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Kayle Calos31 May 2020Unit 3 case connectionCase 1:The patient’s relative ratio of insulin is lower compared to glucagon, epinephrine and cortisol. To eliminate some of the pathways, there are a few things to note. The patient has not eaten for about 24 hours and has a low blood glucose levels, so any pathway done in the fed state can be disregarded, such as, glycolysis and glycogen synthesis. Another thing to note is that the patient has been administered glucagon and had a slight increase to her blood glucose levels but is not within normal range. This indicates that her glycogen storage is depleted, so her primary fuel that is being used is fat. Aside from that, the patient’s serum free fatty acid is higher than normal. Thus, lipolysis, ketogenesis and beta-oxidation are the most likely options. Protein catabolism can also be a potential pathway. To help distinguish between lipolysis and beta-oxidation, there is something to remember. Ella’s body is