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Goodmurphy C., Chiodo A., Haig A

This leads to the last reaction in -oxidation, in which 3-ketoacyl-CoA is thiolytically cleaved to produce acetyl-CoA and the acyl-CoA chain that is two carbons shorter (224)

BHB is typically lower in the morning due to the dawn phenomenon, which causes an increase in blood glucose
Malnutrition in cirrhotic patients and their loss of muscle mass perpetuate and worsen the appearance of HE
