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Imuran (Azathioprine)

The protein need of the adult is based on body size. The recommended allowance is 0.8 gm per kilogram body weight. This amounts to 56 gm for the 70-kg man and 44 gm for the 55-kg woman. Hard work and exercise do not increase the protein requirement. On the other hand, advancing age does not decrease the requirement.
Under certain conditions the adult can maintain nitrogen balance with a protein intake as low as 25 to 40 gm. The quality of the protein in these circumstances must be excellent, and sufficient calories must be provided by carbohydrate and fat so that protein is not used for energy. Such reduction of protein intake becomes imperative when the food supply is very limited, and also when the kidneys are failing.
When new tissues are being built, the amount of protein eaten must be greater than the amount used for tissue wear and tear. Persons who are building new tissues are said to be in positive nitrogen balance. Infants, because of their rapid growth, are allowed 2.2 gm protein per kilogram (1.0 gm per pound) for the first 6 months, and then 2.0 gm per kilogram for the remainder of the first year. The recommended allowance for children 7 to 10 years is 36 gm, which is about three fourths of the woman’s allowance. Teenage boys and girls should include 44 to 54 gm daily, depending upon age and body size.
The pregnant woman should include an additional 30 gm protein. To supply the nursing infant with sufficient protein, the lactating woman needs to include 20 gm protein above her normal needs.
In planning diets it is generally recommended that each meal contain some complete protein foods or foods that complement each other so that all of the amino acids will be available to the tissues at the same time.

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