In order to follow the movement and quantify the metabolic fates of bi
ologically important molecules in vivo, both tracers and kinetic model
ing are required. For the study of intermediary metabolism in children
, stable isotopically labeled substrates satisfy both the analytical a
nd ethical requirements for tracer use in children. Stable isotope tra
cers have been proven safe over more than a half-century of use in hum
ans. In addition, mass spectrometric analysis of stable nuclide molecu
lar position and isotopic enrichment in biological molecules is both h
ighly specific and extraordinarily precise. Using stable isotope data
to develop models of biological system dynamics in vivo is an essentia
l element of estimating substrate events that take place in cells or o
rgans otherwise inaccessible for ethical sampling in children. Further
, modeling is also a critical component in the development and the tes
ting of hypotheses about the structure of the biological system in que
stion and the mechanisms which control its operational parameters.