Excess NADH can cause Metabolic Problems NH2 OH CH:CCOH >CH3CHCO2H sugar NADH pyruvic acid (+lactic acid pyruvic acid is normally converted to glucose (gluconeogenesis) results in:acidosis and hypoglycemia Excess NADH can cause Metabolic Problems (+) lactic acid pyruvic acid is normally converted to N sugar C O NH2 C H3 CCOH OO C H3 CHCO2H OH H + NADH pyruvic acid (+) lactic acid results in: acidosis and hypoglycemia N sugar C O NH2 C H3 CCOH OO C H3 CHCO2H OH H + NADH pyruvic acid glucose (gluconeogenesis)