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This Concept Map, created with IHMC CmapTools, has information related to: Gladys Benedict_A7, PKA phosphorylates PFK-2 to inactive state, vitals of Weight 123 lbs, PKA phosphorylates glycogen phosphorylase Bb, CMP with chloride low (98mmol/L), Physical Exam including skin: dry with scratch marks on forearms and bruising pale palmar creases, CV: koilonychias on both hands due to serum iron low (28ug/dL), Serum Vitamin Levels including Depressed Vitamin B6, CBC with hematocrit low (21%), PKA phosphorylates Acetyl CoA carboxylase, F2,6BP becomes F6P, branched chain amino acid breakdown from skeletal muscle from protein mobilization resulting in Musculoskeletal: weakness in arms and legs and skeletal muscle wasting, Labs including PTH high (58pg/mL), multiple nutritional/vitamin deficiencies including anemia - iron deficiency/B12 and folate deficiency, Labs including CBC, malnutrition resulting in I/G ratio ə, kidney with Ca2+ low (7.2mg/dL), CBC with mean cell hemoglobin low (24pg), anatomical changes due to surgery of the GI tract; specifically bipassing the duodenum and proximal jejunum which leads to reduced nutrient absorption time and proper location, fatty acid oxidation results in increased acetyl CoA, negative energy balance induces lipolysis