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16: Kaitlin Cofer, 24, who was diagnosed with.The standard approach to feeding patients hospitalized with anorexia nervosa starting with a low number of calories and increasing them very gradually is being challenged by new research from UCSF.This approach to bringing malnourished patients back to health was based on the long held notion that pushing food on them too quickly can result in potentially fatal metabolic imbalance, but researchers now say it fails to produce significant and necessary weight gain in the first week of hospitalization and results in longer hospital stays.The UCSF study, published in next month’s issue of the , suggests that most patients can start at higher calorie levels, tolerate more food and be able to be released from the hospital more quickly. The research is considered the first to test the traditional recommendations against a higher calorie diet.The , the and other groups recommend the current guidelines, which have been in place since 2000 and stem from studies of prisoners of war in the 1950s. The approach starts with a foundation of about 1,200 calories a day and adds 200 calories every other day.This go slow method is designed to avoid “refeeding syndrome” the shifts of electrolytes and fluids that can lead to heart failure in undernourished people.