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This Concept Map, created with IHMC CmapTools, has information related to: Biochem A1 Protein Energy Malnutrition, skeletal muscle generating Ketogenic amino acids, decreased urine creatinine diagnostic of muscle wasting, decreased insulin:glucagon ratio activates gluconeogenesis, lipolysis in adipocytes, adipocytes normally supplying glycerol, glycogenolysis in this pt not happening, Ketogenic amino acids for ketone body synthesis, 10th month old patient with 10th percentile height, decreased urine creatinine indicative of negative energy balance, 10th month old patient with 5th percentile weight, acetyl CoA for ketone body synthesis, albumin synthesis seen as decreased serum albumin, gylcogen phosphylase via phosphorylation, Beta- oxidation to acetyl CoA, prolonged malnourishment diagnostic of Marasmus, prolonged malnourishment leads to decreased insulin:glucagon ratio, FA for Beta- oxidation, no edema diagnostic of Marasmus, prolonged malnourishment resulting in decreased substrate, energy in muscles