A 54- year-old man with Type 1 diabetes is referred to an ophthalmologist for evaluation of developing cataract. Blood chemistry results are shown below-
Fasting blood glucose 198 mg/dl
Hemoglobin A 15 gm/dl
Hemoglobin A 1c 10% of total Hb
Urine ketones Positive
Urine glucose Positive
Which of the following enzymes is most strongly associated with ketones formation in this patient?
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