A 6-month-old infant with SAM classified as marasmus is brought for treatment. Which therapeutic milk formula should be initiated in the STABILIZATION phase (first 1–7 days)?

• A F-100 (high-calorie, high-protein formula)
• B Diluted cow's milk 1:1 with added sugar
• C Ready-to-use therapeutic food (RUTF) immediately
• D F-75 (low-calorie, restricted protein, low sodium) ✓

Explanation

F-75 is the WHO/UNICEF-recommended therapeutic milk for the stabilization phase of SAM management. It provides 75 kcal/100 mL and restricted protein to allow gradual metabolic recovery, prevent refeeding syndrome, and avoid overloading the compromised cardiovascular and renal systems. F-100 (100 kcal/100 mL) and RUTF are used only in the rehabilitation phase once appetite returns and metabolic stability is achieved. Diluted cow's milk is inappropriate as it has inadequate composition, lacks micronutrients, and may cause lactose intolerance in the malnourished gut.

Reference: Ghai Essential Pediatrics, 10th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.