The citric acid cycle (CAC) is the second stage of cellular respiration that occurs in the mitochondria. It fully oxidizes acetyl-CoA derived from glucose, fatty acid, and amino acid breakdown to carbon dioxide. Each turn of the CAC generates reduced coenzymes NADH and FADH2 that drive oxidative phosphorylation to produce ATP, as well as GTP through substrate-level phosphorylation. The CAC is tightly regulated by product inhibition and substrate availability to balance energy production with the needs of the cell.