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This is similar to a starvation period. In fact, glucose is the main metabolite of both brain and muscle. The body stores less than a day's supply of carbohydrate, thus, the less blood sugar resulting from even an overnight fast results, through an increase in glucagon secretion and a decrease of insulin secreted into blood current. With this events, fatty acids are movilized from adipose tissue and glucose uptake by muscle tissue is inhibited by insulin levels. Therefore, muscles switch from glucose to fatty acid metabolism for energy production. However, the brain remains heavily dependent on glucose.

In animal metabolism, glucose cannot be sinthesized from fatty acids, because neither pyruvate nor oxalacetate, the precursors of glucose in gluconeogenesis pathway, can be sinthesized from acetyl-CoA . During starvation, glucose therefore must be sinthesized from the glycerol product of triacylglycerol breakdown and, more importantly, from the amino acids derived from the proteolytic degradation of proteins mainly from muscles. The continued breakdown of muscle proteins during long starvation periods would ensure that this process became irreversible since a large muscle mass is essential for an animal to move about in search of food.

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