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9.4.4-Step 4-Discuss ‘Food First’ dietary advice

Step 4: Discuss ‘Food First’ Dietary Advice (reinforce food fortification advice at each review)

See ‘Food First’ advice leaflets for community and care home settings.

Promote and encourage the inclusion of:

  • one pint of fortified milk per day (use with caution in CKD Stage 3 with hyperkalaemia and under guidance of dietitian in CKD Stage 4&5)
  • two nourishing snacks per day
  • three fortified meals per day
  • four week review if MUST score of ≥ 2, or 2-3 months for those with a MUST score of 1, as per PGN guidance