P MEED X feeding can start between 1,400 and 2,000 kcal per day, rising by at least 200 kcal per day until weight gain is achieved.

 A

For most underweight patients with eating disorders, feeding can start between 1,400 and 2,000 kcal per day, rising by at least 200 kcal per day until weight gain is achieved. Advice on managing nasogastric feeding is provided. For most, this begins in hospital, accompanied by a plan to transition to oral food, usually with parental support, as soon as possible. The possibility of refeeding syndrome (e.g. falling phosphate) should be borne in mind and for some patients with coexisting medical illness lower rates of refeeding may be appropriate, in which case underfeeding syndrome with weight loss must be avoided