Fermentation is a process where microorganisms convert carbohydrates into alcohols or acids through anaerobic respiration. It is commonly used to produce beer and wine by converting sugar into ethanol using yeast. It also helps preserve foods through lactic acid production. Fermentation involves biochemical pathways where NADH reduces pyruvic acid, forming products like lactic acid or ethanol. There are various commercial fermentation processes including those that produce cells, enzymes, metabolites, recombinant products, or modify added compounds. A fermentation process involves formulating media, sterilizing equipment, growing an active culture, optimizing product formation conditions, extracting and purifying the product, and treating effluents.