eicosanoyl-CoA + 2 malonyl-CoA + 2 H(+) <=> 4-hydroxy-6-nonadecylpyran-2-one + 2 CO2 + 3 CoA
eicosanoyl-coa + 2 malonyl-coa + 2 h(+) <=> 4-hydroxy-6-nonadecylpyran-2-one + 2 co2 + 3 coa
eicosanoyl-CoA + 2 malonyl-CoA + 2 H(+) <=> 4-hydroxy-6-nonadecylpyran-2-one + 2 CO2 + 3 CoA
eicosanoyl-coa + 2 malonyl-coa + 2 h(+) <=> 4-hydroxy-6-nonadecylpyran-2-one + 2 co2 + 3 coa