Fatty acid synthesis occurs through a repeated cycle of condensation, reduction, dehydration, and reduction reactions. Acetyl-CoA is carboxylated to malonyl-CoA by the enzyme acetyl-CoA carboxylase, providing the two-carbon building blocks. The fatty acid synthase complex catalyzes the cycle of reactions, with the growing fatty acid chain attached to an acyl carrier protein. Typically 16 cycles produce palmitate, which is then released from the complex. Key cofactors include NADPH, ATP, biotin, and bicarbonate. Fatty acid synthesis takes place in the cytoplasm of tissues like liver, adipose, and lactating mammary