Peter Attia· MD
this is where acetyl-coa goes up and again now your rates of lipolysis when you measure turnover not just fatty acid concentrations but turnover palmitate turnover production and glycerol turnover it's up two-fold this increases acetyl-coa concentrations two-fold this activates pyruvate carboxylates activity and flux two-fold and then in addition your glycerol delivery to liver is up two-fold and now your rates of gluconeogenesis are increased two-fold