1. Pyruvate is transported from the cytosol into the mitochondrial matrix by carrier proteins on the mitochondrial membrane
2. Pyruvate loses a carbon atom (decarboxylation), which forms a carbon dioxide molecule
3. 2C compound forms an acetyl group when it loses hydrogen atoms via oxidation (NAD+ is reduced to NADH + H+)
4. Acetyl compound combines with coenzyme A to form acetyl coenzyme A (acetyl CoA)