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Abstract Malnutrition particularty protein caloric deficiency is prevalent in many under developed areas of the world however in recent yeares it has also become a concern in developed countries in those in those indiduals who have chronic diseases in whom it exists as aresult of both anorexie and hypermetabolism Malnutrition stunts growth and produces generalized tissue wasting sparticulary a severe loss of muscle tissue and protein which almost certainly includes the heart muscle. |