Which one of the following conditions tends to increase nitrogen excretion and REE the most?

Question

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Major burn injuries increase the metabolic rate, which can elevate resting energy expenditure (REE) and nitrogen excretion due to severe tissue damage and breakdown. This results in increased protein catabolism and the release of amino acids, which are then converted to urea and excreted via the kidneys. The other options—total starvation, partial starvation, and peritonitis/severe sepsis—may also increase nitrogen excretion and REE to some extent but not as much as major burns.

Which One of the Following Conditions Tends to Increase Nitrogen