“…This is an important consideration because the diets prescribed in this condition often do not con tain a surfeit of all essential amino acids. More over, in renal failure there are alterations in the metabolism of a number of essential and nonessential amino acids, including trypto phan [63], phenylalanine [64-66], tyrosine [66,67], citrulline [68], hydroxyproline [69], and valine [70], and such abnormalities may affect dietary requirements. Bergstrom el al.…”