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One of the three carbon atoms that make up pyruvate is cleaved off by the rather large enzyme pyruvate dehydrogenase. This carbon atom attached to oxygen and becomes carbon dioxide(what you exhale). This reaction is known as a decarboxylation reaction. Then the other two remaining carbon atoms make up an acetyl group. Along with the acetyl group is hydrogen which will reduce NAD+ to NADH. The acetyl group is added to coenzyme a, and is called acetyl coenzyme a, or acetyl CoA for short. This is the ultimate creation of the oxidation of pyruvate. If there is a high concentration of ATP then the acetyl-CoA is used for fatty acid biosynthesis. If not than it will be used for oxidative metabolism. That's the basics of it for it is very complex.

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