{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T20:14:49Z","timestamp":1784060089168,"version":"3.55.0"},"reference-count":0,"publisher":"Pakistan Medical Association","issue":"8","license":[{"start":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T00:00:00Z","timestamp":1783814400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Pak Med Assoc"],"abstract":"<jats:p>Metabolic recovery after solid organ transplantation is dynamic. Traditional nutritional strategies often assume rapid normalization of appetite and metabolic function. However, emerging evidence suggests that transplant recipients undergo a complex metabolic transition. This transition is characterized by insulin resistance, steroid exposure, altered protein turnover, and fluctuating renal function. The concept of \u201cNutrition Recalibration\u201d incorporates the need for progressive, physiology-aligned nutritional adaptation. This narrative review proposes a mechanistic and clinically actionable framework for nutrition in transplant recipients. Interactions with immunosuppressive therapy, anabolic signalling pathways, and insulin sensitivity are discussed. The Nutrition Recalibration model provides a practical roadmap for clinicians seeking precision nutrition approaches in modern transplant care.\nKeywords: Immunosuppression, Insulin resistance, Nutrition, Protein<\/jats:p>","DOI":"10.47391\/jpma.26-64","type":"journal-article","created":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T19:54:20Z","timestamp":1784058860000},"page":"1375-1378","source":"Crossref","is-referenced-by-count":0,"title":["Nutrition Recalibration in Transplant Recipients: A Phase-Based Metabolic Strategy for Optimizing Graft and Patient Outcomes"],"prefix":"10.47391","volume":"76","author":[{"family":"Sourabh Sharma","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Sabine Karam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Rasha Shemies","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Sanjay Kalra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"26547","published-online":{"date-parts":[[2026,7,12]]},"container-title":["Journal of the Pakistan Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/jpma.org.pk\/index.php\/public_html\/article\/download\/42325\/4985","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/jpma.org.pk\/index.php\/public_html\/article\/download\/42325\/4985","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T19:54:21Z","timestamp":1784058861000},"score":1,"resource":{"primary":{"URL":"https:\/\/jpma.org.pk\/index.php\/public_html\/article\/view\/42325"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,12]]},"references-count":0,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2026,7,14]]}},"URL":"https:\/\/doi.org\/10.47391\/jpma.26-64","relation":{},"ISSN":["0030-9982"],"issn-type":[{"value":"0030-9982","type":"print"}],"subject":[],"published":{"date-parts":[[2026,7,12]]}}}