Instead of accumulating inside the muscle cells, lactate produced by anaerobic fermentation is taken up by the liver . This initiates the other half of the Cori cycle. In the liver, gluconeogenesis occurs. From an intuitive perspective, gluconeogenesis reverses both glycolysis and fermentation by converting lactate first into pyruvate, and finally back to glucose. The glucose is then supplied to the muscles through the bloodstream ; it is ready to be fed into further glycolysis reactions. If muscle activity has stopped, the glucose is used to replenish the supplies of glycogen through glycogenesis . 
Plan. The A+ Approach begins with a “plan” step called “analyze.” In this step, students’ needs are analyzed by examining a range of data available in Pearl River’s electronic data “warehouse,” from grades to performance on standardized tests. Data can be analyzed for individual students or stratified by grade, gender or any other subgroup. Because PDCA does not specify how to analyze data, a separate data analysis process (Figure 3) is used here as well as in other processes throughout the organization.