Ketone bodies (acetoacetate) synthesis is decreased in fed state, so acetyl-CoA is not used for synthesis of ketone bodies in fed state.About other optionsFatty acid (palimitoyl CoA) synthesis is increased in fed state. Fatty acids are synthesized from acetyl-CoA. In fed state acetyl-CoA is oxidized via TCA cycle. Acetyl-CoA condenses with oxaloacetate to form citrate. Oxalosuccinate is an intermediate of TCA cycle.