<prompt> In a seriously ill patient, addition of amino acids in the diet results in a positive nitrogen balance. The mechanism for this is:Increased absorption of amino acids from the intestineEnhanced rates of gluconeogenesisIncreased secretion of insulinIncreased Growth hormone secretion  <response>: C i.e. Increased secretion of insulin- Glucose, mannose, aminoacids such as leucine, arginine, others and f3 ketoacids such as acetoacetate derived fromfat catabolism stimulate insulin secretin and have protein sparing effectQ.- Insulin has anabolic effect on metabolism. It decreases protein catabolism and fat catabolism for energy production and increases aminoacid uptake protein synthesis positive nitrogen balanceQ. 