Cholesterol is a waxy substance found in animal tissues that is essential for cell membrane structure and function. The liver produces most of the body's cholesterol through a multi-step process involving acetyl-CoA and mevalonate. Cholesterol is also a precursor for bile acid synthesis in the liver and the production of steroid hormones. Clinical significance includes atherosclerosis resulting from high cholesterol levels and malnutrition leading to low cholesterol levels. Cholesterol metabolism and its roles are essential for many bodily processes but imbalances can cause disease.