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Every cell in the body needs a constant supply of energy, released from glucose by respiration. Most of the time cells respire aerobically, combining glucose with oxygen to release a large amount of energy and produce carbon dioxide and water. During vigorous exercise, the heart and lungs cannot always deliver oxygen to muscle cells fast enough to meet demand. When this happens, muscle cells respire anaerobically instead, breaking glucose down without oxygen. This releases energy more quickly than the body could otherwise supply it, but far less efficiently, and it produces lactic acid rather than carbon dioxide and water. The body responds to exercise by increasing heart rate, breathing rate and breath volume, delivering oxygen and glucose to muscles faster and removing waste products more quickly. After vigorous exercise a person keeps breathing heavily to repay an oxygen debt, the extra oxygen needed to break down the lactic acid that has built up in their muscles. Respiration is just one part of metabolism, the network of reactions that keeps an organism alive, including reactions that build carbohydrates, lipids and proteins, and break down excess amino acids into urea.