For that we have to do a VERY BRIEF return to med school and the 1953 Nobel Prize winning work on energy extraction (citric acid cycle) 3/
This makes a huge difference. 7/
Core recommendations that can be applied to clinical practice:
1.Don't recommend a low protein diet (1.2-1.5 gm/kg/d)
2.Supplements throughout the day
3.Night time snack to prevent prolonged fast (#fourthmeal….just hold off on the salt)
4. Don't wait to assess.