🥄 In ICU nutrition, more is not always better. This NEJM review highlights a phase-specific approach: begin enteral nutrition early when feasible, use restrictive energy delivery during acute catabolism, avoid routine high-dose protein—especially in acute kidney injury—and advance feeding gradually as physiology recovers. 🧬💪

Prevention of refeeding syndrome, glucose control, and careful bedside monitoring remain essential. Precision nutrition may be the next frontier in critical care.

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