Which of the following groups is susceptible to NEGATIVE nitrogen balance?

Question

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Surgery patients are typically in a catabolic state, meaning that they are breaking down more tissue than they are synthesizing. This leads to negative nitrogen balance, as nitrogen is lost in the breakdown of protein. Lactating women and growing children have increased protein needs, but they are able to meet those needs through their diet and endogenous protein synthesis. Pregnant women also have increased protein needs, but a healthy pregnancy typically does not result in negative nitrogen balance.

Which of the Following Groups Is Susceptible to NEGATIVE Nitrogen