Kwashiorkor can be defined as moderate energy deficit with severe protein

Kwashiorkor can be defined as moderate energy deficit with severe protein deficit. It is often seen in the light of increased protein needs due to infections. The affected children often have bulging belly and infections.

A) Provide biochemical reasons for the following symptoms associated with Kwashiorkor: Hepatomegaly, fatty liver, and distended abdomen

B) Will gluconeogenesis be increased or decreased in the liver? Defend your answer.

C) How does this affect TCA cycle, ATP levels and use of amino acid?

D) What metabolic changes would happen in adipose tissue and blood? Why? Explain in a logical manner using the terms lipolysis, fatty acid oxidation, acetyl-CoA, ketogenesis.