During vigorous exercise, carbohydrate, in the form of muscle glycogen
and blood glucose, is the primary energy source, whereas fatty acids
play a secondary, carbohydrate-sparing role. In the postabsorptive sta
te, nearly all of the carbohydrate used during exercise comes from mus
cle and liver glycogen. The size of these glycogen stores plays a majo
r role in determining how long vigorous endurance exercise can be perf
ormed if other causes of fatigue, such as dehydration or heat exhausti
on, are avoided. In a ''fight or flight'' situation, individuals whose
muscles are glycogen depleted are helpless, as they are unable to eit
her run or fight. The same is true of someone who has become markedly
hypoglycemic as a result of liver glycogen depletion.