The specific biochemical routes and enzymatic processes within the cell that are responsible for converting macronutrients—carbohydrates, fats, and proteins—into usable energy, primarily in the form of Adenosine Triphosphate (ATP). The efficiency and flexibility of these pathways are central to metabolic health, determining how effectively the body can switch between fuel sources. Hormones are the primary regulators of this metabolic flexibility.
Origin
This concept is foundational to cellular metabolism and bioenergetics, focusing on ‘substrate,’ the raw material (nutrients), and ‘utilization pathways,’ the biochemical sequences. Understanding these pathways is essential in clinical practice for addressing energy imbalances, weight management, and insulin resistance.
Mechanism
Key pathways include glycolysis for glucose, beta-oxidation for fatty acids, and the citric acid cycle, all culminating in oxidative phosphorylation in the mitochondria. Hormones such as insulin, thyroid hormone, and cortisol act as master switches, directing which pathway is preferentially activated based on the body’s energy needs and nutritional status. Optimizing hormonal signaling enhances metabolic flexibility, allowing for efficient energy production and storage.
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