Protein is broken down through proteolysis during starvation, releasing amino acids. The liver uses some amino acids for gluconeogenesis to produce glucose, while others are converted to ketone bodies. Amino acids are transaminated by removing an amine group via transaminases, attaching it to a 2-oxo acid and forming a new amino acid. The amine groups are channeled into urea in the liver to be excreted, avoiding toxicity from ammonia buildup. In the fed state, dietary protein provides amino acids which are used to synthesize new proteins or have their carbon skeletons and amine groups metabolized through similar pathways.