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However, this initial milk diet (WHO F\u201075) might benefit from increasing the sulphur amino acid, phosphorus and potassium content and reducing the lactose content, but further studies are needed. Careful tube\u2010feeding results in faster initial recovery and weight gain, but has a significant risk of aspiration in poorly supervised settings. Ready\u2010to\u2010use therapeutic food is an important recent advance in the dietary management of malnutrition in ambulatory settings, allowing more effective prevention programmes and earlier discharge from hospital where community follow\u2010up is available. It should be included in future protocols. There is very good evidence on the use of micronutrients such as zinc, and preliminary evidence suggests that smaller doses of daily vitamin A are preferable to a single large dose on admission for severe malnutrition.<\/jats:p>","DOI":"10.1111\/j.1440-1754.2006.00932.x","type":"journal-article","created":{"date-parts":[[2006,9,8]],"date-time":"2006-09-08T21:01:10Z","timestamp":1157749270000},"page":"575-582","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Critical appraisal of the management of severe malnutrition: 2. 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