This document discusses glycogen metabolism. It notes that glycogen is a readily available form of glucose storage found primarily in the liver and muscles. Glycogen synthesis, or glycogenesis, occurs in the fed state in these tissues and involves three steps - isomerization of glucose-6-phosphate to glucose-1-phosphate, activation of glucose-1-phosphate to UDP-glucose, and linkage of UDP-glucose to a glycogen chain catalyzed by glycogen synthase. Glycogen branching is accomplished by the enzyme amylo-(1,4-1,6)-trans-glycosylase which transfers glycogen segments to form branches. The synthesis and breakdown of glycogen in the liver and muscles