Refeeding Protocol

The article recommends starting the break-fast meal with 30 to 40 grams of protein. Normal meal size should not resume until waiting 2 full days after beginning refeeding. Day 5 refeeding should begin with small, easily digestible portions such as one egg with sauerkraut. Two full days should pass before resuming normal meal size after a 5-day fast. Protein should be introduced approximately two hours after the first food, in a small portion of around three ounces. Day 5 refeeding should begin at approximately 25% of normal caloric intake to avoid digestive distress. Total caloric intake on the first day of refeeding after a 3–5 day fast should not exceed approximately half of normal daily calories. There is no cited clinical trial evidence establishing an optimal microbiome-focused way to break a fast. There are no clinical trials establishing how best to break a fast from a microbiome perspective. How to break a fast for microbiome effects remains an open practical question. Current discussion about refeeding is based on plausible mechanisms rather than clinical certainty. Current ideas about breaking a fast are based on mechanisms and hypotheses rather than formal clinical stud…