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Which of the following is most likely to happen when fatty acids are broken down rapidly and incompletely?

a) Efficient energy release
b) Formation of ketones
c) Enhanced nutrient absorption
d) Synthesis of triglycerides

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Final answer:

The rapid and incomplete breakdown of fatty acids most likely leads to the formation of ketones. This process serves as an alternative energy source for the body during low-carbohydrate intake or starvation.

Step-by-step explanation:

When fatty acids are broken down rapidly and incompletely, the most likely outcome is the formation of ketones. This happens because when there is an insufficient amount of carbohydrates or a breakdown of fatty acids for energy, the liver converts the fatty acids into ketone bodies. These ketones are then used as an alternative energy source by various tissues in the body, including the brain, during times of fasting or low-carbohydrate intake, such as in ketogenic diets or during starvation.

The process of converting fatty acids into acetyl CoA is a normal part of metabolism. However, when the amount of acetyl CoA exceeds the capacity of the citric acid cycle (due to a lack of carbohydrate-derived oxaloacetate that usually combines with acetyl CoA), it leads to the synthesis of ketone bodies. This scenario is seen much more frequently in cases of uncontrolled diabetes mellitus or starvation.

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