En alternativ biotransformations vej involverer β- oxidation via 3, 4- dihydroxybutyrat til Acetyl CoA, som derefter indgår i citronsyrecyklus resulterende i dannelsen af kuldioxid og vand.
An alternate pathway of biotransformation involves β -oxidation via 3,4-dihydroxybutyrate to Acetyl CoA, which also enters the citric acid cycle to result in the formation of carbon dioxide and water.