Catabolism answers the question of survival. Biosynthesis answers a different one: what do we do with more than we need?

In this episode, Medlock Holmes follows carbon not as it is burned, but as it is deliberately redirected into long-term form. Lipid biosynthesis is revealed as an act of confidence — a decision that energy is plentiful enough to be stored, structured, and deferred.

We explore how acetyl-CoA is channelled away from oxidation and into fatty acid synthesis, how reducing power is invested through NADPH, and why synthesis and degradation are kept rigorously separate — spatially, enzymatically, and hormonally. This separation is not redundancy; it is protection against futile cycles.

Drawing on Lehninger’s mechanistic clarity and Harper’s clinically grounded treatment of fatty acid and cholesterol synthesis, this episode highlights how biosynthesis reflects systemic judgement. Insulin signalling, nutritional state, and tissue context determine whether carbon is spent immediately or woven into future capacity.

Medlock learns that lipid biosynthesis is not excess run wild. It is intentional construction. Disease emerges when construction outpaces regulation — when storage becomes distortion, and reserve becomes risk.

This episode shows metabolism in its most architectural mode.

Key Topics Explored

* Fatty acid synthesis and acetyl-CoA routing

* Role of NADPH and reducing power

* Compartmentalisation of synthesis versus oxidation

* Hormonal regulation of lipid synthesis

* Cholesterol synthesis and systemic integration

* Clinical relevance: dyslipidaemia and metabolic syndrome

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