“…However, full-scale or pilot-scale study of anammox gel immobilization, except with polyethylene glycol gel (PEG), is missing in the literature. Previous studies depicted good removal performance and short start-up period of anammox with gel immobilization under laboratory conditions (Tuyen et al, 2020). As anammox bacteria are very sensitive to changing conditions in the surrounding environment, the immobilization techniques must be studied under real wastewater conditions.…”