IGF-2 is highly active during fetal development, helping with cell growth (proliferation) and tissue formation, but becomes much less active after birth

5.1.4 Carnitine Palmitoyl transferase type 2 (CPT2) deficiency Clinical presentation Patients with CPT2 deficiency can present with hypoglycemia, cardiomyopathy and muscular signs and symptoms [23, 24, 106]