In the mitochondrial matrix, the pyruvate (3C) undergoes oxidation decarboxylation to form acetyl-CoA (2C). Pyruvate (3C) is first decarboxylated (removal of carbon) via the removal of C to form a 2C fragment. The 2C fragment is then oxidised via dehydrogenation, forming reduced NAD. At the same time, coenzyme A is added, giving rise to a molecule of acetyl-CoA (2C).