Lipolysis, Beta-oxidation and Ketogenesis

Lipolysis in adipose tissue is initiated by activation of Hormone-Sensitive Lipase by epinephrine during fasting. The fatty acids released in the bloodstream provide an alternative fuel source for other tissues like the liver and muscle. This switch to using fatty acids for energy spares glucose use during fasting. In addition, excess acetyl CoA in the liver is used to produce ketone bodies that can serve as an alternative energy source for many tissues.