Fermentation is basically a way to produce NAD+. Nad-plus is an improtant ingredient/fuel for energy production when a cell can't get access to oxygen.Some cells can switch to this auxiliary 'fuel system' that produces that valuable NAD+, which helps extract energy from glucose.
Also note, there are tworking kinds of fermentation. One that makes a burning sensation. In your muscles when they work hard, and the other that results in alcohol formation.
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