In this task, you are given a paragraph, and your job is to generate comma-separated entities present in the given paragraph. Generate entities from a given passage in such a way that (i) they are present in the paragraph, (ii) they are non-duplicate, (iii) they underwent a state change during the process. Avoid creating entities that (i) aren't present in the process paragraph and (ii) aren't significant. 

Coal is loaded into the firebox. The boiler produces steam under high pressure. The steam generated in the boiler flows down into a cylinder. Just ahead of the wheels, pushing a tight-fitting plunger, the piston. The piston is connected to one or more of the locomotive's wheels through a kind of arm-elbow-shoulder joint called a crank and connecting rod. As the piston pushes, the crank and connecting rod turn the locomotive's wheels and power the train along. An outlet valve opens and the piston pushes the steam back through the cylinder and out up the locomotive's chimney. 
coal ,steam 

Sugar enters the body. Bloodstream. The pancreas. Insulin lower sugar levels. Bloo sugar goes back to normal. 
sugar 

Rain clouds travel across the sky. Rain clouds are stopped or slowed by mountains or wind. The rain clouds drop the rain. The clouds are no longer raining when or if they reach the other side of the obstacle. On the other side of the mountains or rain, there isn't much rain. The area that receives little rain develops a very different ecosystem. The area that receives little rain becomes a desert. 

rain clouds ,rain ,clouds ,a very different ecosystem ,desert