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It also functions as a stabilizer of a low acetyl CoA/CoA concentration ratio and as an acetyl store to supply energy in carbohydrate and lipid metabolic pathways [34] (Fig

This can be given in IV therapy or via intramuscular injections

This metabolite enhances hepatic de novo lipogenesis by activating ChREBP and SREBP-1 pathways and induces mitochondrial dysfunction, thereby promoting hepatic steatosis