Glycogen is the body's stored form of carbohydrates, a complex polymer of glucose molecules found primarily in the liver and muscles. Muscle glycogen serves as a localized energy source for immediate use during physical activity, while liver glycogen is released into the bloodstream to maintain stable blood glucose levels for the brain and other organs. However, these glycogen stores are limited and can be exhausted after a prolonged period of intense exercise or fasting. When this occurs, the body is forced to pivot its metabolic machinery to burn alternative fuels. This shift is what is commonly referred to as "hitting the wall" by endurance athletes, a phenomenon characterized by intense fatigue and a dramatic drop in performance.
The Metabolic Shift: Tapping Into Fat Reserves
For most people, the body's most abundant energy reserve is stored fat, also known as adipose tissue. Once glycogen is gone, fat becomes the body's primary long-term fuel source. Fat is an extremely energy-dense fuel, providing more than twice the calories per gram compared to carbohydrates.
Lipolysis and Beta-Oxidation
The process of using fat for energy involves several key steps:
- Lipolysis: During this initial phase, the body releases hormones like glucagon and adrenaline, which activate enzymes called lipases to break down stored triglycerides in fat cells into free fatty acids and glycerol.
- Transport: The released fatty acids are then transported through the bloodstream to tissues that need energy, such as the muscles and heart.
- Beta-Oxidation: Inside the mitochondria of the muscle cells, the fatty acids are broken down into smaller molecules called acetyl-CoA. This acetyl-CoA is then fed into the Krebs cycle to produce a large amount of adenosine triphosphate (ATP), the body's immediate energy currency.
Gluconeogenesis: Making New Glucose
Even when fat becomes the primary fuel, certain parts of the body, most notably the brain and red blood cells, have a constant and non-negotiable need for glucose. The liver and, to a lesser extent, the kidneys address this by producing new glucose through a process called gluconeogenesis, or "new glucose formation".
Glucogenic Substrates
Gluconeogenesis can produce glucose from non-carbohydrate sources, including:
- Lactate: Produced by muscles during anaerobic glycolysis, lactate can be transported to the liver and converted back into glucose through the Cori cycle.
- Glycerol: The glycerol backbone, released from the breakdown of triglycerides during lipolysis, can be used as a substrate by the liver to synthesize glucose.
- Glucogenic Amino Acids: Certain amino acids, derived from the breakdown of proteins, can be used by the liver for glucose synthesis.
Ketone Bodies: An Alternative Fuel for the Brain
During prolonged fasting or a very low-carbohydrate diet, the liver can produce a special type of fuel called ketone bodies through a process called ketogenesis. This occurs when there is an excess of acetyl-CoA generated from the beta-oxidation of fatty acids.
- Ketones, primarily acetoacetate and beta-hydroxybutyrate, are water-soluble molecules that can be used by the brain and other tissues for energy when glucose is scarce.
- This provides a crucial energy safety net for the brain, which cannot directly use fatty acids for fuel. The liver, interestingly, produces ketones but cannot use them for energy itself due to a missing enzyme.
Comparing the Body's Fuel Sources
| Feature | Carbohydrates (Glycogen) | Fat | Protein (Amino Acids) | 
|---|---|---|---|
| Availability | Limited, stored in liver and muscle | Plentiful, stored in adipose tissue | Abundant, but primarily used for building tissue | 
| Energy Density | Lower (4 kcal/gram) | Highest (9 kcal/gram) | Lower (4 kcal/gram) | 
| Speed of Breakdown | Very fast, ideal for high-intensity activity | Slower, requires more oxygen | Slow, only as a last resort | 
| Primary Role | Immediate, high-intensity energy | Long-term, low-to-moderate intensity energy | Tissue repair and growth | 
| Utilization When Glycogen is Low | Initial source until depleted | Primary energy source | Used for gluconeogenesis during starvation | 
The Role of Protein Catabolism
When the body's glycogen and fat stores are insufficient, it turns to protein as a last resort for energy. The breakdown of muscle tissue (protein catabolism) releases amino acids that can be converted into glucose via gluconeogenesis. This is not an efficient or desirable process, as it leads to the loss of lean muscle mass. During starvation, the body tries to preserve muscle for as long as possible, but it will eventually turn to it for survival. This muscle wasting is a clear indicator of a severe energy deficit.
Conclusion
When the body runs out of its readily available glycogen stores, it is a metabolic signal to shift into a different mode of energy production. This switch prioritizes the use of abundant fat reserves for general energy needs, while the liver works to provide vital glucose to the brain and other organs through gluconeogenesis and ketone body production. Only in extreme and prolonged states of deprivation does the body resort to breaking down its own muscle tissue. Understanding this metabolic hierarchy is crucial for athletes managing their fueling strategies and for anyone interested in the science of nutrition and weight management. For further reading, an in-depth review on glycogen metabolism for athletes and coaches is available from the National Institutes of Health.