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Fat Metabolism

Fat, or lipid, metabolism consists of several processes. Catabolism (breakdown) of lipids for energy involves the hydrolysis of triglycerides into two-carbon units that become part of acetyl coenzyme A (acetyl CoA). The acetyl CoA then enters the series of reactions called the TCA cycle, eventually leading to the oxidation of the carbon and hydrogen atoms derived from fatty acids (or carbohydrates or amino acids) to carbon dioxide and water with the release of energy as adenosine triphosphate (ATP). If fat catabolizes quickly because of a lack of carbohydrate for energy, the liver cells form intermediate products called ketone bodies. These ketone bodies accumulate in the blood, causing a condition called ketosis.

Anabolism (synthesis) of lipids, or lipogenesis, results in the formation of triglycerides, phospholipids, cholesterol, and prostaglandins for use throughout the body. Triglycerides and phosphates form from fatty acids and glycerol or from excess glucose or amino acids. Extra carbon, hydrogen, and oxygen from any source can be converted to and stored as triglycerides in adipose tissues, so we can gain fat from other foods other than fat.

Fat metabolism is regulated mainly by insulin, growth hormone, adrenocorticotropic hormone (ACTH), and glucocorticoids.