What is the role of refeeding in the treatment of anorexia nervosa?

Updated: Jun 10, 2019
  • Author: Bettina E Bernstein, DO; Chief Editor: Caroly Pataki, MD  more...
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Answer

The process of refeeding must be undertaken slowly, with modest increases in metabolic demands, in order to avoid refeeding syndrome (which includes cardiovascular collapse, starvation-induced hypophosphatemia, and dangerous fluctuations in potassium, sodium, and magnesium levels). A nutritionist or dietitian should be an integral part of the refeeding plan.

Electrolyte repletion is necessary in patients with profound malnutrition, dehydration, and purging behaviors. Repletion may be done orally or parenterally, depending on the patient’s clinical state.


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