Pronunciation: hi-drok'se-byu-tir'ik as'id
The d-stereoisomer is one of the ketone bodies and is formed in ketogenesis; it is an important fuel for extrahepatic tissues; as an acyl derivative it is also an intermediate in fatty acid biosynthesis. The l-isomer is found as a coenzyme A derivative in ß oxidation of fatty acids.
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Examples: glitazone, GI cocktail, etc.