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20. Ethanol Affects Blood Glucose Levels The consumption of alcohol (ethanol), especially after periods of strenuous activity or after not eating for several hours, results in a deficiency of glucose in the blood, a condition known as hypoglycemia. The first step in the metabolism of ethanol by the liver is oxidation to acetaldehyde, catalyzed by liver alcohol dehydrogenase:

Explain how this reaction inhibits the transformation of lac-tate to pyruvate. Why does this lead to hypoglycemia?

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