At the level of organisms, food intake affects patterns of gene expression. At the level of cells, levels of nutrients and metabolites regulate patterns of gene expression. Multiple mechanisms have been described and many remain to be discovered (90–92). Epigenetic controls are often exerted through covalent modifications of chromatin proteins or through modification of DNA itself. The essential donor groups for these modifications are important metabolic intermediates including Acetyl CoA, S-adenosylmethionine, ATP, and NAD+.