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However purchase discount alesse line birth control pills 40, although this was an advance on the earlier approach order alesse toronto birth control pills uti, assumptions still had to be made to extrapolate the results from the short periods to a full day buy generic plavix. Thus the 24-hour amino acid balance method was developed to determine the balance of the test amino acid over a 24-hour period that encompassed periods of fasting and feeding. This marked a significant advance in deter- mining amino acid requirements because it moved investigations away from the simple study of nitrogen metabolism and allowed, in principle at least, direct measurements of the quantities of the amino acid lost under different nutritional circumstances. The first limitation arises from the unresolved questions related to the method’s theoretical basis. This is difficult because amino acid metabolism is compartmentalized and measurements of plasma amino acid labeling likely underestimate true turnover, and hence true oxidative loss, of the amino acid. Although for some amino acids this problem can be circumvented by administering a labeled metabolic product of the amino acid (e. The second drawback is practical—measuring the oxidation of the test amino acid over a complete 24-hour period makes the method labor intensive. This probably underlies the fact that to date this method has been applied to only three amino acids: leucine (El-Khoury et al. The reasoning is that when a single indispensable amino acid is provided below its requirement, it acts as the single and primary limitation to the ability to retain other nonlimiting amino acids in body protein. These other amino acids, including the indicator amino acid, are then in nutritional excess and are oxidized (Zello et al. As the intake of the test amino acid is increased, protein retention increases and the oxidation of the indicator amino acid falls until the requirement level of the test amino acid is reached, after which the oxidation of the indicator amino acid is lower and essentially constant. The data are then analyzed to obtain as estimate of the intersection of the constant and linear portions of the relationship (the breakpoint). The first advantage is that the metabolic restrictions of carbon dioxide release apply only to the indicator amino acid. Second, the pool size of the indicator amino acid does not change radically as the intake of the test amino acid is varied. Thus to some extent, potential problems of compart- mentation are minimized and, in principle, the method does not require estimates of the turnover of the indicator amino acid. Second, the dependence of the result on the amount of total protein given during the isotope infusion has not been established. Third, the choice of the best indicator is still under study so that data obtained with the method are dependent on the assumption of the general applica- bility of the indicator amino acids (phenylalanine and lysine) that have been used most frequently. Classical nitrogen balance studies in humans show that it takes 7 to 10 days for urinary nitrogen to equilibrate in adults put on a protein-free diet (Rand et al. On the other hand, it has been shown that most (about 90 percent) of the adaptation in leucine kinetics is complete in 24 hours (Motil et al. These investigators were unable to show any effect of prior adaptation to these two different phenylalanine intakes on the rates of phenylalanine oxidation at changing phenylalanine intakes, where the adaptation to the test level was about 4 hours.

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