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Acetyl-CoA enters the cycle after either oxidative breakdown of lipids within the mitochondria or after conversion of pyruvate, generated from glycolysis in the cytosol, by the mitochondrial pyruvate dehydrogenase complex

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Most side effects are reversible upon discontinuation of therapy, but serious reactions necessitate prompt evaluation and supportive care

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Deeper, bigger changes like reduced pigmentation, improved skin tone, and stronger immunity typically show up around the 6 to 8-week mark

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