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Associate Professor of Psychiatry
Johns Hopkins University
Direct Phone: (410) ***-****
The Johns Hopkins Children's Center And The Johns Hopkins Hospital 600 North Wolfe Street
Baltimore, Maryland 21287
Johns Hopkins Medicine (JHM), headquartered in Baltimore, Maryland, is a $7 billion integrated global health enterprise and one of the leading academic health care systems in the United States. JHM unites physicians and scientists of the Johns Hopkins Uni... more
Medical Care Standards Committee
The GreenMount School
Department of Psychiatry
Johns Hopkins School of Medicine
University of Maryland
"So 'slower is safer' has been the clinical view.
But at what price?
"If a patient is severely ill and needs to gain 50 pounds, but only gains 10 pounds in the hospital, you achieve little other than a temporary improvement.
Worse still, recent research actually shows that under traditional protocols, people can lose weight in the hospital."
The Johns Hopkins study suggests that careful monitoring of patients in an inpatient treatment program can sidestep refeeding syndrome.
Those who entered the program with a dangerously low BMI were tested daily for levels of phosphate and glucose in their blood.
The monitoring continued until nutritional treatments restored normal levels, Guarda says.
Alvarez & Marsal
Minas Gerais State University