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7: S3147 Simenhoff ML, Burke JF, Saukkonen JJ, et al
In addition to protein-energy malnutrition, specific micronutrient deficiencies (e.g., zinc, magnesium, iodine and Vitamin B6) in SAM, also contribute to growth faltering by hampering the insulin-like growth factor (IGF) complex, which controls healthy growth and repair of tissues [56, 57]
The most effective prevention strategy combines adequate protein intake (1.0-1.2 grams per kilogram daily), comprehensive micronutrient supplementation from day one, gradual dose titration to moderate the rate of weight loss, maintaining a caloric floor, and baseline blood work to identify and correct pre-existing deficiencies
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