The cell must make a decision on what type of respiration to continue to after it completes this stage.
If there is O2 present, the cell will go through a 2-step process called aerobic respiration to gain energy.
If there isn't O2 present, the cell will go through anaerobic respiration, aka fermentation, to gain energy.
A series of reactions using electrons & hydrogens carried by NADH & FADH2 - which were both made in the Krebs cycle - happen.
Oxygen combines with electrons and H+ to make water.
the enzyme ATP Synthase creates the ATP