Inside your skin cells are mitochondria: microscopic engines that turn fuel into ATP, the energy cells spend on everything: building collagen, repairing damage, shedding old cells and making new ones.
At the heart of each engine is a loop of reactions called the Krebs cycle. Think of it as a revolving door: fuel can only get in when there's an open seat waiting for it. With age, those seats run short. The door slows. Less energy comes out, and more exhaust (free radicals) leaks out with it.
Your skin hasn't forgotten how to renew. It just can't afford to.
For the nerdsAcetyl-CoA (2 carbons) only enters the TCA cycle by condensing with oxaloacetate (4 carbons) to form citrate. Oxaloacetate is kept at very low concentrations, and intermediates are constantly pulled out of the cycle for biosynthesis, so they must be topped back up. That replenishment is called anaplerosis.
When the supply lags, flux slows, less NADH reaches the electron transport chain, and an underfed, aging chain is more prone to electron leak, which means more superoxide. That supply gap is exactly what R·M·A's four-carbon primer is designed to address.